Physical Therapy - Billing for Medicare Services in 2013

Event Information
Product Format
Prerecorded Event
Jill M. Young, CPC, CEDC, CIMC
60 Minutes
Product Description

Make Sure You’ve Adopted Latest PT Changes for Medicare Patients

Did you know that Physical Status Indicators are being implemented in 2013 along with severity modifiers? For services provided to and billed for Medicare PT patients, your challenge is:

  • Finding out when to report this information
  • Collecting the required data
  • Handling the possibility of multiple indicators on a single patient

Also, the financial impact of the Multiple Payment Procedure Reduction (MPPR) theory of payment is still being assessed. Define the MPPR, and discover how significant its affect will be on your practice this year.  

You’ll walk away from this expert audio conference knowing where to find the most current list with good explanations of the severity modifiers and functional limitation G-codes. You’ll also learn how to look up your Phase in the Manual Medical Review process. A key question to ask is what does a phase #3 mean to your practice?

This session will help you:

  • Highlight functional G codes and status modifiers
  • Understand the 50% payment reduction due to MPPR
  • Uncover how the temporary application of the Therapy Cap to Hospital Outpatient settings was due to sunset at the end of 2012. Do you know if happened? What does it mean for these patients?     
  • Learn to use the new Status Indicator for the Medicare MPFSDB
  • Note these deadlines for changes to therapy reporting
  • Follow these documentation tips for compliance.
  • Therapy Caps
  • Critical Access Hospital 2013
  • Therapy Cap – Medicare Advantage
  • Therapy Cap Exceptions Process
  • What is an "automatic exception"?
  • How do I submit a request for an "automatic" exception?
  • Should I append the KX modifier to all my therapy claims?
  • Do providers need to submit documentation for "automatic" exceptions from the therapy cap?
  • Middle Class Tax Relief and Jobs Creation Act of 2012 (MCTRJCA) Section 3005(g)
  • Non Payable G Codes Used to Report Functional Limitations
  • 42 Functional G-codes, 14 Sets of 3 Codes Each
  • Mobility G-Code Set
  • Guidelines for Selecting the G-codes to Report
  • Modifiers Used to Report the Severity of Functional Limitations
  • Guidelines for Selecting the  Severity Modifier
  • Reporting Requirements
  • Reporting Requirements of G-Code & Severity Modifier
  • Application of New Coding Requirements
  • “Q” New Status Code for MPFSDB

Who should attend? Coders, Billers, Office managers, Office Administrators

Order Below or Call 1-866-458-2965 Today

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About Our Speaker

Jill M. Young - Pulmonology Guidelines Expert

Jill Young, CPC, CEDC, CIMC, is the Principal of Young Medical Consulting, LLC, A company founded 11 years ago to meet the education and compliance needs of physicians and their staff. Jill has over 30 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her comments and opinions can be seen in several publications and also...   More Info
More Events By The Speaker

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