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2010 Coding and Compliance Seminars: Managing Your Reimbursement and Regulatory Risks

Featured Speakers:
Helene Fearon, PT;
Stephen M Levine, PT, DPT, MSHA, RP;
Gayle Lee, JD

January 8-9 -  Cincinnati, OH
Registration deadline: December 21, 2009

Other Dates and Locations:

Applied for 10-11 CEUs


Course Description:

APTA's Coding and Compliance Seminars are two-day seminars designed to educate the physical therapy professional about the best possible methods to deal with changing regulation in today's environment and how to apply these methods to everyday practice.

Upon completion of this course, you will be able to:

  • Describe current issues related to federal legislation, regulatory changes and updates.
  • Understand the current legislative initiatives and regulatory environment that impact reimbursement.
  • Understand the concepts of Fraud and Abuse as well as the risk areas for fraudulent or abusive behavior specific to rehabilitation.
  • Identify the CPT codes most frequently used in reporting physical therapist practice and coding challenges.
  • Eliminate questionable coding and documentation practices to facilitate processing of your claims.
  • Identify resources available to facilitate accurate and effective coding and appropriate reimbursement in all practice settings.
  • Apply clinical reasoning and documentation to support medical necessity of patient care.
  • Understand the requirements of skilled care under Medicare and ensure you have the information to ensure compliance with these requirements.
  • Implement documentation tips important in support of the use of codes to describe clinical practice.
  • Learn about Audit Review Flags that can be identified on your claim forms or documentation which may lead to further audit or investigation.

Course Schedule:

Day 1
8:30 - 8:45 am Welcome and Overview
8:45 - 10:00 am Issues in Medicare 1
10:00 - 10:15 am Break
10:15 - 11:15 am Issues in Medicare 2
11:15 am - 12:15 pm CPT Structure and Process
12:15 - 1:30 pm Lunch
1:30 - 3:00 pm Coding
3:00 - 3:15 pm Break
3:15 - 4:30 pm Documentation Requirements for medical necessity and skilled care
4:30 - 5:00 pm Q&A

 

Day 1
8:00 - 10:00 am Documentation Requirements 2
10:00 - 10:15 am Break
10:15 am - Noon Audits and Appeals
12:00 - 1:15 pm Lunch
1:15 - 1:45 pm Compensation Models
1:45 - 2:30 pm Panel Discussion "The Future of Coding and Payment for Physical Therapists"
2:30 - 3:00 pm Q&A


NEW in 2010!

New this year is a panel discussion on the Future of Coding & Payment for Physical Therapists. This exciting discussion will give the attendees a glimpse into the future of physical therapy coding and payment.


Hotel Accommodations :

The Westin Cincinnati
21 East Fifth Street
Cincinnati, OH 45202
Reservation Deadline: December 17, 2009
Rate: $139.00++
Call to reserve your room: 1-800-Westin 1 (1-800-937-8461). To receive the discounted rate, you must mention you're with APTA.

Please refrain from making travel/hotel reservations until you have received registration confirmation from APTA.

Registration Fees:

Advanced Registration:
APTA Member or APTA Member Office Manager: $399
(must be registered by the APTA member)

Non-member: $629

Onsite:
APTA Member or APTA Member Office Manager: $449
(must be registered by the APTA member)

Non-member: $675

To Register:

  1. Online: Complete the online registration form.

  2. Call: 800/999-2782, x3395, 8:30 am-6:00 pm ET, Monday-Friday. Please have your credit card information handy.

  3. Mail: the downloadable registration form, with payment to APTA, Member Services; 1111 North Fairfax St, Alexandria, VA 22314-1488. 

  4. Fax: the downloadable registration form with credit card information to 703/706-3396, 24 hours a day.

* In the event that APTA must make alterations to the course information we will attempt to notify you, however, please check back here prior to attending a course for the most up to date information!


Your Expert Speakers:

Helene Fearon, PT, has more than 30 years of experience as a physical therapist in varied settings. She is currently co-owner of Fearon Physical Therapy and partner in Fearon & Levine, a national consulting firm focusing on documentation, coding, billing, compliance, practice management and payment strategies in the outpatient rehabilitation setting. She has worked both as a clinician and an administrator in OP hospital departments, skilled nursing facilities, home health, and as a private practitioner. Her current private practice focuses primarily in the area of manual orthopedic physical therapy. Her Consulting practice focuses on the areas of documentation, coding, billing and compliance in OP rehab settings. Helene consults with local and national, private and federal third party payers in the areas of policy development as well as a peer reviewer. 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, is a partner in Fearon & Levine, a national consulting firm focusing on documentation, coding, billing, compliance, practice management and payment strategies in the outpatient rehabilitation setting. For almost 20 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 Fearon & Levine, he was involved in operation and ownership of a private practice in Maryland for 18 years. As the current 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. Gayle received her law degree at the Washington College of Law at the American University in Washington, DC and completed her undergraduate work at Pennsylvania State University located in University Park, Pennsylvania.

[Last updated: 11/03/09 | Contact: reimbursement@apta.org]

 
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