Therapy Reimbursement under Medicare Part B

 

Reimbursement for therapy services delivered is critical to the financial success of all healthcare organizations that provide therapy services. It is the responsibility of the therapy professional to understand the guidelines surrounding reimbursement under Medicare Part B in order to ensure the treatment plan and associated documentation complies with the regulations.

$15.00

Hours: 1.00
REL-SRC-0-25737

Certificates

Certificates provided by accrediting body (52 Match)

Iowa Board of Physical and Occupational Therapy

1.0 HOURS


The Iowa Bureau of Professional Licensure accepts Continuing Education hours obtained by completing online training courses related to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.

Massachusetts Board of Registration in Allied Health Professionals

1.0 HOURS


This activity is approved for 1.00 contact hours.

Colorado Physical Therapy Licensure

1.0 HOURS


The Colorado State Physical Therapy Board accepts Continuing Education courses as relevant to the licensee’s practice as a physical therapist and pertinent to his/her Learning Plan and goals. This course meets the requirements for Category I credit. This activity is approved for 1.00 contact hours.

Connecticut Physical Therapy Licensing

1.0 HOURS


The Connecticut State Board of Examiners for Physical Therapists accepts internet-based and distance learning opportunities provided such coursework is related to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.

Maine Physical Therapy Licensing Board

1.0 HOURS


This activity is approved for 1.00 contact hours.

Nebraska Board of Physical Therapy

1.0 HOURS


The Nebraska State Board of Physical Therapy accepts Continuing Education courses relating to the theory or clinical application of theory pertaining to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.

New Hampshire Board of Physical Therapy

1.0 HOURS


The New Hampshire Physical Therapy Governing Board recognizes the completion of distance learning courses as maintenance of continuing competence. This activity is approved for 1.00 contact hours.

Oregon Physical Therapist Licensing Board

1.0 HOURS


The Oregon Physical Therapist Licensing Board accepts Continuing Education courses approved by any state physical therapy licensing board. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.

Utah Board of Physical Therapy

1.0 HOURS


The Utah Division of Occupational and Professional Licensing accepts Continuing Education courses conducted by commercial continuing education providers. This activity is approved for 1.00 contact hours.

Washington Board of Physical Therapy

1.0 HOURS


The Washington Board of Physical Therapy accepts Continuing Education courses that are specifically related to the practice of physical therapy, with specified goals and objectives. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours. Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.

Alabama State Board of Physical Therapy

1.0 HOURS


The Alabama Board of Physical Therapy recognizes the completion of distance learning courses as maintenance of continuing competence. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.

CA Physical Therapy Board of California

1.0 HOURS


Relias Learning, LLC is recognized as an approved provider of continuing competency courses by the Physical Therapy Board of California. This course is approved for 1.00 contact hours.

Kansas Board of Healing Arts - Physical Therapy

1.0 HOURS


This activity meets Kansas State Board of Healing Arts criteria for continuing education and is offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.

Arizona Board of Physical Therapy Examiners

1.0 HOURS


The Arizona State Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Idaho Physical Therapy Licensure Board

1.0 HOURS


The Idaho Physical Therapy Licensure Board accepts Continuing Education courses sponsored by any section or chapter of the American Physical Therapy Association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Indiana Physical Therapy Committee

1.0 HOURS


The Indiana Physical Therapy Committee accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Kentucky Board of Physical Therapy

1.0 HOURS


The Kentucky Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity qualifies for 1.00 Category 2 hours.

Michigan Board of Physical Therapy

1.0 HOURS


The Michigan Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Missouri Advisory Commission for Professional Physical Therapists

1.0 HOURS


The Missouri State Board of Registration for the Healing Arts accepts Continuing Education courses sponsored/approved by any state chapter of the American Physical Therapy Association (APTA). Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Mississippi State Board of Physical Therapy

1.0 HOURS


The Mississippi State Board of Physical Therapy accepts Continuing Education hours accrued through participation in educational activities approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This course meets approval under the Mississippi Regulation Part 3103 Rule 5.4 (1) (b). This activity is approved for 1.00 contact hours.

Montana Board of Physical Therapy Examiners

1.0 HOURS


The Montana Board of Physical Therapy Examiners accepts Continuing Education courses approved by any state physical therapy association as Category A activities. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

North Carolina Board of Physical Therapy Examiners

1.0 HOURS


The North Carolina Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

North Dakota Board of Physical Therapy

1.0 HOURS


The North Dakota Board of Physical Therapy accepts Continuing Education courses sponsored by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

New Mexico Physical Therapy Board

1.0 HOURS


The New Mexico Physical Therapy Licensing Board accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Rhode Island Board of Physical Therapy

1.0 HOURS


The Rhode Island Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. This activity is approved for 1.00 contact hours.

South Carolina Board of Physical Therapy

1.0 HOURS


The South Carolina Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

South Dakota State Board of Medical and Osteopathic Examiners

1.0 HOURS


South Dakota State Board of Medical and Osteopathic Examiners accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Tennessee Board of Physical Therapy (General)

1.0 HOURS


The Tennessee Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2202008TX. This activity is approved for 1.00 contact hours.

Virginia Board of Physical Therapy

1.0 HOURS


The Virginia Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association as Type 1 courses. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Vermont Board of Physical Therapy

1.0 HOURS


The Vermont Office of Professional Regulation - Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Wisconsin Department of Regulation and Licensing - Physical Therapy

1.0 HOURS


The Wisconsin Physical Therapy Examining Board accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Wyoming Board of Physical Therapy

1.0 HOURS


The Wyoming Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Delaware Examining Board of Physical Therapists and Athletic Trainers

1.0 HOURS


The Delaware Examining Board of Physical Therapists and Athletic Trainers accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Alaska Board of Physical Therapy

1.0 HOURS


The Alaska State Physical Therapy and Occupational Therapy Board accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX.. This activity is approved for 1.00 contact hours.

Florida Board of Physical Therapy

1.0 HOURS


The Florida Board of Physical Therapy accepts courses approved by any state chapter of the American Physical Therapy Association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Learners must self-report this completion to CE Broker in order to receive credit from the Florida Board of Physical Therapy.

Illinois Division of Professional Regulation of Physical Therapists

1.0 HOURS


Relias Learning is an Illinois Physical Therapy Continuing Education Sponsor, number 216.000290. This activity is approved for 1.00 contact hours.

New York Physical Therapy

1.0 HOURS


The New York State Education Department's State Board for Physical Therapy has recognized Relias Learning, LLC as an approved provider of physical therapy and physical therapy assistant continuing education. This activity is approved for 1.00 contact hours.

American Occupational Therapy Association

1.0 HOURS


Relias Learning is an approved provider of continuing education courses by the American Occupational Therapy Association. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Category 3. This activity is approved for 1.00 contact hours.

Florida Board of Occupational Therapy

1.0 HOURS


This course has been approved by the Florida Board of Occupational Therapy for 1.00 contact hours, approval number 20-691418.

Alabama State Board of Occupational Therapy

1.0 HOURS


This course has been approved by the Alabama State Board of Occupational Therapy for 1.00 contact hours, approval number 20-691418.

Texas Physical Therapy Association

1.0 HOURS


This activity is provided by The Texas Board of Physical Therapy Examiners Accredited Provider #1902008TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas.
This course is not approved as meeting the ethics and professional requirements for Texas physical therapists or physical therapist assistants.
The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. This activity is approved for 1.00 contact hours.

Georgia State Board of Physical Therapy

1.0 HOURS


The Georgia State Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

American Speech-Language-Hearing Association

1.0 HOURS



This course is offered for 0.10 ASHA CEUs (Introductory Level; Related Area).

Pennsylvania State Board of Physical Therapy

1.0 HOURS


Pennsylvania State Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2202008TX. This activity is approved for 1.00 contact hours.

Arkansas State Board of Physical Therapy

1.0 HOURS


This course is approved by the Arkansas State Board of Physical Therapy and offered to PTs and PTAs for 1.00 contact hours.

Hawaii Board of Physical Therapy Licensing

1.0 HOURS


The Hawaii Board of Physical Therapy accepts courses approved by another state or jurisdiction’s physical therapy board. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.

Louisiana Physical Therapy Board

1.0 HOURS


This course is approved by the Louisiana Physical Therapy Board for 1.00 Administrative hours.

New Jersey State Board of Physical Therapy

1.0 HOURS


This course was approved by the New Jersey Board of Physical Therapy Examiners. Approval #: 1903‐43. This activity is approved for 1.00 contact hours.

Oklahoma Board of Medical Licensure and Supervision

1.0 HOURS


Oklahoma Physical Therapy Advisory Committee has approved this course under Category B. Approval # 201913211. This activity is approved for 1.00 contact hours.

Ohio Physical Therapy Association

1.0 HOURS


This course is approved by the Ohio Physical Therapy Association, approval number 19S0841. This activity is approved for 1.00 contact hours.

Nevada State Board of Physical Therapy Examiners

1.0 HOURS


This course has been approved by the Nevada State Board of Physical Therapy Examiners. This activity is approved for 1.00 contact hours.

Minnesota State Board of Physical Therapy

1.0 HOURS


This course is approved by the Minnesota Board of Physical Therapy for 1.00 Category 1 credits and offered to PTs and PTAs for CEUs.

Course Details

Course Code: REL-SRC-0-25737
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2021
Learning Objectives:
Describe at least 4 reimbursement guidelines for therapy services under Medicare Part B.
Identify documentation requirements related to Part B therapy services.
Identify most common codes and modifiers used in the billing of Part B therapy services.

Outline:


Transition slide: Medicare Overview
Eligibility for Medicare
Medicare Coverage Options
Therapy Reimbursement Through Medicare Part B
Knowledge Check
Transition slide: Documentation Requirements
Evaluation
Plan of Care (POC)
Updated Plan of Care (UPOC)
Certification of the Plan of Care
Delayed Certification
Daily Treatment Note
Progress Report
Progress Reports and Discharge Note
Re-evaluations
Role of Therapy Assistants
Treating Multiple Conditions
Knowledge Check
Transition slide: Reasonable and Necessary Services
Reasonable and Necessary Services
Necessary Care
Documenting Medical Necessity
Skilled Therapy Services
Unskilled Care
Maintenance Programs
Durable Medical Equipment (DME)
Advance Beneficiary Notices (ABN)
Knowledge Check
Transition slide: Billing Therapy Services
CPT codes
8 Minute Rule
8 Minute Rule: Example
Group Therapy
Co-Treatment
National Correct Coding Initiative (NCCI)
Procedure-To-Procedure (PTP) Edits
Medically Unlikely Edits (MUE)
Therapy Threshold
Reimbursement for Therapist Assistant Services
Discipline-Specific Modifiers
Occurrence Codes
Knowledge Check
Transition slide: Ensuring Accurate Reimbursement
CMS Quality Payment Program (QPP)
Additional Billing Considerations
Determining CPT codes
Incident-to Billing
Knowledge Check
Summary

Instructor: Ann Elsasser-Root, PT DPT
Ann Elsasser-Root graduated from the University of Pittsburgh with a Doctor of Physical Therapy degree in 2013. She has experience in multiple care settings including skilled nursing facilities, independent living facilities, inpatient rehab, and outpatient orthopedic and neurology. Ann has a strong manual therapy background and has completed additional training in kinesiotaping, vestibular rehabilitation, and McKenzie MDT for the lumbar spine. She is most passionate about treating the older population to improve quality of life and maximize functional independence.   Disclosure: Ann Elsasser-Root, PT DPT has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: entry level Occupational Therapists; entry level Physical Therapists; entry level Speech and Language Pathologists; in the following settings: Rehabilitation Settings.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.