Presenter: Robbie B. Leonard, PT, DPT

This webinar will be recorded live on April 1, 2020, 2:00 – 3:30 pm EDT. Medicare audits are increasing. Many outpatient PT practices are undergoing Targeted Probe and Educate audits. Owners and managers of physical therapy practices MUST keep up with the latest rules to be successful in this increasingly difficult regulatory environment. This course will be targeted towards the more complex and most misunderstood Medicare rules and regulations specific to outpatient therapy. Questions such as these are only a few of the questions that will be answered: Can a Medicare patient be self-pay or direct access? How can I cover services when I'm on vacation? Can I take referrals from all types of physicians and dentists for Medicare patients? What needs to happen if I have referrals from two different physicians for the same patient? When can I bill a re-evaluation? What counts as covered maintenance therapy? What documentation issues cause denials?

Misunderstanding, ignoring or not applying the Medicare regulations can lead to a non-compliant practice which can have great financial and legal risks. Attend this course to ensure that you are up to date on the most frequently misunderstood Medicare rules for outpatient therapy.

Learning Objectives

Upon completion of this course, participants should be able to:

  • Articulate the Medicare viewpoint on patient treatment by PT aides and students.
  • Articulate the Medicare requirements for physician involvement in the PT plan of care.
  • Articulate the required elements of a Medicare plan of care document including signature requirements and timing.
  • Distinguish the types of health care providers allowed to sign a Medicare plan of care.
  • Identify key documentation issues that cause denials on Medicare audits.
  • Distinguish the difference between a restorative episode of care and a maintenance episode of care.

About the Speaker:

Dr. Robbie Leonard, PT, DPT, CHC has extensive clinical and administrative experience in rehabilitation and she is certified in healthcare compliance. She has provided continuing education seminars nationwide in the areas of Medicare, compliance, billing and coding, and administration. She has taught in the academic setting for the Physical Therapy Programs at the Medical University of South Carolina and Western Carolina University. Robbie has owned a private practice and has served as the VP of Administration for a multi-state private practice with over 250 employees and 30 clinics. Robbie is the owner of Robbie Leonard Consulting and co-founder of 8150 Advisors specializing in outpatient therapy practice consulting. She also serves as the Chief Learning Officer for the Medical Billing Center.

PPS Member discount will display at checkout.

Course expires April 1, 2023

Course Code:

LMS-E393

APTACategory

Category1

cert_CA approval

CPTA2018-19

cert_Insert Up To

No

cert_No IACET

No

cert_NY approval

Yes

cert_Transcript stmt

No

CEU Approval and Certification - PPS

Private Practice Section online courses are accepted by the following physical therapy licensure boards, as allowed by the type of course requirements in state regulations: AL, AZ, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, MI, MN, MS, MO, MT, NE, NH, NY, NC, ND, OR, PR, RI, SC, SD, TN, UT, VT, VA, WA, WV, WI, WY.

The Private Practice Section is accredited by the California Physical Therapy Association (Provider # CPTAAP-12) and the Texas Physical Therapy Association (Provider # 2008027TX). Consequently, all courses are accepted by California and Texas.

PPS online courses are not automatically approved in AK, AR, LA, MD, NV, NM, NJ, OH, OK and PA, though individuals may be able to seek credit depending upon state regulations.

PPS issues CEUs/CCUs based on the following definitions: 1 CEU = 10 contact hours/10 CCUs. .1 CEU = 1 contact hour/1 CCU. 1 contact hour/1 CCU = 60 minutes of structured educational activity.

Course level

Intermediate

Date published

02/24/2020

Date recorded

04/01/2020

Delivery method

Webinar

Instructor(s)

Robbie Leonard

Learning objectives

Upon completion of this course, participants should be able to:

  • Articulate the Medicare viewpoint on patient treatment by PT aides and students.
  • Articulate the Medicare requirements for physician involvement in the PT plan of care.
  • Articulate the required elements of a Medicare plan of care document including signature requirements and timing.
  • Distinguish the types of health care providers allowed to sign a Medicare plan of care.
  • Identify key documentation issues that cause denials on Medicare audits.
  • Distinguish the difference between a restorative episode of care and a maintenance episode of care.

Registration details

PPS Member Discount will display at checkout.

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Private Practice Section

#Lessons:
1PDF
Overview
Type:E-Learning Course
Credits:0.15
Credit Categories
Learning Time:1h  30m
Domains:Robbie Leonard, compliance, Medicare, payment
Enrollment
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