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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
March 19-20, 2010 - Arlington, VA
Registration deadline: March 5, 2010
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 :
Hilton Crystal City at National Airport
2399 Jefferson Davis Highway
Arlington, VA 22202
Reservation Deadline: February 23, 2010
Rate: $109++
Call to reserve your room: 1-800-Hiltons (445-8667).
Be sure to mention your with APTA to the discounted rate.
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:
- Online: Complete the online
registration form.
- Call: 800/999-2782, x3395, 8:30 am-6:00 pm ET, Monday-Friday. Please
have your credit card information handy.
- Mail: the downloadable registration form, with payment to
APTA, Member Services; 1111 North Fairfax St, Alexandria, VA
22314-1488.
- Fax: thedownloadable 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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