Welcome to the Southern Atlantic Healthcare Alliance Calendar!
June 2019 Back to Top
Physical, occupational and speech therapy services continue to be on the audit radar for various Medicare and private insurance carriers medical review entities for documentation, coding and billing issues. This seminar will teach participants the necessary components of documentation for the initial evaluation, reevaluation, progress reports, daily notes, discharge reports and the Medicare Part B certification and recertification process that will help participants document the key points in supporting medical necessity and the skilled nature of outpatient therapy services.
The seminar will teach participants the correct use of CPT codes for modalities and interventions used by physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants and speech-language pathologists in all outpatient settings. The seminar will teach participants the National Correct Coding Initiative (NCCI) edits, the application of modifier 59 and how one discipline’s billing can cause another discipline’s billing to require modifier 59. Finally, the seminar will discuss Medicare’s “8-minute rule”, definition of substantial per the American Medical Association, and provide billing scenario’s to ensure therapists bill correctly to all insurance carriers.