Product Detail

1. Discuss required elements and problem areas of documentation for Therapy and Rehab Services
2. Learn about how to document to support ICD-10-CM diagnosis coding through the use of signs and symptoms to support medical necessity
3. Hands-on guidance on how to find and stay current on Medicare fee schedules, payment policy, internet only manuals, LCD’s and NCD’s. Commercial insurance rehabilitation services payment policies will also be explored
4. Identify procedure codes for rehabilitation services
5. Determine the correct usage of procedures and documentation requirements
6. Discuss CPT and ICD-10 coding for optimal reimbursement
7. Identify upcoming changes to billing and coding
8. Explain effective use of modifiers and coding combinations
9. Discover how place of service affects reimbursement
10. Illustrate tips and techniques for medical record requirements
11. Outline what you must know about physician certification requirements

CPT/HCPCS PROCEDURE CODES and COMPLIANCE WITH DOCUMENTATION STANDARDS

• Provides credentialing resources
• Explore the Revenue Cycle
• Evaluations and Re-Evaluations for Physical Therapy, Occupational Therapy and Speech Services. (Includes tools for changes in criteria.)
• New codes, new elements and easy-to-follow checklist
• Orders
• Plan of Care, Certification/Re-certification Rules Checklist
• CPT Procedure codes used in Therapy and Rehab
• Evaluations, re-evaluations, and assessments
• Supervised modalities
• Guidelines for billing therapy minutes
• Constant attendance modalities
• Therapeutic procedures, included changes in orthotic and prosthetic management and training and development of cognitive skills
• Speech Pathology Services
• Neuromuscular procedures
• Debridement, application of strapping, splints, casts
• Using HCPCS Level II codes for DME
• Orthotics billed by hospitals and other providers
• Lymphedema Service
• Woundcare
• Physical Performance Testing 
• Daily Session Note Checklist
• Discharge Checklist

• NCCI Edits
• Modifiers
• HCPCS II Procedure codes used in Therapy and Rehab
• Functional Limitation Requirements G-codes for functional limitations and severity modifiers – required for outpatient   claims filed to Medicare
• Place of Service Codes

DIAGNOSTIC CODING

• New tools to prepare for ICD-10-CM – Bring your WI-FI enabled device
• Discuss chapters that effect Therapy and Rehab
• Laterality documentation requirements

FEDERAL REGULATIONS MEDICARE'S BILLING RULES and Special Payer News

• Medicare Therapy Cap
• Documentation to meet Medical Necessity in Therapy and Rehab
• Understand changes with congressional changes and their impact on Therapy and Rehab
• Understanding Value-Based Payment issues: (i.e. MACRA, MIPS and APM)
• Explore resources pertaining to CMS MAC, RAC, ZIP, and CERT program guidelines
• OIG audit focus on behavioral health services
• Medicare’s “incident to” guidelines, definition of “incident to” services vs payer supervision
• Overview of Commercial Plans and Therapy Coverage
• Common forms of health care fraud and abuse

COMPLIANCE

• Components of an effective compliance plan
• Understanding recent reports from CMS MAC, RAC, OIG, and GAO to reduce error rates in documentation

UNDERSTANDING THE REIMBURSEMENT PROCESS

• Understanding the claim content 837p and 837i resources
• Explore common revenue codes used with the 837i claims formats
• Learn about the Medicare Learning Network 

THE APPEAL PROCESS

• Understanding reasons for denials
• Systematic steps of responding to an appeal
• Formats for appeal letters

Biography is not currently avaiable.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-397-0180 for more details.

Listed below are the continuing education credit(s) currently available for this self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

Continuing Education Information
This educational offering is designed to qualify for continuing education for many professionals in every state.


Materials that are included in this course could include interventions and modalities that are beyond the authorized practice for your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.


Listed below are the continuing education credit(s) currently available for this educational offering. Please note, your state licensing board dictates what is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact customerservice@vyne.com or 800-397-0180.


CE information is based on 100% attendance.

Occupational Therapists, Occupational Therapy Assistants - Florida: Vyne Education, LLC. is an approved provider #50-466 with the Florida Department of Health Board of Occupational Therapy Practice. This educational offering is approved for 6 contact hours for Occupational Therapist and Occupational Therapy Assistants.

Physical Therapists, Physical Therapist Assistants - Illinois: Vyne Education, LLC. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #:216.000309. This educational offering qualifies for 6 CE Credit Hours.

Physical Therapists, Physical Therapist Assistants - New York: Vyne Education, LLC. is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider for physical therapy and physical therapist assistant continuing education. This educational offering is awarded 7.2 contact hours.

Physical Therapists, Physical Therapist Assistants - Arkansas: This educational offering has been approved by the Arkansas State Board Of Physical Therapy for 6 contact hours for Physical Therapists.

Physical Therapists, Physical Therapist Assistants - California: The Physical Therapy Board of California recognizes California Education Connection as an Approval Agency to Approve Providers of Continuing Competency Courses in California for Physical Therapists and Physical Therapy Assistants. This educational offering has been submitted for 6 CEs / Contact Hours and approval is pending.

Physical Therapists, Physical Therapist Assistants - Kansas: This educational offering has been submitted to the Kansas Physical Therapy Association for 6 contact hours.

Physical Therapists, Physical Therapist Assistants - Kentucky: This educational offering has been submitted to the Kentucky Physical Therapy Association for approval of 6 contact hours.

Physical Therapists, Physical Therapist Assistants - Minnesota: This educational offering has been submitted to the Minnesota Board of Physical Therapy for 6 continuing education hours for category 1.

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Physical Therapists, Physical Therapist Assistants - North Carolina
NCBPTE approval by virtue of approval by The New York State Education Department, Office of the Professions, State Board for Physical Therapy licensure board or state APTA chapter Approval good through 8/31/2018.

Physical Therapists, Physical Therapist Assistants - New Jersey: This educational offering has been submitted for 6 continuing education credits to the New Jersey State Board of Physical Therapy Examiners for Physical Therapists and Physical Therapy Assistants.

Physical Therapists, Physical Therapist Assistants - Oklahoma: This educational offering has been submitted to the Oklahoma State Board of Medical Licensure & Supervision for preapproval of 6 contact hours.

Physical Therapists, Physical Therapist Assistants - Texas: This educational offering has been submitted to the Texas Board of Physical Therapy Examiners for 6 continuing competence unit(s) for PTs and PTAs.

Physical Therapists, Physical Therapist Assistants - West Virginia: This program has been submitted to the West Virginia Board of Physical Therapy for 6 Continuing Education hours.

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Other Professions
This educational offering qualifies for 6 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.

All Professionals
In order to process continuing education, please supply the appropriate license certification number on the evaluation form.

Certificates, Educational Offering Completion Requirements
Certificates will be awarded upon receipt of payment and successful completion of the educational offering and evaluation form.

Requirements
Please note that full attendance and the completion of a post course assessment with a score of 80% or greater is required to receive full credit. Variable credit will not be awarded.

Technology Requirements
Digital Seminars, Live Video Webcast, and Online Course will require participants to set up a personal portal account via Vyne Education, LLC.’s website at www.vyne.com and have access to a computer with a sound device. Participants will have digital access to the  recording, course manual, post-test, and evaluation form. DVDs are sent through the mail (USPS). Participants will need access to a computer with an internet connection and a DVD drive. Participants will receive an Instruction Sheet and a DVD containing a link to the course manual, the video-recording, and a link to post-test and evaluation form. Participants have two options when completing their post-test and evaluation form; Participants may complete their test and evaluation online, which will require access to a computer and their personal portal account, or they may download, print, and complete the paper test and mail back to Vyne Education. 

ADA
If you require ADA accommodations, please contact Vyne Education at least two weeks before the seminar date or prior to purchasing any online or distance learning products so that arrangements can be made.

Physical Therapists and Assistants, Occupational Therapists and Assistants, Speech-Language Pathologists, Rehab Directors, Managers and Supervisors, Billing, Coding, and Reimbursement Staff, Administrative Staff, Physicians, Nurses, Medical Assistants