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Documentation Essentials Part 08 -- Navigating the Denials and Appeals Process-Documentation
#3057 Documentation Essentials Part 08 -- Navigating the Denials and Appeals Process

DESCRIPTION

1 Contact Hour

All therapy services provided to a Medicare B beneficiary under their benefit are subject to the scrutiny of Medicare as the payor. Some claims are paid, some are not. This Intermediate course will assist therapists in understanding how to navigate the appeals and denials processes when a claim for services provided to a Medicare B beneficiary has been denied by the Medicare Approved Contractor (MAC), fiscal intermediary or carrier.

Availability: 365 days from registration, unless other agreement applies


COURSE GOAL

To provide a guide through the Medicare B appeals process.

OBJECTIVES

Upon completion of this course, the Learner will be able to:

  • Identify the five levels of appeal for a Medicare B therapy claim
  • Identify the three (3) forms used at each level and the criteria identified by CMS that needs to be present in order to proceed with the appeal
  • Identify three (3) documentation strategies that can be used to help optimize your chance of appeal of the denial decision.

ACCREDITATIONS

boc_aota

Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for 0.1 CEU, Intermediate Level, Professional Issues: Legal, Legislative & Regulatory Issues.. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

This course is AOTA approved for .1 CEU

NBCOT 1.25 PDU










This program is offered for 0.1 CEU (Intermediate level, Related area).

 

Approved for .1 CEU
(1 contact hour) by the
Board of Certification for Athletic Trainers.


State of Illinois Physical Therapy Continuing Education Sponsor License No: 216.000127

Dynamic Learning Online is approved by New York State Education Department, Office of the Professions as a sponsor of Continuing Education for Physical Therapists & Physical Therapy Assistants

Dynamic Learning Online is a Texas Board of Physical Therapy Examiners (TPTA) Accredited Provider. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.

This course is also approved by the:

  • Arkansas State Board of Physical Therapy Examiners for 1 Contact Hour
  • Delaware Examining Board of Physical Therapists and Athletic Trainers for 1 Contact Hour
  • Florida Board of Athletic Training
  • Florida Board of Occupational Therapy
  • Florida Statewide Public Guardianship Office
  • Florida Board of Speech-Language Pathology and Audiology for 1 Content Hour
  • *Federation of State Boards of Physical Therapy (FSBPT) for 1 CCU
  • Maryland State Board of Physical Therapy Examiners for 0.1 CEU
  • Oklahoma Physical Therapy Advisory Committee for 1 contact hour

*FSBPT currently certifies for the following states:

  • Alabama
  • Arizona
  • California
  • Delaware
  • District of Columbia
  • Georgia
  • Indiana
  • Kansas
  • Kentucky
  • Montana
  • Nebraska
  • North Carolina
  • Oregon
  • South Carolina
  • Tennessee
  • Utah
  • Vermont
  • Virginia
  • Wisconsin

Authors and Instructor

Instructor: Melissa Cohn Bernstein, OTR/L, FAOTA is the founder, President/CEO of Dynamic Group. Dynamic Group provides consulting and clinical educational services to the healthcare industry through Dynamic Learning Online, Inc. providing E-Learning for healthcare professionals

With over thirty- five years of experience in healthcare business operations, adult clinical practice, and Medicare regulatory & reimbursement expertise. Melissa’s career includes over 20 years of experience in clinical practice and management with a focus on adult rehab in long term care/skilled nursing facilities and out-patient rehab clinics.

Since 2000, her focus has expanded to offer continuing education and training across the therapy spectrum providing time-sensitive, evidence-based online courses developed by industry experts.

Mrs. Bernstein was nominated and received the highest AOTA honor of a Fellow of Occupational Therapy (FAOTA) at the 2006 conference. Melissa has published several articles and co-authored several book. From August 2006 –November 2009 she served as the Executive Director for NARA, National Association of Rehabilitation Providers and Agencies, an organization that represents and supports rehabilitation practices nationally with a focus on legislation and running a rehab business from a clinically and operationally perspective in a challenging environment. She was honored in May 2011 with a Lifetime Achievement Award by the Board of Directors of NARA, the first recipient of this award.

Consultant/Subject Matter Expert: Nancy J. Beckley, MS, MBA, CHC

Nancy Beckley & Associates LLC is a rehab compliance consulting firm providing consulting and training services, as well outsourced compliance services to therapy clinics, home health agencies, DME suppliers, contract therapy companies, SNFs and other rehab professionals.

The regulatory environment of Medicare, the ever-changing environment of managed care, and the constant need to develop and implement effective marketing strategies are challenges faced by most rehab providers and therapy clinics. Mrs. Beckley assist Rehab providers with these challenges and provide targeted consulting expertise to enable the organization to meet these challenges

Contributing Author : Kate Brewer, PT, MBA, GCS is the President and Owner of Progressive Rehab Solutions. In addition to her consulting activities she is also the Vice President and Compliance Officer of a Rehab Agency managing over 300 employees.

Her hands-on experience ensures that you will be kept on the leading edge of the latest changes to Medicare and other reimbursement and coding changes. Ms. Brewer has her BA in Communications, her MPT from Marquette University and a MBA from Cardinal Stritch University.

Ms. Brewer is nationally recognized for her expertise in documentation and coding issues and currently serves on the editorial board for the following publications:

  • HCPro’s Briefings on Outpatient Rehab: Reimbursement and Regulations
  • HcPro's Billing Alert for Long Term Care
  • Eli Healthcare’s: Rehab Report

Ms. Brewer has authored the books:

  • The How to Manual for Denials and Appeals: Navigating the Medicare Process
  • Restorative Nursing Made Easy
  • The Essential Guide to Rehab Management
  • The Essential Guide to ICD-9 Coding for Therapy Professionals

Author(s) Disclosures

Melissa Cohn Bernstein, OTR/L, FAOTA Instructor/Writer, Dynamic Group (Dynamic Learning Online, Inc.)

  • Financial - Author for Documentation Essentials Part 01: Evaluations and Certifications (change these out for each of the courses), receives no royalty payments.
  • Non-financial - No relevant non-financial relationship exists.

Nancy J. Beckley, MS, MBA, CHC Content Consultant/content expert, Dynamic Group (Dynamic Learning Online, Inc.)

  • Financial – Consultant to Documentation Essentials Part 01: Evaluations and Certifications, receives royalty payments.
  • Non-financial - No relevant non-financial relationship exists.

Kate Brewer, PT, MBA, GCS, Contracted Instructor/Writer, Dynamic Group (Dynamic Learning Online, Inc.)

  • Financial - Author for Documentation Essentials Part 01: Evaluations and Certifications, receives royalty payments.
  • Non-financial - No relevant non-financial relationship exists.

Teaching Methods

This course contains content delivered in a text format with references and resources. A Final Exam is required with multiple attempts allowed to obtain a minimum passing grade of 80%. Learner must also participate a minimum of 80% of the CE awarded hours in the course material to be eligible to print the certificate of completion.

As a self-directed learner, you are encouraged to practice, seek out and read additional references regarding the subject matter to enhance the contents provided within this course.

Price:$28.50
Qty:  

Documentation Essentials Part 09 -- Medicare Part A in SNFs-Documentation
#3058_003 Documentation Essentials Part 09 -- Medicare Part A in SNFs

DESCRIPTION

2 Contact Hours

Providing therapy services under Medicare A in a skilled nursing facility (SNF) is a greatly rewarding experience. However, many therapists and assistants are challenged and intimidated by the numerous rules and regulations that govern the provision of these services. This Intermediate module is designed to provide a bird’s eye overview of the UPDATED regulations, effective October 1, 2011 that govern the provision of therapy services and provide insight into how the overall payment system works under the MDS 3.0, including reimbursement under Medicare A, including RUGS-IV assessments are required, and how therapy services are delivered and captured for Medicare A beneficiaries.

Availability: 365 days from registration, unless other agreement applies


COURSE GOAL

The student will be able to identify the key components of the minimum data set (MDS) 3.0 for which therapy is responsible and how to complete them accurately.

OBJECTIVES

Upon completion of this course, the Learner will be able to:

  • Name five rehab RUG levels
  • Identify the five (5) different assessment reference periods
  • Identify what qualifies as a skilled service under the MDS 3.0
  • Identify two (2) different mechanisms of service delivery accepted under Medicare A

ACCREDITATIONS

boc_aota

Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for 0.2 CEUs, Intermediate Level, Professional Issues: Legal, Legislative & Regulatory Issues.. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

This course is AOTA approved for .2 CEU

NBCOT 2.5 PDU










This program is offered for 0.2 CEUs (Intermediate level, Related area).

 

Approved for .2 CEUs
(2 contact hours) by the
Board of Certification for Athletic Trainers.


State of Illinois Physical Therapy Continuing Education Sponsor License No: 216.000127

Dynamic Learning Online is approved by New York State Education Department, Office of the Professions as a sponsor of Continuing Education for Physical Therapists & Physical Therapy Assistants

Dynamic Learning Online is a Texas Board of Physical Therapy Examiners (TPTA) Accredited Provider. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.

This course is also approved by the:

  • Arkansas State Board of Physical Therapy Examiners for 2 Contact Hours
  • DC Board of Physical Therapy for 2 contact hours
  • Delaware Examining Board of Physical Therapists and Athletic Trainers for 2 Contact Hours
  • *Federation of State Boards of Physical Therapy (FSBPT) for 2 CCUs
  • Florida Board of Athletic Training for 2 Content Hours.
  • Florida Board of Occupational Therapy for 2 Content Hours
  • Florida Board of Speech-Language Pathology and Audiology for 2 Content Hours
  • Maryland State Board of Physical Therapy Examiners for 0.2 CEUs
  • New Jersey Board of Physical Therapy Examiners for 2 continuing education credits. NJBPTE Course Approval Number: 599-2014
  • Oklahoma Physical Therapy Advisory Committee for 2 contact hours

*FSBPT currently certifies for the following states:

  • Alabama
  • Arizona
  • California
  • Delaware
  • District of Columbia
  • Georgia
  • Indiana
  • Kansas
  • Kentucky
  • Montana
  • Nebraska
  • North Carolina
  • Oregon
  • South Carolina
  • Tennessee
  • Utah
  • Vermont
  • Virginia
  • Wisconsin

Author and Instructor

Authors and Instructor

Instructor: Melissa Cohn Bernstein, OTR/L, FAOTA is the founder, President/CEO of Dynamic Group. Dynamic Group provides consulting and clinical educational services to the healthcare industry through Dynamic Learning Online, Inc. providing E-Learning for healthcare professionals

With over thirty- five years of experience in healthcare business operations, adult clinical practice, and Medicare regulatory & reimbursement expertise. Melissa’s career includes over 20 years of experience in clinical practice and management with a focus on adult rehab in long term care/skilled nursing facilities and out-patient rehab clinics.

Since 2000, her focus has expanded to offer continuing education and training across the therapy spectrum providing time-sensitive, evidence-based online courses developed by industry experts.

Mrs. Bernstein was nominated and received the highest AOTA honor of a Fellow of Occupational Therapy (FAOTA) at the 2006 conference. Melissa has published several articles and co-authored several book. From August 2006 –November 2009 she served as the Executive Director for NARA, National Association of Rehabilitation Providers and Agencies, an organization that represents and supports rehabilitation practices nationally with a focus on legislation and running a rehab business from a clinically and operationally perspective in a challenging environment. She was honored in May 2011 with a Lifetime Achievement Award by the Board of Directors of NARA, the first recipient of this award.

Consultant/Subject Matter Expert: Nancy J. Beckley, MS, MBA, CHC

Nancy Beckley & Associates LLC is a rehab compliance consulting firm providing consulting and training services, as well outsourced compliance services to therapy clinics, home health agencies, DME suppliers, contract therapy companies, SNFs and other rehab professionals.

The regulatory environment of Medicare, the ever-changing environment of managed care, and the constant need to develop and implement effective marketing strategies are challenges faced by most rehab providers and therapy clinics. Mrs. Beckley assist Rehab providers with these challenges and provide targeted consulting expertise to enable the organization to meet these challenges

Contributing Author : Kate Brewer, PT, MBA, GCS is the President and Owner of Progressive Rehab Solutions. In addition to her consulting activities she is also the Vice President and Compliance Officer of a Rehab Agency managing over 300 employees.

Her hands-on experience ensures that you will be kept on the leading edge of the latest changes to Medicare and other reimbursement and coding changes. Ms. Brewer has her BA in Communications, her MPT from Marquette University and a MBA from Cardinal Stritch University.

Ms. Brewer is nationally recognized for her expertise in documentation and coding issues and currently serves on the editorial board for the following publications:

  • HCPro’s Briefings on Outpatient Rehab: Reimbursement and Regulations
  • HcPro's Billing Alert for Long Term Care
  • Eli Healthcare’s: Rehab Report

Ms. Brewer has authored the books:

  • The How to Manual for Denials and Appeals: Navigating the Medicare Process
  • Restorative Nursing Made Easy
  • The Essential Guide to Rehab Management
  • The Essential Guide to ICD-9 Coding for Therapy Professionals

Author(s) Disclosures

Melissa Cohn Bernstein, OTR/L, FAOTA Instructor/Writer, Dynamic Group (Dynamic Learning Online, Inc.)

  • Financial - Author for Documentation Essentials Part 01: Evaluations and Certifications (change these out for each of the courses), receives no royalty payments.
  • Non-financial - No relevant non-financial relationship exists.

Nancy J. Beckley, MS, MBA, CHC Content Consultant/content expert, Dynamic Group (Dynamic Learning Online, Inc.)

  • Financial – Consultant to Documentation Essentials Part 01: Evaluations and Certifications, receives royalty payments.
  • Non-financial - No relevant non-financial relationship exists.

Kate Brewer, PT, MBA, GCS, Contracted Instructor/Writer, Dynamic Group (Dynamic Learning Online, Inc.)

  • Financial - Author for Documentation Essentials Part 01: Evaluations and Certifications, receives royalty payments.
  • Non-financial - No relevant non-financial relationship exists.

Teaching Methods

This course contains content delivered in a text format with references and resources. A Final Exam is required with multiple attempts allowed to obtain a minimum passing grade of 80%. Learner must also participate a minimum of 80% of the CE awarded hours in the course material to be eligible to print the certificate of completion.

As a self-directed learner, you are encouraged to practice, seek out and read additional references regarding the subject matter to enhance the contents provided within this course.

Price:$57.00
Qty:  

Documentation Essentials Part 10 -- Compliance, QA & Audits-Documentation
#3059 Documentation Essentials Part 10 -- Compliance, QA & Audits

DESCRIPTION

1 Contact Hour

Intermediate Level course. Compliance plays a very important role in helping to preserve and protect Medicare dollars. This course will provide the key elements a compliance program needs in order to help monitor documentation and coding. In addition, information will be presented on how to implement a good quality assurance program for documentation, including the basics of the audit and medical review programs utilized by Medicare.

Availability: 365 days from registration, unless other agreement applies


COURSE GOAL

The student will be able to identify the components of a good compliance and quality assurance process for therapy documentation and be familiar with the different audits Medicare uses.

OBJECTIVES

Upon completion of this course, the Learner will be able to:

  • Name the seven essential components to a compliance program
  • Identify three (3) strategies for the implementation of a good quality assurance program in order to monitor documentations at a place of practice
  • Name two (2) of the audit procedures utilized by Medicare

ACCREDITATIONS

boc_aota

Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for 0.1 CEU, Intermediate Level, Professional Issues: Legal, Legislative & Regulatory Issues.. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

This course is AOTA approved for .1 CEU

NBCOT 1.25 PDU










This program is offered for 0.1 CEU (Intermediate level, Related area).

 

Approved for .1 CEU
(1 contact hour) by the
Board of Certification for Athletic Trainers.


State of Illinois Physical Therapy Continuing Education Sponsor License No: 216.000127

Dynamic Learning Online is approved by New York State Education Department, Office of the Professions as a sponsor of Continuing Education for Physical Therapists & Physical Therapy Assistants

Dynamic Learning Online is a Texas Board of Physical Therapy Examiners (TPTA) Accredited Provider. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.

This course is also approved by the:

  • Arkansas State Board of Physical Therapy Examiners for 1 Contact Hour
  • Delaware Examining Board of Physical Therapists and Athletic Trainers for 1 Contact Hour
  • *Federation of State Boards of Physical Therapy (FSBPT) for 1 CCU
  • Florida Board of Athletic Training for 1 Content Hour
  • Florida Board of Occupational Therapy
  • Florida Board of Speech-Language Pathology and Audiology for 1 Content Hour
  • Maryland State Board of Physical Therapy Examiners for 0.1 CEU
  • Oklahoma Physical Therapy Advisory Committee for 1 contact hour
  • Pennsylvania State Board of Physical Therapy for 1 contact hour

*FSBPT currently certifies for the following states:

  • Alabama
  • Arizona
  • California
  • Delaware
  • District of Columbia
  • Georgia
  • Indiana
  • Kansas
  • Kentucky
  • Montana
  • Nebraska
  • North Carolina
  • Oregon
  • South Carolina
  • Tennessee
  • Utah
  • Vermont
  • Virginia
  • Wisconsin

Authors and Instructor

Instructor: Melissa Cohn Bernstein, OTR/L, FAOTA is the founder, President/CEO of Dynamic Group. Dynamic Group provides consulting and clinical educational services to the healthcare industry through Dynamic Learning Online, Inc. providing E-Learning for healthcare professionals

With over thirty- five years of experience in healthcare business operations, adult clinical practice, and Medicare regulatory & reimbursement expertise. Melissa’s career includes over 20 years of experience in clinical practice and management with a focus on adult rehab in long term care/skilled nursing facilities and out-patient rehab clinics.

Since 2000, her focus has expanded to offer continuing education and training across the therapy spectrum providing time-sensitive, evidence-based online courses developed by industry experts.

Mrs. Bernstein was nominated and received the highest AOTA honor of a Fellow of Occupational Therapy (FAOTA) at the 2006 conference. Melissa has published several articles and co-authored several book. From August 2006 –November 2009 she served as the Executive Director for NARA, National Association of Rehabilitation Providers and Agencies, an organization that represents and supports rehabilitation practices nationally with a focus on legislation and running a rehab business from a clinically and operationally perspective in a challenging environment. She was honored in May 2011 with a Lifetime Achievement Award by the Board of Directors of NARA, the first recipient of this award.

Consultant/Subject Matter Expert: Nancy J. Beckley, MS, MBA, CHC

Nancy Beckley & Associates LLC is a rehab compliance consulting firm providing consulting and training services, as well outsourced compliance services to therapy clinics, home health agencies, DME suppliers, contract therapy companies, SNFs and other rehab professionals.

The regulatory environment of Medicare, the ever-changing environment of managed care, and the constant need to develop and implement effective marketing strategies are challenges faced by most rehab providers and therapy clinics. Mrs. Beckley assist Rehab providers with these challenges and provide targeted consulting expertise to enable the organization to meet these challenges

Contributing Author : Kate Brewer, PT, MBA, GCS is the President and Owner of Progressive Rehab Solutions. In addition to her consulting activities she is also the Vice President and Compliance Officer of a Rehab Agency managing over 300 employees.

Her hands-on experience ensures that you will be kept on the leading edge of the latest changes to Medicare and other reimbursement and coding changes. Ms. Brewer has her BA in Communications, her MPT from Marquette University and a MBA from Cardinal Stritch University.

Ms. Brewer is nationally recognized for her expertise in documentation and coding issues and currently serves on the editorial board for the following publications:

  • HCPro’s Briefings on Outpatient Rehab: Reimbursement and Regulations
  • HcPro's Billing Alert for Long Term Care
  • Eli Healthcare’s: Rehab Report

Ms. Brewer has authored the books:

  • The How to Manual for Denials and Appeals: Navigating the Medicare Process
  • Restorative Nursing Made Easy
  • The Essential Guide to Rehab Management
  • The Essential Guide to ICD-9 Coding for Therapy Professionals

Author(s) Disclosures

Melissa Cohn Bernstein, OTR/L, FAOTA Instructor/Writer, Dynamic Group (Dynamic Learning Online, Inc.)

  • Financial - Author for Documentation Essentials Part 01: Evaluations and Certifications (change these out for each of the courses), receives no royalty payments.
  • Non-financial - No relevant non-financial relationship exists.

Nancy J. Beckley, MS, MBA, CHC Content Consultant/content expert, Dynamic Group (Dynamic Learning Online, Inc.)

  • Financial – Consultant to Documentation Essentials Part 01: Evaluations and Certifications, receives royalty payments.
  • Non-financial - No relevant non-financial relationship exists.

Kate Brewer, PT, MBA, GCS, Contracted Instructor/Writer, Dynamic Group (Dynamic Learning Online, Inc.)

  • Financial - Author for Documentation Essentials Part 01: Evaluations and Certifications, receives royalty payments.
  • Non-financial - No relevant non-financial relationship exists.

Teaching Methods

This course contains content delivered in a text format with references and resources. A Final Exam is required with multiple attempts allowed to obtain a minimum passing grade of 80%. Learner must also participate a minimum of 80% of the CE awarded hours in the course material to be eligible to print the certificate of completion.

As a self-directed learner, you are encouraged to practice, seek out and read additional references regarding the subject matter to enhance the contents provided within this course.

Price:$28.50
Qty:  

Medicare 8 Minute Rule High Risk Area in Medicare Coding and Billing-
#5001 Medicare 8 Minute Rule High Risk Area in Medicare Coding and Billing

DESCRIPTION

Medicare 8 Minute Rule is a compliance education mini-module that reviews Medicare regulations for calculating the number of codes that can be billed in a treatment session. Minutes that do not support the codes billed is frequently a reason for denial by Medicare contractors, and presents a high level of coding risk.

This mini-module is designed for PTs, OTs, and SLPs that provide outpatient therapy that is billed to Medicare Part B. Medicare 8 Minute Rule is part of the compliance education series including annual compliance education on fraud & abuse, and a series of short mini-modules on high risk areas.

OBJECTIVES

Upon completion of this course, the Learner will be able to:

  • Demonstrate knowledge of specific areas of rehab compliance risk.
  • Understand compliance risks associated with billing federal healthcare programs.
  • Learn the importance of applying the 8 minute rule when coding for outpatient therapy.

ACCREDITATIONS

Upon successfully completing this course, therapist will receive a certificate of attendance for .25 content hour.

Author and Instructor

Nancy Beckley is President of Nancy Beckley & Associates LLC providing consulting services to the rehab professional. Nancy is certified in Healthcare Compliance by the Healthcare Compliance Certification Board. Currently Nancy serves on the Board of Directors of the National Association of Rehabiliatation Agencies & Providers (NARA). She recently completed several years of service on the Part A and Part B Provider Outreach Education and Advisory Panel for First Coast Services Options (Florida Medicare). She also served on CMS’s Professional Expert Technical Panel for Comprehensive Outpatient Rehabilitation Facilities (CORF). She organized and conducted the rehab industry’s first compliance seminar twelve years ago following the OIG publication of the first compliance guidance (for hospitals).

She is the author of a current book on rehab managed care contracting: Managed Care for Rehab Providers Made Easy: Mastering Contracts and Obtaining Fair Reimbursement.

Her articles have appeared in a number of national publications and she serves on a number of editorial boards including Rehab Management Magazine. Several articles on rehab compliance have been published in Compliance Today. Nancy also services on the Editorial Board of Rehab Management, as well as the Advisory Board of the RAC Report newsletter. She was the long-time Contributing Editor for Briefings on Outpatient Rehab: Reimbursement and Regulations, and authored the Q & A column.

Teaching Methods

Teaching methods for this course include: Course content delivered in a text format with audio in a Flash format. A Final exam is required with multiple attempts allowed to obtain a minimum passing score of 80% to receive certificate.

Price:$10.00
Qty:  

Medicare Cap, Threshold & ABN Examining Medicare Use of Financial Limitations-
#5002 Medicare Cap, Threshold & ABN Examining Medicare Use of Financial Limitations

DESCRIPTION

Medicare Cap, Threshold & ABN is a compliance education mini-module that reviews the Medicare therapy caps and the $3700 therapy thresholds that trigger manual medical review and highlights the use of the Advanced Beneficiary Notice of Non-Coverage (ABN) for 2013.

This mini-module is designed for PTs, OTs, and SLPs that provide outpatient therapy that is billed to Medicare Part B. Medicare Cap, Threshold & ABN and is part of the compliance education series including annual compliance education on fraud & abuse, and a series of short mini-modules on high risk areas

OBJECTIVES

Upon completion of this course, the Learner will be able to:

  • Demonstrate knowledge of specific areas of rehab compliance risk.
  • Understand compliance risks associated with billing federal healthcare programs.
  • Demonstrate knowledge of the use of the ABN in 2013.

ACCREDITATIONS

Upon successfully completing this course, therapist will receive a certificate of attendance for .25 content hour.

Author and Instructor

Nancy Beckley is President of Nancy Beckley & Associates LLC providing consulting services to the rehab professional. Nancy is certified in Healthcare Compliance by the Healthcare Compliance Certification Board. Currently Nancy serves on the Board of Directors of the National Association of Rehabiliatation Agencies & Providers (NARA). She recently completed several years of service on the Part A and Part B Provider Outreach Education and Advisory Panel for First Coast Services Options (Florida Medicare). She also served on CMS’s Professional Expert Technical Panel for Comprehensive Outpatient Rehabilitation Facilities (CORF). She organized and conducted the rehab industry’s first compliance seminar twelve years ago following the OIG publication of the first compliance guidance (for hospitals).

She is the author of a current book on rehab managed care contracting: Managed Care for Rehab Providers Made Easy: Mastering Contracts and Obtaining Fair Reimbursement.

Her articles have appeared in a number of national publications and she serves on a number of editorial boards including Rehab Management Magazine. Several articles on rehab compliance have been published in Compliance Today. Nancy also services on the Editorial Board of Rehab Management, as well as the Advisory Board of the RAC Report newsletter. She was the long-time Contributing Editor for Briefings on Outpatient Rehab: Reimbursement and Regulations, and authored the Q & A column.

Teaching Methods

Teaching methods for this course include: Course content delivered in a text format with audio in a Flash format. A Final exam is required with multiple attempts allowed to obtain a minimum passing score of 80% to be eligible to print the certificate of completion.

Price:$10.00
Qty:  

Medicare The Daily Note Documentation of Coding, Billing and Therapy Provided-
#5003 Medicare The Daily Note Documentation of Coding, Billing and Therapy Provided

DESCRIPTION

Medicare: The Daily Note is a compliance education mini-module that identifies the specific Medicare requirement for the daily note. The daily note documents the services (codes) that are billed, and is a high risk area of compliance for therapy practices.

This mini-module is designed for PTs, OTs, and SLPs that provide outpatient therapy that is billed to Medicare Part B. Medicare The Daily Note is part of the compliance education series including annual compliance education on fraud & abuse, and a series of short mini-modules on high risk areas.

OBJECTIVES

Upon completion of this course, the Learner will be able to:

  • Demonstrate knowledge of specific areas of rehab compliance risk.
  • Understand compliance risks associated with billing federal healthcare programs.
  • Learn the required elements of the daily note and the associated billing risks if not properly documented.

ACCREDITATIONS

Upon successfully completing this course, therapist will receive a certificate of attendance for .25 content hour.

Author and Instructor

Nancy Beckley is President of Nancy Beckley & Associates LLC providing consulting services to the rehab professional. Nancy is certified in Healthcare Compliance by the Healthcare Compliance Certification Board. Currently Nancy serves on the Board of Directors of the National Association of Rehabiliatation Agencies & Providers (NARA). She recently completed several years of service on the Part A and Part B Provider Outreach Education and Advisory Panel for First Coast Services Options (Florida Medicare). She also served on CMS’s Professional Expert Technical Panel for Comprehensive Outpatient Rehabilitation Facilities (CORF). She organized and conducted the rehab industry’s first compliance seminar twelve years ago following the OIG publication of the first compliance guidance (for hospitals).

She is the author of a current book on rehab managed care contracting: Managed Care for Rehab Providers Made Easy: Mastering Contracts and Obtaining Fair Reimbursement.

Her articles have appeared in a number of national publications and she serves on a number of editorial boards including Rehab Management Magazine. Several articles on rehab compliance have been published in Compliance Today. Nancy also services on the Editorial Board of Rehab Management, as well as the Advisory Board of the RAC Report newsletter. She was the long-time Contributing Editor for Briefings on Outpatient Rehab: Reimbursement and Regulations, and authored the Q & A column.

Teaching Methods

Teaching methods for this course include: Course content delivered in a text format with audio in a Flash format. A Final exam is required with multiple attempts allowed to obtain a minimum passing score of 80% to be eligible to print the certificate of completion.

Price:$10.00
Qty:  

Medicare Billing Risks How to Avoid Medicare Billing Risks in Outpatient Therapy-
#5004 Medicare Billing Risks How to Avoid Medicare Billing Risks in Outpatient Therapy

DESCRIPTION

Medicare Billing Risks is a compliance education mini-module that identifies areas in which therapy practices can identify risk. Risk assessment is an essential part of a compliance plan, and Medicare billing is a high risk area.

This mini-module is designed for PTs, OTs, and SLPs that provide outpatient therapy that is billed to Medicare Part B. Medicare Billing Risks is part of the compliance education series including annual compliance education on fraud & abuse, and a series of short mini-modules on high risk areas.

OBJECTIVES

Upon completion of this course, the Learner will be able to:

  • Demonstrate knowledge of specific areas of rehab compliance risk.
  • Understand compliance risks associated with billing federal healthcare programs.
  • Learn how to identify and mitigate billing risks in outpatient therapy.

ACCREDITATIONS

Upon successfully completing this course, therapist will receive a certificate of attendance for .25 content hour.

Author and Instructor

Nancy Beckley is President of Nancy Beckley & Associates LLC providing consulting services to the rehab professional. Nancy is certified in Healthcare Compliance by the Healthcare Compliance Certification Board. Currently Nancy serves on the Board of Directors of the National Association of Rehabiliatation Agencies & Providers (NARA). She recently completed several years of service on the Part A and Part B Provider Outreach Education and Advisory Panel for First Coast Services Options (Florida Medicare). She also served on CMS’s Professional Expert Technical Panel for Comprehensive Outpatient Rehabilitation Facilities (CORF). She organized and conducted the rehab industry’s first compliance seminar twelve years ago following the OIG publication of the first compliance guidance (for hospitals).

She is the author of a current book on rehab managed care contracting: Managed Care for Rehab Providers Made Easy: Mastering Contracts and Obtaining Fair Reimbursement.

Her articles have appeared in a number of national publications and she serves on a number of editorial boards including Rehab Management Magazine. Several articles on rehab compliance have been published in Compliance Today. Nancy also services on the Editorial Board of Rehab Management, as well as the Advisory Board of the RAC Report newsletter. She was the long-time Contributing Editor for Briefings on Outpatient Rehab: Reimbursement and Regulations, and authored the Q & A column.

Teaching MethodS

Teaching methods for this course include: Course content delivered in a text format with audio in a Flash format. A Final exam is required with multiple attempts allowed to obtain a minimum passing score of 80% to be eligible to print the certificate of completion.

Price:$10.00
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BCAT Certified Test System Administrator Training Program-
#BCAT-2 BCAT Certified Test System Administrator Training Program

DESCRIPTION

3 Contact Hours

Cognition affects every aspect of daily living. Because so many older patients have cognitive impairment, proficiency in cognitive assessment is critically important to effective diagnosis, treatment, education, and support. Clinical success and treatment outcome depend upon a clear assessment of cognitive functioning. The BCAT Test System gives you the tools necessary to rapidly assess memory, executive functions, and other aspects of cognition in order to improve treatment and improve function. The primary goal of this program is to equip you with the knowledge and skills necessary to be proficient in administering, scoring, and interpreting the BCAT Test System.

Those who complete this course become Certified BCAT Test System Administrators.

Availability: 365 days from registration, unless other agreement applies

NO DYNAMIC LEARNING OR CLIENT MEMBERSHIP DISCOUNTS CAN BE USED TOWARDS THIS TRAINING PROGRAM PURCHASE

OBJECTIVES

Upon completion of this course, participants will be able to :

  • Administer, score, and interpret all BCAT System Tests
  • Apply tests results to optimize care
  • Define the basic cognitive domains of memory, executive functions, and attentional capacity.
  • Describe basic neuro-cognitive structure-function concepts

ACCREDITATIONS

boc_aota

Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for .3 CEU, Intermediate Level, Performance Skills; Occupational Therapy Process: Intervention, Outcome. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

This course is AOTA approved for .3 CEU.

NBCOT 3.75 PDU (course includes assessment component)

This course is offered for
0.3 ASHA CEU
(Intermediate Level, Professional area).
NASW This course is approved by the
National Association of Social Workers
(NASW) for 3 credit hours

This course is also approved by:

  • Florida Board of Occupational Therapy for 3 Content Hours
  • Florida Board of Speech-Language Pathology and Audiology for 3 Content hours.
  • Ohio Board of Speech-Language Patholody and Audiology for 3 Content Hours.

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Dr. William E. mansbach, PHDAuthor and Instructor

Dr. William E. Mansbach, PHD

Dr. Mansbach is the founder and CEO of Mansbach Health Tools LLC, which supports the BCAT.

For many years he was the Chief Operating Officer of MedOptions, a multi-state behavioral healthcare company specializing in geriatric mental health. Prior to MedOptions, he was co-founder and Chief Executive Officer of Comprehensive Geriatric Services, a Maryland-based company providing mental health services to residents in long-term care settings.

Dr. Mansbach has a national reputation as a clinician and consultant in the aging field. He has been a pioneer in the development of Memory Clinics, and is the creator of the BCAT® system, a series of cognitive screening tests. He has published and presented numerous articles and workshops on geriatric mental health and cognitive assessment, and is active in creating healthcare policy. Dr. Mansbach sits on the Maryland Governor’s Alzheimer’s Disease Council.

Author Disclosure

William E. Mansbach, PHD, Contracted Instructor/Author Dynamic Group (Dynamic Learning Online, Inc.)

Financial - Author for The BCAT, receives royalty payments.

Non-financial - No relevant non-financial relationship exists.

Audience / Teaching Methods

This course is intended for intermediate learners, who practice in the areas of Speech-Language-Hearing, Occupational Therapy, Social Work and Case Management.

Content is evidence-based, delivered in text format with audio, graphics, web links, and activities that support the learner objectives. A Final Exam is required with multiple attempts allowed to obtain a minimum passing grade of 80%. Learner must also participate a minimum of 80% of the 3 CE awarded hours in the course material to be eligible to print the certificate of completion.

Price:$114.00
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