This seminar offers an in-depth review of Medicare Part B coding and billing, including CPT coding, unit to minute conversion, appropriate use of evaluation codes, modifiers, and G codes is offered. Using multiple examples, therapists will learn how to be compliant with coding, thorough in documentation to support skilled interventions, and detailed to avoid common errors. A review of elements known to trigger medical review including coding and documentation to support the plan of care is offered and tips and strategies for successfully managing medical review will be explored.
Please note: Effective January 1, 2019, providers no longer have to report G-codes or severity modifiers for Medicare. Please disregard this information.
Course created on November 1, 2018
Course Type: Video
CEUs/PDUs Offered: AOTA/0.2 Intermediate, Category 3: Professional Issues - Legal & Legislative;Regulatory & Reimbursement Issues; CE Broker/2.0 Home Study, General (FL), Management (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), CE Broker #20-637369; IACET/0.2; NBCOT PDUs/2.5 Intermediate, Admin And Management
- After this course, participants will be able to discuss how clinical documentation creates a clinical picture of the patients condition, justifies reimbursement and functions as a "receipt" for services rendered.
- After this course, participants will be able to identify utilization of and documentation guidelines for commonly billed CPT codes.
- After this course, participants will be able to define factors considered when coding the OT evaluation.
- After this course, participants will be able to define how to accurately apply functional G codes.
- After this course, participants will be able to describe how to select appropriate billing codes base on the plan of care.
- After this course, participants will be able to describe how to accurately apply the 8-minute rule.
- After this course, participants will be able to identify coding and billing "red flags" to be observant to when completing audits and completing daily charting.
- After this course, participants will be able to describe the medical review process and strategies for management.
|0-5 Minutes||Background, review of learner outcomes|
|5-50 Minutes||CPT Coding Guidance|
|50-70 Minutes||Evaluation Codes|
|75-80 Minutes||Group/Individual Therapy|
|80-95 Minutes||8-minute Rule|
|95-100 Minutes||CCI and Part B Cap|
|100-115 Minutes||Functional G Codes|
|115-120 Minutes||Summary, Q & A|
Kathleen Weissberg, OTD, OTR/L
Kathleen Weissberg, in her 20+ years of practice, has worked in long-term care as a researcher/educator and has established various programs in nursing facilities including dementia care and staging, wellness, incontinence management, and evidence-based falls management.
Sponsor Disclosure: This Course is presented by OccupationalTherapy.com.
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
Course participation information
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Passing an online exam will be required to earn continuing education credit, where applicable.
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American Occupational Therapy Association
OccupationalTherapy.com is an approved CE provider #7659 by the American Occupational Therapy Association (AOTA). This course is offered for 0.2 CEUs (Intermediate level, Category 3: Professional Issues - Legal & Legislative;Regulatory & Reimbursement Issues Area). The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
OccupationalTherapy.com is an approved provider for CE Broker, provider #50-14558. This course is offered for 2.0 hours, Home Study, General (FL), Management (AL), General Continuing Education (GA), Direct client/patient services in occupational therapy (SC) category/categories. If you are an OT/OTA in Alabama, Florida, Georgia, or South Carolina, CE Broker may be of interest to you.
International Association for Continuing Education and Training
continued, LLC, DBA OccupationalTherapy.com, is accredited by the International Association for Continuing Education and Training (IACET). continued complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, continued is authorized to issue the IACET CEU. continued, LLC, is authorized by IACET to offer 0.2 CEUs for this program.
National Board for Certification in Occupational Therapy
OccupationalTherapy.com is a NBCOT® Professional Development Provider. This course is offered for 2.5 NBCOT PDUs (Intermediate level, Admin and Management Area). NBCOT® is a registered trademark of The National Board for Certification in Occupational Therapy, Inc.