Physical and Occupational Therapy billing and coding is different from other services or procedures reported in an outpatient or office setting. Most of the procedure codes are based on the time spent in exercises, massage, and other forms of treatment. With these time-based codes, different insurance carriers may use different methods for their providers to report the time spent. Also, in 2022 there are new coding guidelines related to Physical as well as Occupational Therapy Assistants services by the use of modifiers. There is also a reimbursement adjustment being made for these services that involve assistants. There are also other modifier(s) that are applicable based on the insurance and circumstance(s) of the patient that are required for reimbursement.
Webinar Objectives
This webinar will look at billing, coding, and documentation requirements for compliant therapy medical records and claims. We will also look at visits that involve assistants for attendees to understand the new 2022 guidelines for correct claims. We will also look at time assignment and the different methods being used to confirm practices are receiving the maximum payment allowed for the service rendered.
Webinar Agenda
The session will look at the whole cycle of service in therapy from documentation requirements for the treatment of the patient through the submission of the claim(s) for services rendered.
Webinar Highlights
- Order requirements for therapy
- Documentation for a Plan of Care
- Assignment of codes by therapeutic treatment and time
- Assistant involvement and modifier requirements
- CMS thresholds and how to report services when the thresholds have been met
- Reporting service incident to
- When can supplies be reported?
- CMS NCCI Policy Manual Instructions
Who Should Attend
- Physical and Occupational therapists and assistants as well as aides
- Billers
- Coders
- Managers
- Administrators
- Claims processors
- Case managers
- Reimbursement and collections staff
