What You’ll Discover in Megan Reavis Rehabilitation Reimbursement & Documentation Solutions to Avoid Costly Denials, Prove Medical Necessity & Protect YOUR Time
- Faculty:
- Megan Reavis
- Duration:
- 5 Hours 52 Minutes
- Format:
- Audio and video
- Copyright:
- Mar 28, 2019
Description
Everything you now are documenting has a time stamp and if it doesn’t add up, it could cost you your job. Mary had seen a patient earlier in the morning and hadn’t completed a daily note while with the patient. At the end of the day, she completed her note, but couldn’t remember the actual time she had spent with her patient. From 11:00 am, she logged her time with her patient. to 11:45 am, and I went home for the rest of the day.
Mary arrives the next morning, and the Rehab Director greets her. to know how she saw her patient when the patient wasn’t even in the building. The patient had already been taken to Mary couldn’t make it to 10:45 in the hospital to I had seen the patient when she had written it down. Mary is now under investigation for false documentation because she didn’t take the time to She could lose her job and her licence if she doesn’t write down all the time.
Medical In our industry, necessity is a major topic. There are many definitions of necessity and we see an increase in incorrectly billed claims. Now, we must be able to justify our clinical decisions and capture treatment accurately and effectively. As we deal with allegations of fraud and other issues, audits are now a common industry concern. “inappropriately billed” claims. Expectations are rising to We need to be able to justify our services and the clinical expertise we offer. Patients still deserve the best care, even though the standards have changed and the challenges are increasing.
This recording will give you a complete understanding of medical necessity. “how-to” guide for effective documentation. Whether you’re a therapist completing evaluations or an assistant completing progress notes, every area of therapy documentation is examined. Either paper or computerized documentation will not replace clinical decision-making. to Assess medical necessity.
Our greatest defenses are ongoing training and education to We must ensure that we get paid for all the therapy services our patients received. Imagine being able to Without worrying about what documentation is missing, you can put your focus back on your patients. With the opportunity to ask questions and discuss, case studies will focus on common patient situations. to Enhance learning experience
Handouts
| Manual Rehabilitation Reimbursement & Documentation (1.34 MB) | 83 Pages | Available after Purchase | |
| Instructions for ASHA Credit — SELF STUDY ONLY-03/28/19 (38.5KB). | Available after Purchase |
Outline
Documentation And Medical Necessity
- Medicare A and the upcoming changes regarding SNFs, home health, and Medicare A
- Medicare B and outpatient reimbursement
- Managed Care
- ACOs/ bundled payment and shift therapy deliver
Evaluations, Need and & Reimbursement
- How to evaluate and why to Justification for medical necessity
- What are the key components and prior level of function to Include
- Co-morbidities/Complexities and how they will impact reimbursement
- Writing goals and what to do to Add to Make it measureable
The Meaning of Critical Terminology Documentation
- Medical necessity determination
- Your daily documentation should include the following terminology:
- Skilled vs. unskilled terminology
Supportive Documentation
- Case Study: How to break down the components of a treatment plan
- Pitfalls to avoid
- Drop-Down menus are not for you
- If you didn’t write it, it didn’t happen
Coding and diagnosing
- What CPT codes will get you paid?
- Avoiding “Red Flag” Why codes are being denied
- Diagnoses that won’t get you paid
Denial Management
- Understanding RAC and MAC audits
- Denials: The Top 10 Reasons We Aren’t Being Paid
- Audits of quality assurance are used to Reduce unpaid claims
Faculty
Megan Reavis, MBA, BS, COTA/L, Similar seminars and products 1
Megan Reavis, MBA, BS, COTA/L, For the past 20 years, has been primarily working in the geriatric environment as a clinician, and in management roles such as Area Director and Rehab Director. Megan He is a national educator who has taught continuing education courses and written them. to Rehab audiences all over the country have been able to benefit from her expertise in a range of reimbursement, documentation and clinical topics. Additionally, Megan As a consultant to Outpatient PT Companies and Skilled Nursing Facilities to Auditing is a great way to maximize reimbursement and maximize results.
Disclosures to Speakers:
Financial: Megan Reavis Orchestrall, Inc. has an employment agreement with her. She also receives a speaking honourarium from PESI, Inc.
Non-financial: Megan Reavis There is no non-relevant information-Relationship with financial institutionsOnline Viewing and Digital Downloadto disclose.
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