Medicare for Outpatient Therapy Services
Course: ABC’s of Medicare for Outpatient Therapy Services: Getting Paid for What You Do!
Date: Saturday, June 18, 2011
Location: TBD
Presented by: Howard Head Sports Medicine
Instructor: Robbie Leonard, MS, PT
Robbie Leonard, MS, PT
Ms. Leonard, a Physical Therapist, received her B.S. Degree in Microbiology from Clemson University and her M.S. Degree in Physical Therapy from Duke University and has over 22 years of clinical & administrative experience in various rehabilitation, educational, and administrative positions, including the Shepherd Center, Roosevelt Warm Springs Institute for Rehabilitation and The Medical University of South Carolina. She currently serves as the Vice President of Quality for Proaxis Therapy and Howard Head Sports Medicine. Mrs. Leonard has extensive experience teaching administrative content and has taught courses on Medicare and reimbursement for over 14 years. She has received several teaching awards including the 2008 SC AHEC Educator of the Year, the 2003 J. Dale Pounds Award for a person who makes a significant impact on the physical therapy students of Western Carolina University, the 2000 MUSC College of Health Professions Teacher of the Year Award and the 2000 MUSC Health Science Foundation Excellence in Teaching Award for Developing Faculty.
Course Description:
This course is designed for outpatient physical therapists, occupational therapists and outpatient therapy managers who are interested in learning more about the Medicare system and how Medicare reimburses for therapy services. The course will include explanations of Part A and Part B Therapy Providers, the rules and regulations for Medicare services in the outpatient environment and best practices for documentation. There will be an emphasis on coding for proper reimbursement and Medicare documentation requirements. LCDs, CPT codes, the eight minute rule, the relative value scale and the latest Medicare issues will be discussed. Staying current with Medicare is crucial to success in the therapy market.
Learning Objectives:
At the conlcusion of this program, participants will be able to:
1. Distinguish between types of therapy providers (private practive, rehab, agency, etc.)
2. Outline the various rules that gobern outpatient therapy services under Medicare, including National Payment Policies and Local Cover Determinations.
3. Understand the Therapy Cap and the Cap Exceptions Process
4. Define the 8 minute rule and the total treatment time rule for Medicare.
5. Utilize the physician fee schedule appropriately to determine payment for outpatient therapy services.
6. Understand the required components for Medicare documentation in the outpatient environment.
7. Identify best practices for outpatient therapy documentation
* Discounted parking will be available upon request.
For More information: Contact Dina Proietti at dina@hhsmc.com or (303) 295-1403.
