Physical Therapy – Can Your Practice Withstand an OIG Audit?

Event Information
Product Format
Prerecorded Event
Presenter(s)
Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR
Conference Date
Wed, Oct 12, 2016
Length
60 minutes
Product Description

Prep Up for 2017 Coding Changes in Physical Therapy to Pass Your Audit with Flying Colors


With CPT® deleting the PT evaluation codes and adding new codes, there is a confusion surrounding how these codes should be used and documented. Also, physical therapy billing has caught the eye of the OIG and other payers due to increase in billing dollars. Will your therapy department stand up to a payer/carrier audit? Can you determine who provided the therapy services in your current documentation? Do you have a signed POC or signed physician order, and do you need them?

In this session, expert speaker Margie S. Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR will discuss the recent changes to coding, billing and documentation in Physical Therapy to get you ready for Jan 1, 2017. During this 60-minute audio session she will review the examples form CERT audit findings and provide insight on ways to strengthen your therapy departments.

Session Highlights:

  • Physical therapy issues with the CMS
  • Why is OIG working hard to scrutinize physical therapy billing?
  • Determine how best to get your exercise flow sheet descriptions to support a CPT® code description
  • New PT codes for 2017
  • CMS Reminder: What really are PT services?
  • Understand what Medicare means by ‘incident to’ and who can provide that service
  • Understand what has been found in previous audits by the government
  • Identify risk areas

Session Snapshots:

  • OIG recommendations
  • The magnitude of Physical Therapy issues – Sections of the OIG report
  • Deficiency findings by the OIG
  • Target areas in audits
  • Re-evaluations
  • Physician orders
  • CERT findings
  • Plan of care and acceptable documentation
  • Group Therapy issues
  • From the Federal Register
  • Initial certification of plan
  • Evaluation reports
  • Progress report
  • PTA and OTA
  • Time based codes
  • Chapter one NCCI guidelines
  • Compliance issues

Who should attend

Coders, Billers, Office Managers, Practice Manager, Therapist

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Margie Scalley Vaught - Wound Care Coding Expert

With over 30+ years’ experience in the Healthcare arena, in positions from nurse’s aide to ward clerk and medical transcriptionist to office manager, Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR, understands how offices are structured.  Margie spent twenty years in the field of Orthopedics.  She obtained Certified Professional Coder (CPC) designation in 1995 from the American Academy of Professional Coders (AAPC), where she served...   More Info
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