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Exploring the Essential Features of “Megan Reavis Nuesch – Documentation Revitalized: Maximize Reimbursement with Tips for Skilled Therapy, Daily Notes, and Defensible Documentation”
Speaker: Megan Reavis Nuesch, MBA, BS, COTA/L
Duration: 5 Hours 58 Minutes
Format: Audio and Video
Copyright: Aug 17, 2023
Media Type: Digital Seminar
Description
Claim denials can be costly to you and your clinic. On top of lengthy appeals, delayed paybacks, tricky denial codes, and arbitrary visit approvals, your cash flow suffers. But with this training, you’ll learn how to effectively implement systems to assure your therapeutic services are approved the first time!
From demonstrating medical necessity, to inputting correct CPT/ICD- 10 codes, and properly using the 59 modifier… Molly Reavis has all the essentials you need to know to get paid on time… and it’s all here in this training!
Whether you’re the clinician conducting evals, the assistant writing daily progress notes, or the clinic owner looking to streamline reimbursement – We have you covered! – Discover how you can develop defensible documentation to justify any treatment. Revitalize your clinical decision making with strategies that will improve your confidence, and see you leave the clinic on time – With information on…
Unpacking reasons for common denials
Clinical confidence – Select the most effective treatment plans
Setting specific expectations – From IPR, SNF, home health, and outpatient
Writing progress reports third party payers will understand and approve
Demonstrating NECESSITY and SKILLED care
Understanding the EMR factor – What is it? and why it matters?
This course is your one-stop shop to quicker approvals, less headaches, and more time helping your patients achieve their goals.
Plus earn up to 6.0 CE hours. Purchase Today!
Speaker
Megan Reavis Nuesch, MBA, BS, COTA/L
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 employment relationships with MCR Seminars, LLC and LW Consulting. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Megan Reavis has no relevant non-financial relationships.
Objectives
- Justify & document the complexity of your PT or OT skills in such a manner that supports the necessity of your treatment plans.
- Develop daily notes that address limitations and their impact on function, complexity of interventions, and state the clinical reasoning for interventions.
- Select appropriate data to formulate SMART goals.
- Create clinical documentation that demonstrates reasonable and necessary care that is skilled and valuable.
- Analyze data to update plan of care, set functional and realistic goals, document treatment effectively and update progress to maximize reimbursement.
- Distinguish effective documentation under the existing standards of Medical Necessity, effectively demonstrating that it requires the SKILLS of a therapist.
Outline
DOCUMENTING SKILLED THERAPY & THE DAILY NOTE
Identify Your Role and Scope of Practice in the Delivery of Services and Documentation
- Demonstrate skill, necessity, and value
- What’s trending in today’s healthcare settings
- The EMR factor
- If it’s not documented, it hasn’t been done
- Investigate reasons for denial
- Establishing roles – therapist or caregiver?
Prior Level of Function
- Set the stage “once upon a time”
- Fundamental components to justify services
- Supportive language for medical necessity
Identify and Write Obtainable Patient Goals
- Select the best plan of care to achieve patient progressions
- Comparison to the goals
- Tackling progress notes
- Treatment selection and effectiveness
- When to make modifications
Clinical and Documentation Expectations
- Purpose of documentation
- Key aspects and common pitfalls
- Select activities and services that are reasonable, necessary and valuable
- Specific expectations and documentation requirements (for inpatient rehab, SNF, home care, outpatient)
- Write effective and accurate progress reports third party payers understand
Create Defensible Documentation
- Provide appropriate documentation of skilled necessity of care
- How to ensure coverage for all payers
- Demonstrate reasonable and necessary/skilled services
- Importance of functional outcomes and requirements
Components of Quality Documentation
- Purpose and expectations
- Body structure, activity limitations, and participation
- Identify patient problems –subjective
- Measure and treat problems – objective
- Assess progress, changes, and recommendations – assessment
- Develop future care – plan
Target Audience
- Physical Therapists
- Physical Therapist Assistants
- Occupational Therapists
- Occupational Therapy Assistants
- Speech Language Pathologists
Please see the full list of alternative group-buy courses available here: https://lunacourse.com/shop/