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  • North Carolina Medicaid Coverage of PT and OT

North Carolina Medicaid Coverage of PT and OT

  • 14 Nov 2018
  • 12:00 PM - 1:00 PM (EST)

Registration


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Therapy Comply, a leading physical and occupational therapy education and compliance firm, will be presenting a webinar on Medicaid coverage for physical and occupational therapy in North Carolina on November 14th at 12:00 – 1:00 PM EST.  The course will detail Medicaid coverage for adults and children, prior authorization requirements, documentation, reimbursements, and appeals. The course will finish with a discussion on important Medicaid topics including patient verification, direct patient billing, copayment, and the shift to managed care in NC.

A recording of the webinar will be available to all attendees and a copy of the slides will be distributed following the webinar.

The webinar will cover the following topics:

Coverage for PT and OT

  • Covered services and limitations for adults
  • Covered services for children enrolled in NCHC
  • Independent practitioners
  • Services provided by assistants and aides
  • Services for Dual Eligibles
  • Therapy services in Home Health
  •  Detailed prior authorization requirements – clinical criteria

Documentation

  • Written and verbal orders
  • Evaluations and revaluations
  • Plan of care
  • Treatment notes
  • Discharge documentation

Appeals

  • Filing appeals on claims denials
  • Appeals for prior authorization denials
  • State Fair Hearings

Important Medicaid Topics

  • Verification of patient eligibility
  • Billing patients for noncovered services
  • Copayments
  • Discussion on the coming shit to managed care

Registration: 

November 14th at 12:00 PM -1:00 PM EST 

Fee: $35 for Members $50 for Non-Members

PT: This webinar will quality for 1 hour of PT CE credit in North Carolina

OT: 
This webinar will quality for 1 hour of OT CE credit in North Carolina

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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