Do you understand billing rules, CPT codes, and your responsibility as a licensed professional?
Are there grey areas related to billing and documentation in your practice that need clarification?
This course was designed for new clinicians, however, clinicians - new and experienced - can benefit from the information. Those participating in this webinar will gain increased knowledge regarding billing rules according to AMA, Total Time, and Midpoint. Federally Funded Payors, who is a qualified provider, and environments of care will be defined. The webinar also includes a discussion of billing options, CPT coding, and documentation with a supportive narrative. Our goal is to provide clinicians with increased confidence and ease in decision making with documentation and billing, Ultimately, participants will have the ability to devote a majority of their time to what physical therapy professionals do best - patient treatment.
After completion of the course the participant will be able to:
- Explain the basic billing rules for outpatient therapy including the differences between:
- Federally Funded Payer rules
- AMA Rules
- MidPoint Rule
- This will include the environment of care and qualified provider definitions.
- Describe the most commonly used CPT Codes in outpatient therapy, their definition and application.
- Describe and utilize the appropriate classification of initial evaluations and the documentation needed to support re-evaluations.
- Explain the 5 most common documentation errors when audited and how to avoid them.
Presenter: Scott MacDonald PT, DPT
Scott MacDonald PT, DPT has been a Physical Therapist for over 36 years. Scott is currently a Regional Director of Clinical Services for Select Medical Corporation. He assists over 160 outpatient therapy centers and 27 prosthetics and orthotics centers with billing, coding, documentation and practice act issues. He has spent the last 16 years clinical services. Scott was previously an owner in his own multi-location practice in West Michigan and still resides in West Michigan.
Scott has been involved with considerable training and education most recently in the areas of improving clinical documentation, clinical outcomes and ICD-10. Prior to his work in the Clinical Services area, Scott worked with companies around the world for injury prevention and early identification.