FREE Evaluation & Re-Evaluation CPT Codes
The New Physical Therapy and Occupational Therapy Evaluation & Re-Evaluation Codes (Non-CEU Course)
Take Course: FREE WITH UNLIMITED CEU BUNDLE
Take Course: FREE WITH PENNSYLVANIA CEU BUNDLE
Take Course: FREE WITH LOUISIANA CEU BUNDLE
The 2017 CMS Medicare Physician Fee Schedule and AMA’s 2017 Current Procedural Terminology (CPT®) manual contain 3 new codes evaluation codes for both Physical Therapy and Occupational Therapy. In addition, there is a new re-evaluation code for Physical Therapists and Occupational Therapists in 2017. The current PT and OT evaluation and re-evaluation codes will be replaced. Commercial payers who are required by the Health Insurance Portability and Accountability Acct (HIPAA) to use a standardized codes set (CPT) on their claims must use the most current version of CPT, which will include these new codes, though as we know from previous updates, not all will adopt the new codes immediately. HIPAA does not apply to workers’ compensation or auto liability payers, but many of these payers also tend to use updated codes, as well. To assure compliance with Medicare and other third party payers, the coding and documentation requirements for these new codes will be provided. In addition, information regarding how the codes will be paid and audited by payers is provided in this session.
After completing this course, you will have a better understanding of the following:
*Assign complexity levels to patient scenarios, demonstrating an understanding of the process for assigning the best code for each patient’s evaluation, for physical therapy and occupational therapy.
*Understand why the structure and language of the physical & occupational therapy evaluation codes was made to the AMA CPT code set.
*Identify the new language and structure for reporting physical & occupational therapy evaluations and reevaluations.
*Describe the required components for each level of complexity when using the codes physical or occupational therapy.
*Know the third party payer nuances to assure payment, and minimize audit risk surrounding these new codes.
Presenter: Bridget Morehouse, MPT, MBA
Bridget Morehouse, PT, MBA is a practicing physical therapist and payer relations specialist in Bolingbrook, IL. She earned her Master of Physical Therapy and Masters in Business Administration in 2001 from Marquette University in Milwaukee, Wisconsin. She currently holds a position as adjunct faculty for Marquette University and the University of Wisconsin – Milwaukee, teaching healthcare policy, business administration, and professional issues. Ms. Morehouse is the owner of Morehouse Consulting where she serves as a payment consultant for many outpatient practices and rehab agencies. She also serves as the payer relations specialist for the Wisconsin Physical Therapy Association. She has held positions related to payer relations with the Private Practice Section of the American Physical Therapy Association.
Target Audience: Physical Therapists, Occupational Therapists
Instructional Level: Beginner/Intermediate
*Handouts available for downloading/printing to all PTwebucation.com courses.