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  • Home
  • Medicare Documentation and Appeals for Therapy Services

Medicare Documentation and Appeals for Therapy Services

  • 19 Dec 2018
  • 12:00 PM - 1:00 PM (CST)

Registration

Therapy Comply, a physical and occupational therapy education and compliance firm, will be presenting a webinar on the Medicare appeals process on December 19th at 12:00 – 1:00 PM CST.  The course will cover Medicare physical and occupational therapy documentation and appeals for traditional Part A and B as well as appeals for Part C Medicare Advantage Plans. 

All attendees will receive a copy of the slides and access to the recording.

The webinar will cover the following topics:

2019 Changes to Therapy Services

  • KX Modifier
  • Targeted medical review
  • Changes to PTA and OTA reimbursement and modifiers

Documentation Requirements for PT and OT (Focus on Preventing Denials and Preparing for an Appeal)

  • Demonstrating medical necessity
  • Evaluations
  • Certification and recertification of the treatment plan
  • Key areas of the treatment plan
  • Treatment notes
  • Progress reports

Medicare Part A and B Appeals

  • What can and cannot be appealed
  • Appealing for your patients
  • First level: Redetermination
  • Second level: Reconsideration

Medicare Advantage Appeals  

  • Prior authorization
  • Level One: Request for Reconsideration
  • Level Two: Independent Review Entity

End of the Year Discounts!

Fee: $25 for Members            $35 for Non-Members           

Registration URL:  

December 19th at 12:00 – 1:00 PM CST

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, CA, CO, DE, FL, GA, HI, IL, IN, 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 managing partner 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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Join today as either a monthly or a yearly member and enjoy full access to the site and a significant discount to our live and recorded webinars.  Members also have access to compliance and billing support.

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