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Professional Development


The New Therapy Cap Exception Process & Documentation Requirements:
What You NEED to Know

March 15, 2006

CDs of this event are available for purchase. Click here to order.

Expert Speakers:

Gayle Lee, JD, has more than 10 years of experience working on health care issues affecting the rehabilitation industry. Currently, Lee serves as the director of regulatory affairs for the American Physical Therapy Association (APTA). As the department's federal regulatory expert, Lee has responsibility over the key areas of Medicare, Medicaid, HIPAA, and CHAMPUS, among others. She specifically works on regulations that affect physical therapists that practice in skilled nursing facilities, home health agencies, rehabilitation hospitals/units, comprehensive outpatient rehabilitation facilities, rehabilitation agencies, and private practice settings. Lee also has worked at the American Rehabilitation Association, where she was assistant counsel and policy coordinator.

Stephen M Levine, PT, DPT, MSHA, is the founder of the Health Care Resource Institute, LLC, (HCRI), an independent consulting firm focusing on practice management and reimbursement strategies in the outpatient rehabilitation setting. Prior to development of HCRI, he was involved in operation and ownership of a private practice in Maryland for 18 years. Levine has worked extensively with federal investigative and law enforcement agencies in the areas of fraud, abuse, medical necessity, overutilization, and medical policy review. As the former national APTA appointee to the AMA's Health Care Professionals Advisory Committee of the Relative Value Update Committee (RUC), Levine is considered one of the foremost experts on development and implementation of RBRVS under Medicare.


Original Audio Conference Description:

The Centers for Medicare & Medicaid Services recently announced details on its new exception process for Medicare beneficiaries needing care above the $1,740 therapy caps and on new documentation requirements. Find out more about what these new regulations will mean to you and your patients during a live audio conference March 15 from 2 pm to 4 pm EST.

Join expert outpatient physical therapy practice management and reimbursement consultant Steve Levine, PT, DPT, MSHA, and Gayle Lee, APTA regulatory affairs director, as they discuss the new process and cover important new documentation guidelines during this LIVE audio call. Then ask the experts your questions during a Q&A session following the overview.

Upon completion of this LIVE audio call, you will be able to:

  • Determine which patients may qualify for an exception to the therapy cap.
  • Identify how to apply for an exception.
  • Adapt your practice to ensure that the correct information is included in your medical record when seeking an exception.
  • Identify the steps to take if an exception is denied.
  • Comply with the new documentation requirements issued by Medicare.
  • Share this valuable information with your patients and your colleagues.
  • And 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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