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Physical Therapy: Master the Top 10 Payment Challenges
March 26, 2009
CDs of this event are available. Click
here to order.
Expert Speakers:
Helene Fearon, PT, co-owner of Fearon Physical Therapy and
partner in the Rehabilitation Consulting & Resource Institute, Inc,
has more than 30 years of experience as a physical therapist in varied
settings. She has worked as a clinician and an administrator in
hospitals, skilled nursing facilities, home health, and outpatient
clinics. Her current private practice focuses on work injury management
and manual orthopedic physical therapy. She is a consultant and peer
reviewer for multiple payers, both private and federal as well as for
peer review organizations. Fearon served as president of the Arizona
Physical Therapy Licensing Board for the State of Arizona from 1999 to
March 2007. She is a recent past member of the American Medical
Association's (AMA) Current Procedural Terminology (CPT) Editorial
Panel. Fearon is currently APTA representative to the AMA's CPT HCPAC
and a member of AMA CPT Assistant Publication Editorial Board.
Stephen M Levine, PT, DPT, MSHA, RP, is a partner in the
Rehabilitation Consulting & Resource Institute, Inc, (RCRI), an
independent consulting firm focusing on practice management, payment
policy, payment strategies, and compliance issues in the outpatient
rehabilitation setting. For over 16 years, Levine has been a consultant
to physical therapy providers, local and national third-party payers,
regulators, and case management agencies in the areas of CPT coding and
relative values, RBRVS, cost containment, fraud and abuse, medical
necessity and quality assurance issues, reimbursement strategies for
physical therapy services, and physical therapy peer/utilization review.
Additionally, he has worked extensively with federal investigative and
law enforcement agencies in the areas of fraud, abuse, medical
necessity, utilization management, and medical policy review. Prior to
development of RCRI, he was involved in operation and ownership of a
private practice in Maryland for 18 years. As the former national APTA
appointee to the AMA's Health Care Professional's Advisory Committee of
the Relative Value Update Committee (RUC), Levine is considered one of
the foremost experts on Medicare policy and development and
implementation of RBRVS under Medicare. From 1997 - 2008, he served on
the APTA Board of Directors, 4 years as Vice Speaker and 6 years as
Speaker of the House of Delegates.
Gayle Lee, JD, serves as the Director, Federal Payment Policy
and Advocacy at the American Physical Therapy Association. As the
department's Federal Regulatory expert, Gayle's key areas of
responsibility include Medicare, Medicaid, and CHAMPUS. She specifically
works on regulations that impact physical therapists that practice in
skilled nursing facilities, home health agencies, rehabilitation
hospitals/units, comprehensive outpatient rehabilitation facilities,
rehabilitation agencies, and private practice settings. Gayle came to
APTA from the American Rehabilitation Association, where she was
Assistant Counsel and Policy Coordinator. She worked on issues that
affected rehabilitation hospitals/units and CORFs.
Original Audio Conference Description:
It is challenging to run a physical therapy practice that can comply
with today's fast-changing rules on coding, billing, and documentation.
Payers are increasing scrutiny of providers and their efforts to
identify overpayments and recoup money from providers. Find out the top
10 payment challenges for physical therapy and get practical advice on
how to address them to ensure you get the revenues you deserve.
Expert rehabilitation consultants, Steve Levine and Helene Fearon,
join Gayle Lee, JD, APTA's Director of Federal Payment Policy, to
provide information on the top 10 payment challenges for physical
therapy and let you know the steps you can take to minimize the risks of
denials and recoupment. During the Q & A session following the
presentation you may ask your questions directly to the experts.
Upon completion of the audio conference, you will be able to:
- Reduce risk of improper payments by identifying payment policies
regarding billing and documentation for timed CPT codes.
- Minimize denials by clearly documenting measurablefunction in your
initialevaluation, goals, progress reports, and plan of care.
- Determine whether you can bill Medicare for durable medical
equipment, prosthetics, orthotics, and other supplies.
- Identify whether you can charge different amounts for your
services.
- Find out whether Medicare fee for service rules apply to
beneficiaries enrolled in Medicare Advantage.
- Learn how to minimize the risk of an audit.
- And much more!
Continuing Education Units:
Each registered participant will receive a Certificate of Attendance to
earn .2 CEU or 2 contact hours after successful completion of a test
with a score of 70% or better.
[Last updated: 03/27/09 | Contact: advocacy@apta.org]
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