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  • Home
  • Advanced Beneficiary Notifications for Therapy Services

Advanced Beneficiary Notifications for Therapy Services

  • 24 Oct 2018
  • 12:00 PM - 1:00 PM (CDT)

Registration

Therapy Comply, a leading physical and occupational therapy education and compliance firm, will be presenting a webinar on the Advance Beneficiary Notice of Noncoverage (ABN) rules and requirements on October 24th at 12:00 PM - 1:00 PM CDT.  The course will cover Medicare’s policy on the use of ABNs including mandatory and voluntary use, documentation requirements, use in special circumstances, and potential pitfalls.  The course will be tailored specifically to outpatient therapy services.  

The webinar will cover the following topics:

Changes in 2018 and 2019

  • 2018 Outpatient Therapy Cap Repeal
  • 2019 Physician Fee Schedule Changes to Therapy
  • Use of the KX modifier
  • Medical Review threshold
  • Changes to assistant reimbursement

ABN Issues Specific to Therapy

  • Common circumstances for ABN use in therapy services 
  • Using an ABN for a patient in Home Health
  • Using an ABN for a patient in a skilled nursing facility

Advanced Beneficiary Notice of Noncoverage

  • Mandatory and voluntary ABN issuances
  • Prohibitions on use ABNs
  • ABN triggering events – changes in the treatment plan
  • Notice and delivery requirements
  • Dual Eligibles and other patients with special considerations
  • Patient decisions i.e. refusal to sign
  • Collection of funds and refunds

Documentation

  • Completion of the ABN form
  • Date and signature requirements
  • Authorized representatives
  • Retention requirements
  • Use of ABN modifiers

Fee: $50

CEU: This program meets the American Association of Professional Coders (AAPC) guidelines for 1.0 CEUs. Can be split between Core A, CPCO and CPMA for continuing education units.

PT: This webinar will quality for 1 hour of PT CME credit in AL, AR, AZ, CO, DE, FL, GA, HI, IL, IN, KS, KY, MD, MI, MN, NE, NH, NC, ND, OH, OR, RI, SC, TN, TX, UT, VA, WA, WI, WY

OT: This webinar will quality for 1 hour of OT CME credit in AL, AR, AZ, CA, CO, CT, DC, FL, GA, IL, KS, KY, MN, MS, MO, NC, NE, NV, NH, ND, OH, OR, RI, SD, TN, TX, UT, VA, WA, WV, WI, WY

Speaker: Zachary Edgar JD, LLM is the lead consultant for Therapy Comply.  Zachary is healthcare attorney who specializes in state healthcare regulatory issues particularly for physical and occupational therapy practices.  Zachary has spent the last five years as in-house counsel for a physical therapy management company where he handled a wide variety of healthcare legal issues including: federal and state healthcare fraud and abuse laws, state professional and facility licensing issues, HIPAA, employment issues, and Medicare and Medicaid compliance.  Zachary obtained his BA and JD from the University for Arizona and an LLM in healthcare law from Loyola University. 


About Us

Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

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