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2009 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
January 10, 2009: Chicago, IL
Registration Deadline: December 26, 2008
January 31, 2009: Seattle, WA
Registration Deadline: January 16, 2009
February 21, 2009: Atlanta, GA
Registration Deadline: February 6, 2009
March 7, 2009: Philadelphia, PA
Registration Deadline: February 20, 2009
Total Continuation Education Equivalent = 7 contact hours or 0.7
CEUs
Course Description:
APTA's Coding and Compliance Seminars are one-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:
| 7:30 am-8:00 am |
Registration and Continental Breakfast |
| 8:00 am-8:15 am |
Introduction and Overview |
| 8:15 am-9:45 am |
Medicare Updates |
| 9:45 am-10:00 am |
Break |
| 10:00 am-12:15 am |
Compliance Part 1 (Current Environment,
Fraud & Abuse, Medical Necessity & Skilled Care) |
| 12:15 pm-1:30 pm |
Lunch |
| 1:30 pm-2:45 pm |
Coding Updates and Coding Challenges |
| 2:45 pm-3:30 pm |
Medicare Documentation Requirements |
| 3:30 pm-3:45 pm |
Break |
| 3:45 pm-5:00 pm |
Audit Review Flags |
| 5:00 pm-5:30 pm |
Q & A |
Total Continuation Education Equivalent = 7 contact hours or 0.7
CEUs
NEW in 2009!
In addition to the one-day seminar, the cost of registration includes
a 1.5 hour audio conference to be held in March 2009. This audio
conference will include information to help participants apply practical
applications of physical therapist practice to the daily operations in
the outpatient environment. Additional details, including speakers and
date of call, will be sent to all registrants of the one-day seminar. An
additional 0.2 CEUs (2 contact hours) will be earned for participation
in this call.
Hotel Accommodations:
Click here for updated hotel accommodation
information.
Registration Fees:
Advanced Registration:
APTA Member or APTA Member Office Manager: $340
(must be registered by the APTA member)
Non-member: $550
Onsite:
APTA Member or APTA Member Office Manager: $390
(must be registered by the APTA member)
Non-member: $600
To Register:
Please refrain from making travel/hotel reservations until you
have received registration confirmation from APTA.
There are four ways to register:
1. Online: Click here to use APTA's online registration form.
2. Call: 800/999-2782, ext 3395, 8:30 am-6:00 pm Eastern time,
Monday-Friday. Please have your credit card information handy.
3. Mail: Your registration form with payment to APTA, Service
Center, 1111 N Fairfax Street, Alexandria, VA 22314-1488.
4. Fax: Your completed 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!
Speaker Biographies (One-Day Seminar):
Helene Fearon, PT, co-owner of Fearon Physical Therapy and
partner in the Rehabilitation Consulting & Resource Institute, Inc,
has more than 30 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 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, RP, is a partner in the
Rehabilitation Consulting & Resource Institute, Inc, (RCRI), an
independent consulting firm focusing on practice management, payment
policy, payment strategies, and compliance issues in the outpatient
rehabilitation setting. For over 16 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. 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: 10/28/08 | Contact: advocacy@apta.org]
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