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New and Noteworthy Medicare Outpatient Physical Therapy Payment
Policies for 2006
January 17, 2006
CDs of this event are available for purchase. Click
here to order.
Expert Speakers:
Dorothy Shannon, PH.D. 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. She
has also 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.
Stephen M Levine, PT, DPT, MSHA is the founder of the Health
Care Resource Instituted, 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, over-utilization, and medical policy review. 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 development and implementation
of RBRVS under Medicare.
Original Audio Conference Description:
Find out about Medicare Payment policies for outpatient physical
therapy services for 2006 and how they will impact your practice. These
policies include the therapy cap, 2006 fee schedule payment rates,
Correct Coding Initiative edits, CPT code changes, and more.
CMS (Center for Medicare and Medicaid Services) officials Dorothy
Shannon, PhD and Pamela R West, PT, DPT, MPH join expert outpatient
physical therapy practice management and reimbursement consultant,
Stephen Levine, PT, DPT, MSHA, to tell you what you need to know about
the therapy cap and other policies that impact your billing and payment
for services in 2006. During Q & A sessions, you may ask your
questions directly to the leading authorities on these issues.
Upon completion of this audio conference, you will be able to:
- Reduce billing errors by understanding what the National Correct
Coding Initiative edits are and how they work
- Determine Medicare payment amounts for 2006 and understand how the
RBRVS works
- Identify the new changes in CPT codes that will affect billing for
outpatient physical therapy services
- Identify the changes you need to make in your practice with the
reemergence of the Medicare therapy cap. Note: This topic is subject to
change depending upon congressional action prior to January 1, 2006
- Cite the latest governmental activities regarding development of
alternatives to a therapy cap
- 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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