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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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  • Medicare ABNs for Therapy Services

Medicare ABNs for Therapy Services

  • 21 Oct 2021
  • 12:00 PM - 1:00 PM (EDT)

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 2oth at 12:00 - 1:00 PM CDT and again on October 21st at 12:00 - 1:00 PM EDT.  

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 therapy services.  

A recording of the webinar will be available to all attendees and a copy of the slides will be distributed following the webinar.  No extra charge for the recording.

New Federal Regulation on Surprise Billing

  • Estimated costs/charges
  • Resolving payment disputes

Advanced Beneficiary Notice of Noncoverage

  • Mandatory and voluntary ABNs
  • Medicare necessity – Therapy services
  • Therapy services specifically not covered
  • ABN triggering events – changes in the treatment plan
  • Notice and delivery requirements
  • Illegal uses of an ABN
  • Patient decisions i.e. refusal to sign
  • Collection of funds and refunds

Documentation

  • Completion of the ABN form – Details of each section
  • Date and signature requirements
  • Authorized representatives
  • Retention requirements
  • Use of ABN modifiers

Other Settings

  • Home Health Change of Care Notices
  • Medicare Advantage Plans

Registration: 

October 20th at 12:00 - 1:00 PM CDT

October 21st at 12:00 - 1:00 PM EDT

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

Join Therapy Comply today and receive your discount and full site access

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 qualify for 1 hour of PT and PTA CME credit in AL, AK, AZ, AR, 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 qualify 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, NJ, NC, ND, OH, OR, RI, SC, 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 eight 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 specifically for physical and occupational therapy practices.  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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