Product Detail

Rehabilitation Reimbursement & Documentation:
DVD Video
$199.99 USD
Product Details
Format:
DVD Video - 4+ hours   Instructions
Length:
5 hr 52 min
Details:
Multi-disc DVD recording with electronic manual and instructions.
Author:
MEGAN REAVIS, MBA, BS, COTA/L
Publisher:
PESI Rehab
Copyright:
3/28/2019
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
RNV063540
Objectives
  1. Examine practical application of integrating company policies in accordance with the most recent government regulations.
  2. Maximize time by documenting in a clear and concise manner.
  3. Distinguish the importance of correct supportive documentation as part of the overall claim review.
  4. Complete a case study review to form smart goals and daily notes that capture medical necessity.
  5. Demonstrate a deeper understanding of the various types of definitions in determining skilled therapy services.
  6. Evaluate documentation samples to learn how to minimize denials going forward.
Outline
Documentation And Medical Necessity
  • Medicare A and the upcoming changes around SNFs and home health
  • Medicare B and outpatient reimbursement
  • Managed care
  • ACOs/ bundled payments and the shift therapy deliver
Evaluations, Need & Reimbursement
  • Reasons for evaluation and how to justify medical necessity
  • Prior level of function and what key components to include
  • Co-morbidities/Complexities and how they will impact reimbursement
  • Goal writing and what to add to make it measurable
Critical Terminology: What It Means To Your Documentation
  • Determining medical necessity
  • Rehab terminology that must be included in your daily documentation
  • Skilled vs. unskilled terminology
Supportive Documentation
  • Case study: Break down the components of the treatment plan
  • Pitfalls to avoid
  • Drop-down menus are not your friend
  • If you didn’t write it, it didn’t happen
Coding and Diagnoses
  • CPT codes and what will get you paid
  • Avoiding “Red Flag” codes and why they are denying them
  • Diagnoses that won’t get you paid
Denial Management
  • Understanding RAC, MAC, ADR, denials, and ZPIC audits
  • Reasons for denials: Top 10 reasons we are not getting paid
  • Quality assurance audits used to decrease unpaid claims
Author

MEGAN REAVIS, MBA, BS, COTA/L

Megan Reavis, MBA, BS, COTA/L, has worked primarily in the geriatric setting for the past 20 years, as a clinician and in management roles, including work as a Rehab Director and Area Director. Megan is a national educator and has written and taught continuing education courses to rehab audiences around the country on a variety of clinical, documentation and reimbursement topics that draw from her areas of expertise. Additionally, Megan has worked as a consultant for Outpatient PT companies and Skilled Nursing Facilities to maximize outcomes and reimbursement, perform auditing and manage denials.

Speaker Disclosures:

Financial: Megan Reavis has an employment relationship with Orchestrall, Inc. She receives a speaking honorarium from PESI, Inc.

Non-financial: Megan Reavis has no relevant non-financial relationship to disclose.
Continuing Education Credits
Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.


Occupational Therapists & Occupational Therapy Assistants - Credit Available Until: 3/28/2021
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PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. This self-study course qualifies for 6.0 self-study contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate. Expires: 3/28/2021.

Florida Occupational Therapists & Occupational Therapy Assistant:
Florida
PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.


Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants:
CA PT
PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.2 contact hours.


North Carolina Physical Therapists, Physical Therapist Assistants
NCBPTE approval by virtue of approval by The New York State Education Department, Office of the Professions, State Board for Physical Therapy licensure board or state APTA chapter Approval good through 08/31/2021.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Speech-Language Pathologists & Audiologists - Credit Available Until: 5/31/2024
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This course is offered for .55 ASHA CEUs (Intermediate level, Related area). **ASHA CEUs are available on this course from 06/01/2019 to 05/31/2024. PESI, Inc. will submit ASHA CEU Requests to the ASHA CE Registry on a monthly basis; ASHA CEU Requests received before 06/01/2019 or after 05/31/2024 cannot be reported.

SPEECH-LANGUAGE PATHOLOGISTS ONLY: To be reported to ASHA, while completing the online post-test/evaluation, please answer YES to the question: “Are you a Speech-Language Pathologist and/or Audiologist requesting to have your credit hours reported to the ASHA CE Registry to earn ASHA CEUs?" and include your ASHA number. After completing and passing the online post-test/evaluation, your information will automatically be sent to cepesi@pesi.com to be reported. If you forget to answer yes, please send an email to cepesi@pesi.com with the following information: full title of the activity, speaker name, date of live broadcast, date you completed the post-test, and your name and your license number.

California Speech-Language Pathologists/Audiologists: PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 6.0 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.

Kansas Speech-Language Pathologists: Approved for 7.0 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.


Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test/evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.


Audience
  • Occupational Therapists
  • Certified Occupational Therapy Assistants
  • Physical Therapists
  • Physical Therapy Assistants
  • Speech-Language Pathologists
  • Nursing Home Administrators
  • Billing/Finance Department Staff