What You’ll Discover in Sherry Marchand, CPMA 2018 Coding and Billing
Sherry Marchand, CPMA – 2018 Coding and Billing
CPT/HCPCS PROCEDURE CODES and COMPLIANCE WITH DOCUMENTATION STRANDARDS
Download it immediately Sherry Marchand, CPMA – 2018 Coding and Billing
Credentialing resources
Learn more about the Revenue Cycle
Evaluations and Re-Evaluations of Occupational Therapy and Physical Therapy and Speech Services. (Includes tools to modify criteria.)
Orders
Plan of Care, Certification/Re-certification Rules Checklist
Therapy codes using CPT procedure codes and Rehab
Evaluations, re-evaluations, and Assessments
Modes that can be supervised
Guidelines for billing therapy
Constant attendance modalities
Changes in orthotics are one example of therapeutic procedures. and Prosthetic management and Training and Development of cognitive skills
Speech Pathology Services
Neuromuscular procedures
Debridement, strapping, splints or casts
HCPCS Level II codes to DME
Hospitals bill for orthotics and Other providers
Lymphedema Service
Woundcare
Physical Performance Testing
Daily Session Note Checklist
Discharge Checklist
NCCI Edits
Modifiers
HCPCS II Procedure codes in Therapy and Rehab
Functional Limitation Requirements-Functional limitations codes and severity modifiers – required for outpatient claims filed to Medicare
Place of Service codes
DIAGNOSTIC CODING
ICD preparation: New tools-10-CM – Bring your WI-Device with FI capability
Discuss the chapters that have an effect on Therapy and Rehab
Requirements for documentation regarding laterality
FEDERAL REGULATIONS MEDICARE’S BILLING RULES and Special Payer News
Medicare Therapy Cap
Documentation is required to fulfill Medical Necessities in Therapy and Rehab
Changes in Congress: Understand them and Their impact on Therapy and Rehab
Understanding Value-Base Payment issues: MACRA, MIPS and APM)
Check out these resources about CMS MAC, RAC and ZIP. and Guidelines for the CERT program
OIG audit focuses on behavioral health services
Medicare’s “incident to” Guidelines and definitions “incident to” Services vs. payer supervision
Overview of commercial plans and Therapy coverage
Common types of fraud in health care and Missbrauch
COMPLIANCE
An effective compliance plan includes components
Recent reports from CMS MAC (RAC), OIG and GAO reduces error rates in documentation
LEARN MORE ABOUT THE REIMBURSEMENT PROCESS
837p: Understanding the claim contents and 837i resources
Find common revenue codes that are used in 837i claims formats
Learn more about Medicare Learning Network
THE APPEAL SYSTEM
Understanding reasons for denials
Steps for responding to an appeal
Formats of appeal letters
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Description:
2018 Coding and Billing Therapy and Rehab
Keep up-to-date with ICD and CPT-10-CM, and HCPCS Level 2 Codes
Learn what is required to comply with coding regulations and Documentation standards
Download it immediately Sherry Marchand, CPMA – 2018 Coding and Billing
Master modifications to the Medicare Therapy Cap-Exception process and how it will effect patient’s out of pocket expenses.
Learn more about orthotics and Prosthetic management and Training services that distinguish between initial and continuing training and subsequent encounters.
New CMS code to develop cognitive skills to improve attention and memory and Problem solving
Master documentation elements, CPT coding and Expected payment changes for Evaluations and Re-Physical evaluation codes and Occupational Therapy and Speech and Language Services
You should be prepared for MACRA laws that are complicated: Occupational Therapists, Physical Therapists and Speech and New reporting requirements are in place for 2019 Language Pathologists at MIPS and APM bundle payments Find out what the next steps are for your organization.
Get the most recent information and Accurate coding and documentation tips and To ensure promptness, complete definitions and For future insurance claims, optimal payments
This course will provide Therapy with the necessary skills and Providers of rehabilitation need to be familiar with industry coding and These changes to billing are essential for survival in this constantly changing healthcare environment.
These topics include 2018 CPT, HCPCS and ICD-10-Updates to CM Coding, Effective Billing, Revenue and documentation techniques and best practices. Guidelines for Claims Processing: 837p and 837i claim format. Prevent denials, delays and Effective appeals can help you overcome rejections Strategies to maximize Medicare and managed care reimbursement and Insurance companies
Denials, delays, and “more information required” Therapy is becoming more common. and Rehabilitation insurance and Medicare claims. Medicare claims. and The claims process for physical ailments has been further complicated by changes to reimbursement policies and Occupational therapists and Facility-Providers of rehabilitation services that are community-based. Effective Medicare and Insurance billing requires an in-depth understanding of coding and documentation and Procedures for billing. All new requirements merged with the existing coding rules and The seminar’s objectives are to teach you how to implement proven billing techniques. The most recent billing techniques will be taught to you. and Accurate coding and documentation tips and New definitions are added to ensure prompt delivery and Maximum reimbursement for future claims
Download immediately Sherry Marchand, CPMA – 2018 Coding and Billing
Here’s what you can expect in the new book 2018 Coding and Billing
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