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  • Preventing Medicare Denials and Filing Successful Appeals

Preventing Medicare Denials and Filing Successful Appeals

  • 28 Aug 2019
  • 12:00 PM - 1:00 PM (CDT)

Registration

Therapy Comply, a physical and occupational therapy education and compliance firm, will be presenting a webinar on the Medicare appeals process on August 28th at 12:00 - 1:00 PM CDT and again on August 29th at 12:00 – 1:00 PM EDT.  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. 

The course will be recorded.  All attendees will receive a copy of the slides and full access to the recording.

The webinar will cover the following topics:

2020 Proposed Changes to Medicare

  • KX Modifier and Target Review
  • New PTA and OTA modifiers required in 2020

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

  • Top 10 most common denials
  • Demonstrating medical necessity
  • Certification and recertification of the treatment plan
  • Key areas of the treatment plan
  • Treatment notes
  • Progress Reports

Preparing for the Appeal

  • Understanding the MSN and RA
  • Representing yourself and your patient
  • Documentation checklist and preparation
  • Tips for preparing and filing correctly

Medicare B and Advantage Appeals

  • The appeals form – filing requirements
  • First level: Redetermination
  • Second level: Reconsideration
  • Third level: Administrative Law Judge
  • Fourth level: Appeals Council
  • Fifth level: Federal Court

Fee: $25 for Members            $50 for Non-Members           

Registration URL:  

August 28th at 12:00 – 1:00 PM CDT

August 29th at 12:00 – 1:00 PM EDT

PT: This webinar will quality for 1 hour of PT and PTA CME credit in AL, AK, AZ, CO, CT, FL, GA, HI, ID, IL, IN, IA, KS, KY, MI, MS, MN, MO, MT, NE, NM, NH, NC, ND, OH, OR, RI, SC, TN, TX, UT, VT, VA, WA, WV, WI, WY

OT: 
This webinar will quality for 1 hour of OT and OTA CME credit in AL, AK, AZ, AR, CA, CO, CT, FL, GA, ID, IL, IA, KS, KY, MI, MN, MO, NE, NM, NV, NH, NC, ND, OH, OR, RI, SC, 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 seven 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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