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CMS Officials Explain the New Medicare Physical Therapy Payment
Policies
September 14, 2005
CDs of this event are available for purchase. Click
here to order.
Follow up FAQs, including answers to write-in questions, are
available here.
Expert Speakers:
Dorothy Shannon, PhD, 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 develops and
interprets policy payments issues relating to rehabilitation, including
development of the Medicare therapy manual provisions and much more.
Shannon also has worked in the program integrity group at CMS and was
the government task leader for the Therapy Review Program. She has
extensive clinical background as an audiologist/speech pathologist.
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.
Original Audio Conference Description:
Learn how recent major changes to Medicare's Outpatient Physical
Therapy Manual could significantly affect the way you practice and get
paid. These important changes relate to physician visits, orders,
certifications/recertifications, plan of care, personnel standards
supervision, and more.
CMS (Center for Medicare and Medicaid Services) officials Dorothy
Shannon, PhD, and Pam West, PT, DPT, MPH, tell you what you need to know
about Medicare's new rules regarding physical therapy coverage and
payment policy. During Q&A sessions, ask your questions directly to
the CMS officials who authored the physical therapy policy changes in
the Medicare manual.
Upon completion of this audio conference, you will be able to:
- Minimize billing errors by understanding Medicare requirements for
coverage of outpatient therapy services.
- Recognize the information to include in your physical therapy plan
of care.
- Comply with Medicare rules regarding initial
certifications/recertifications on the plan of care and physician
visits.
- Recognize Medicare requirements regarding reasonable and necessary
therapy services.
- Ensure personnel are meeting Medicare supervision requirements.
- Illustrate the changes in the benefit policy manual 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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