Documentation and Coding Compliance for Rehab Services Saturday, March 7 2015 Instructor: Holly Hester, PT, DPT, CLT Description As practicing clinicians are aware, medical review is increasing. More and more often, payers are asking to review medical records to ensure appropriate documentation of services rendered to support billing and payment. This course offers an in-depth review of regulatory and payer requirements for documentation and coding, how to create a complete and accurate “clinical picture” of the client through documentation, proper CPT, and diagnosis code selection to represent the services delivered. Learning Outcomes Participants will be able to: • Demonstrate skill sets and knowledge of your professional discipline through clinical documentation. • Discuss how clinical documentation justifies reimbursement and functions as a “receipt” for services rendered. • Discuss at least four specific requirements for rehabilitation documentation. • State at least 2 billing requirements for Medicare Part B. • Demonstrate how to accurately record CPT and ICD-9/ ICD-10 codes for services rendered. Instructor Holly Hester, PT, DPT, CLT graduated from Hahnemann University in Philadelphia, PA in 1994 with a Masters degree in Physical Therapy and received her Doctor of Physical Therapy from AT Still University in Mesa, AZ in 2014. She completed her certification in lymphedema treatment with the Academy of Lymphatic Studies in 2007. Dr. Hester has trained clinical documentation and billing procedures to physical, occupational and speech therapy staff as both a manager and clinical consultant for the past 10 years. As Senior Director of Education and Compliance for EnduraCare Acute Care Services, she has written educational articles, publications, CEU seminars, and resource manuals for documentation and billing in every therapy venue, and provides clinical, documentation, billing and programming support for over 40 hospital-based sites nationwide. Dr. Hester has presented at the American Physical Therapy Association’s Combined Sections Meeting through the Health Policy and Administration Section. She is a member of the American Physical Therapy Association, the Michigan Physical Therapy Association and the National Lymphedema Network. Agenda 7:30 amRegistration 8:00 am Rehabilitation coverage requirements: certification, venue-specific issues 9:00 am Required elements of therapy documentation 10:00 am Break 10:15 am Documentation content: reason for referral, PLOF, goals, plan of care, skilled intervention 12:00 pm Lunch (on your own) 1:00 pm Medical review, denials, appeals 1:30 pm Therapy billing and CPT coding compliance 2:30 pmBreak 2:45 pm Diagnosis coding compliance: ICD-9 and ICD-10 3:15 pm Medicare Part B: Therapy cap and functional limitation reporting 4:15 pm Question and answer 4:30 pm Adjourn Content Focus Domain of OT: Areas of Occupation and Client Factors Occupational Therapy Process: Evaluation, Intervention Professional Issues: Contemporary Issues & Trends (Evidence-based practice), and legal, legislative, regulatory, and reimbursement Disclosure Statement For complete financial and non-financial planner and presenter disclosures please visit www.chs-ce.uwm.edu. Scroll down to this course and click on “disclosure table.” This course is offered for a maximum of 0.7 ASHA CEUs (Intermediate Level, Professional Area). CEUs are based on participant’s actual class hours. To earn ASHA CEUs, you must attend the entire course. Course # Target Audience CEUs Price Location 8040 OTs, OTAs, PTs, PTAs, SLPs 0.7 (7 clock hours) $275.00 by 2/13/15 $325.00 after 2/13/15 UW-Milwaukee Continuing Education Plankinton Building, 7th Floor 161 West Wisconsin Avenue Milwaukee, WI 53203 Level Intermediate UW-Milwaukee College of Health Sciences Outreach I 414-227-3123 I www.chs-ce.uwm.edu 7