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Membership & Leadership


The Year Ahead: Outpatient Physical Therapy Coding and Reimbursement

December 5, 2006

CDs of this event (Product ID# AV-28VP), which include the audio conference recording and handouts, are now available.
Member price: $79; Nonmembers: $149 (plus shipping and handling)

Expert Speakers:

Pamela R West, PT, DPT, MPH, is a health insurance specialist in the Division of Practitioner Services, Hospital and Ambulatory Policy Group, at the Center for Medicare and Medicaid Services. She is responsible for analyzing, interpreting, and developing policy and payment issues relating to rehabilitation, including private practice, institutional therapy providers, coding issues, fee schedule payment, and more. She is lead staff for CMS physician fee schedule practice expense issues relating to inputs. As a physical therapist, she also has extensive background in clinical service delivery.

Helene Fearon, PT, co-owner of Fearon Physical Therapy and principal in the Rehabilitation Consulting & Resource Institute Inc, has more than 28 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 is president of the Physical Therapy Licensing Board for the State of Arizona and also is a member of the Arizona Physical Therapy Association's Payer Relations Committee. She is a member of the American Medical Association's (AMA) Current Procedural Terminology (CPT) Editorial Panel. In that role Fearon represents the needs of non-physician providers in the development and use of CPT codes.

Stephen M Levine, PT, DPT, MSHA, is the founder of the Rehabilitation Consulting & Resource Institute Inc, (RCRI), an independent consulting firm focusing on practice management and reimbursement strategies in the outpatient rehabilitation setting. For over 15 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.


Original Audio Conference Description:

Changes to 2007 payments for outpatient physical therapy services may have a dramatic effect on your reimbursement. Find out the latest information on the new Medicare payment rates, and be prepared for coding challenges next year to ensure you receive the reimbursement you are entitled to by correctly coding for your services.

CMS (Center for Medicare and Medicaid Services) official Pamela R West, PT, DPT, MPH, joins expert outpatient physical therapy practice management and reimbursement consultants Stephen Levine, PT, DPT, MSHA, and Helene Fearon, PT, to tell you what you need to know about coding and payment for outpatient physical therapy services in 2007. During a Q & A session following the overview, you may ask your questions directly to the leading authorities on these issues.

Upon completion of this audio conference, you'll be able to:

  • Determine the bottom-line impact on your practice of CMS's changes to the physician fee schedule;
  • Reduce billing errors by identifying the correct CPT codes and modifiers to describe your services;
  • Respond to payment and coding challenges that affect your billing;
  • Adapt your practice to comply with the recent Medicare clarifications regarding documentation;
  • Cite the latest government activities regarding documentation, the therapy cap, and the fee schedule;
  • Illustrate the changes to your colleagues;
  • 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.


 
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