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Get Up to Speed on New Physical Therapy Documentation Requirements to Stay Compliant and Ensure Proper Payment

Product Code: YMPDA051817D

Quick Overview

The 2017 CPT codes for physical therapy evaluations present new challenges for providers and coders: Therapists now must adequately address four separate elements to select the evaluation code with the appropriate complexity.
Publication Date May 18, 2017

Price: $199.00

Get Up to Speed on New Physical Therapy Documentation Requirements to Stay Compliant and Ensure Proper Payment

Get Up to Speed on New Physical Therapy Documentation Requirements to Stay Compliant and Ensure Proper Payment

Presented by: 
Margie Scalley Vaught, CPC, COC, CPC-I, CCS-P, MCS-P, ACS-EM, ACS-OR 

Level of Program: 
Intermediate 

The 2017 CPT codes for physical therapy evaluations present new challenges for providers and coders: Therapists now must adequately address four separate elements to select the evaluation code with the appropriate complexity. These new codes also come with additional coding requirements from Medicare—not following them risks denial. As if that weren’t enough, the HHS Office of Inspector General (OIG) is continuing to scrutinize therapy documentation for errors in such details as physician certification of the plan of care and documentation of medical necessity for therapy services. 

Join orthopedic coding expert Margie Scalley Vaught, CPC, COC, CPC-I, CCS-P, MCS-P, ACS-EM, ACS-OR, to learn the new therapy evaluation codes and the documentation they require. Vaught will also help you make sense of Medicare’s revised requirements for reporting these codes to avoid related denials, giving you the tools to troubleshoot typical code assignment problems. 

At the conclusion of this on-demand program, participants will be able to: 

  • Identify the new therapy evaluation codes and the documentation they require 
  • Troubleshoot typical problems relating to assigning the new codes 
  • Understand Medicare’s revised requirements for reporting these codes to avoid related denials 
  • Be aware of the OIG’s hot-button documentation pitfalls and how to steer clear of them 

Agenda 

  • Selecting the complexity level for the new physical therapy evaluation codes 
  • Real-life evaluation code examples 
  • Top therapy documentation errors being targeted by the OIG and strategies to avoid them 
  • Complying with Medicare’s revised policies for reporting the new therapy evaluation codes 
  • Refresher on existing documentation requirements to reduce your audit risk and denial rate 

Who Should Listen? 

  • Physician practice coders 
  • Coding managers 
  • Billing managers 
  • Clinicians 
  • Compliance managers 

Your Expert Presenter 

Margie Scalley VaughtMargie Scalley Vaught, CPC, COC, CPC-I, CCS-P, MCS-P, ACS-EM, ACS-OR, has more than 30 years of experience in the healthcare arena, including more than 20 years in orthopedic coding, billing, and reimbursement. She frequently performs internal audits, provides education and training to physicians and office staff, and helps clinics establish billing and compliance manuals. Vaught is an advisor on orthopedic coding for the Board of Medical Specialty Coding, and she helped to develop the Advanced Orthopedic Coding credentialing exam. She has contributed many articles to the AAOS Bulletin, and she serves as consulting editor to Medical Practice Coding Pro and the Orthopedic Coder’s Pink Sheet.