This course explains the basics of the documentation and billing requirements for outpatient therapy (OPT) services that deal with physical therapy (PT), occupational therapy (OT), and speech-language pathology (SLP) that are provided under Medicare Part B. Documentation, coding, and billing requirements are covered.
This course may feature information on the use of medical and procedural codes, including CPT® codes as they relate to the subject matter presented.
The goal of this course is to explain the basics of the documentation and billing requirements for outpatient therapy (PT, OT, and SLP) services under Medicare Part B.
This course explains the basics of the documentation and billing requirements for outpatient therapy (OPT) services that deal with physical therapy (PT), occupational therapy (OT), and speech-language pathology (SLP) that are provided under Medicare Part B. Documentation, coding, and billing requirements are covered. This course may feature information on the use of medical and procedural codes, including CPT® codes as they relate to the subject matter presented. The goal of this course is to explain the basics of the documentation and billing requirements for outpatient therapy (PT, OT, and SLP) services under Medicare Part B.
This activity is approved for 0.5000 contact hours.
“This program has been approved for 0.5000 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.”
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Coverage Policies
Provider Definitions
Review
Section 2: Certification
Conditions of Coverage Certification
Orders/Referrals and Need for Care
Review
Plans of Care
Sample Therapies
Revision of Goals
Section 3: Payment and Reporting
Payment Caps and Medical Necessity
Modifiers
Review
Section 4: Time
Untimed Codes and Units of Service
Clarification of Time
Review
Section 5: Conclusion
Course Summary
Course Contributors
Resources
References
Tamara has twenty-seven years of multi-specialized medical coding and Corporate Compliance experience. She is the founder of Abraham Medical Coach LLC, where she provides medical coding and healthcare compliance consulting services to healthcare organizations across the United States. In addition to consulting, Tamara prepares individuals to sit for their medical coding certification via her online course curriculum. She is an adjunct educator for a local community college based in Texas. Her area of instruction includes Introduction to Medical Law, Medical Terminology, ICD-10-CM and Procedural Coding. Tamara’s credentials include AAPC Approved Instructor, Certified General Surgery Coder and Certified Professional Coder with the Academy of Professional Coders Association (AAPC). She has authored three books specific to the medical coding industry.
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