Documentation Success in 5 Minutes or Less: The Platforms to Demonstrate Medical Necessity, Maximize Reimbursement & Eliminate Paybacks – Trent Brown – PESI

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Exploring the Essential Features of “Documentation Success in 5 Minutes or Less: The Platforms to Demonstrate Medical Necessity, Maximize Reimbursement & Eliminate Paybacks – Trent Brown – PESI”

Treating patients is your passion. But if you’re like me, the only hindrance to that passion is the time-consuming task of documentation.

The system you use to document supposedly makes this task easier with checked boxes and drop-down choices, but may hinder your skills and dampen your passion.

You find yourself spending longer documenting all your sessions at the end of the day instead of in real-time. You become frustrated, sloppy, and burnt-out as the day begins to bleed together and you forget objective and subjective data.

By doing so, your plan of care suffers, outcomes aren’t efficiently met, and you run the risk of increased pay-backs or audits to payer sources, including CMS.

But by learning the 5 platforms of documentation that I will share with you, you can spend 5 minutes or less during the actual treatment session documenting without reducing any hands-on time with your patient.

In addition, you will receive 2 required ethics hours to ensure you are documenting at the highest standard and protecting your clinical practice through real examples.

The secret is simple – so purchase today to avoid wasting time documenting incorrectly and return to your passion of treating patients successfully.

Speaker

Trent Brown, MOT, OTR/L, BCG, ATP, CFPS
Advanced Healthcare

Trent Brown, MOT, OTR/L, BCG, ATP, CFPS, is a practicing therapist in Utah and is one of 36 credential holders of a board certification in gerontology (BCG) from the AOTA. Mr. Brown also holds a certification as an assistive technology professional (ATP) from RESNA. He completed his undergraduate and graduate work at the University of Utah where he is also an adjunct professor. He is employed by the Utah Department of Health (UDOH) to develop, implement, and operate healthcare quality improvement programs and has authored multiple laws to legislate improved patient care. Mr. Brown also reviews clinical documentation for UDOH as an expert witness in reviewing cases. Mr. Brown has over 15 years of clinical experience in skilled nursing, transitional care, acute, and home health. Recently, he served as the VP for the UOTA where he co-authored SB 131, advancing OT practice in the state of Utah, and has received multiple awards for his clinical, academic, and legislative work. Through his expertise in advocating for therapy services authoring law and rule, he has evolved into an expert presenter on ethical and legal issues facing therapy. Mr. Brown has provided courses for thousands of clinicians throughout the country in conferences, private settings, and specialty conferences. Mr. Brown is a master clinician and lecturer on a myriad of topics including joint arthroplasty, core strengthening, documentation, aging, functional mobility, ethics, and fall reduction. He has also been a keynote speaker at multiple events throughout the country.

Speaker Disclosures:
Financial: Trent Brown has employment relationships with the University of Utah, the Utah Department of Health, Well Being Services, Northern Utah Rehab Hospital, and Aspenridge Home Health. He receives compensation as an instructor. Trent Brown receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Trent Brown has no relevant non-financial relationships.

Objectives

1. Determine how payers review documentation, who reviews documentation, and the general process of review.
2. Analyze the three documentation areas reviewed including good and bad examples in all three areas.
3. Assess the platforms required for documentation, how to avoid review, and what to do if a review is requested.
4. Demonstrate documentation examples with common therapeutic treatments utilizing the strategies learned.
5. Analyze each ethical principle in the code, the standard of conduct, and application of each principle through case studies.
6. Demonstrate the steps for reporting an ethics complaint or a compliance concern.

Outline

THE INS AND OUTS OF DOCUMENTATION & RECOVERY AUDITS CONTRACTOR (RAC)

• Why reviews happen
• Who reviews your paperwork
• Identify red flags

• What to look for in billing
• What’s trending
• Similarities and differences of:

• OP-Medicare B
• Inpatient
• Medicare A
• HH
• And more

THREE KEY AREAS TO REMEMBER TO AVOID DENIALS

• Qualified clinician
• Skilled level of care
• Medical necessity

INTERACTIVE CASE STUDIES FOR AVOIDING DENIALS

• Case #1: CHF exacerbation
• Case #2: fall with pain
• Case #3: ROM
• Case #4: incontinence management

EVERYTHING YOU NEED TO KNOW ABOUT THE APPEAL PROCESS

• What to do when additional documentation request (ADR) occurs

• Sample ADR
• The appeals process and timelines
• RAC, MAC, QIC, ALJ, Council, Judicial Review

5 PLATFORMS OF SUCCESSFUL DOCUMENTATION

• The 5-platforms for faster yet more efficient reporting
• Reduce unnecessary or over-documentation
• Tips and tricks to remember

INTERACTIVE CASE STUDIES OF SUCCESSFUL DOCUMENTATION

• Case #1: Joint mobilization
• Case #2: gait/mobility therapy exercise
• Case #3: transfer training
• Case #4: class discussion of real-life examples

CODE OF ETHICS – HOW DOCUMENTATION RELATES

• Purpose of the code (law vs. ethic)

• How the right documentation is the right thing to do
• How the code protects you, your patients, and your profession
• Define each principle

• Standards of conduct for each principle
• Actual ethical examples of each principle
• Case studies
• Case studies of ethical practices

STEPS FOR REPORTING

• Compliance
• License
• Ethics
• Corporate reporting vs. individual reporting

Target Audience

• Physical Therapists
• Physical Therapy Assistants
• Occupational Therapy
• Occupational Therapist Assistants
• Speech Language Pathologists
• Nurses
• Nurse Practitioners
• Coding and Billing Personnel
• Medical Records Personnel 

Please see the full list of alternative group-buy courses available here: https://lunacourse.com/shop/