Megan Reavis – Rehabilitation Reimbursement & Documentation: Solutions to Avoid Costly Denials, Prove Medical Necessity & Protect YOUR Time
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- Faculty:
- Megan Reavis
- Duration:
- 5 Hours 52 Minutes
- Format:
- Audio and Video
- Copyright:
- Mar 28, 2019
Description
| Manual – Rehabilitation Reimbursement & Documentation (1.34 MB) | 83 Pages | Available after Purchase | |
| Instructions for ASHA Credit – SELF STUDY ONLY – 03/28/19 (38.5 KB) | Available after Purchase |
Outline
Documentation And Medical Necessity
- Medicare A and the upcoming changes around SNFs and home health
- Medicare B and outpatient reimbursement
- Managed care
- ACOs/ bundled payments and the shift therapy deliver
Evaluations, Need & Reimbursement
- Reasons for evaluation and how to justify medical necessity
- Prior level of function and what key components to include
- Co-morbidities/Complexities and how they will impact reimbursement
- Goal writing and what to add to make it measurable
Critical Terminology: What It Means To Your Documentation
- Determining medical necessity
- Rehab terminology that must be included in your daily documentation
- Skilled vs. unskilled terminology
Supportive Documentation
- Case study: Break down the components of the treatment plan
- Pitfalls to avoid
- Drop-down menus are not your friend
- If you didn’t write it, it didn’t happen
Coding and Diagnoses
- CPT codes and what will get you paid
- Avoiding “Red Flag” codes and why they are denying them
- Diagnoses that won’t get you paid
Denial Management
- Understanding RAC, MAC, ADR, denials, and ZPIC audits
- Reasons for denials: Top 10 reasons we are not getting paid
- Quality assurance audits used to decrease unpaid claims
Faculty
Megan Reavis, MBA, BS, COTA/L, Related seminars and products: 1
Megan Reavis, MBA, BS, COTA/L, has worked primarily in the geriatric setting for the past 20 years, as a clinician and in management roles, including work as a Rehab Director and Area Director. Megan is a national educator and has written and taught continuing education courses to rehab audiences around the country on a variety of clinical, documentation and reimbursement topics that draw from her areas of expertise. Additionally, Megan has worked as a consultant for Outpatient PT companies and Skilled Nursing Facilities to maximize outcomes and reimbursement, perform auditing and manage denials.
Speaker Disclosures:
Financial: Megan Reavis has an employment relationship with Orchestrall, Inc. She receives a speaking honorarium from PESI, Inc.
Non-financial: Megan Reavis has no relevant non-financial relationship to disclose.
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