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Upcoming Seminars:
Documentation and Payment Issues in Outpatient Physical Therapy: Assuring Compliance & Avoiding Fraud and Abuse
October 16-17, 2008 Great Wolf Lodge, Mason, Ohio
Payment & Policy Challenges in Outpatient Physical Therapy: Tools for Success in 2008 & Beyond!
October 24-25, 2008 Raleigh-Durham, North Carolina
Audio Conference: The Advanced Beneficiary Notice: How to Legally Collect Cash from a Medicare Patient
September 9, 2008 Partnership with APTA Chapters
Audio Conference: The OIG Self Disclosure Protocol: Should You Notify the Government if you suspect a Problem, and How to Minimize Your Risk of an Audit
October 7, 2008 Partnership with APTA Chapters
Audio Conference (2 Part): Part 1: Establishing a Fee Schedule for your Facility: Using the Medicare Resource Based Relative Value Scale (RBRVS) as a Guide
November 11, 2008 Partnership with APTA Chapters
Audio Conference (2 Part): Part 2: Determining Your Cost per Visit: Understanding Basic Financial Statements and Answering the Question: Should I Sign This Payer Contract?
November 18, 2008 Partnership with APTA Chapters
Read more
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Practical Applications
Are you at Risk?
Does this scenario sound
familiar?
- You are a physical therapist in an outpatient practice
(private or facility-based)
- You spend as much time as you can trying to keep
current on all the issues related to running the business side of your
practice while providing high quality clinical care to your patients
- You have excellent employees who provide great
clinical care, and administrative staff who are dedicated to the success of
your practice
- Although you love outpatient practice, you are
overwhelmed by all of the rules and regulations around coding, billing,
documentation, and compliance which takes time away from treating patients,
marketing and growing your practice/facility, or participating in activities with
your family
- You seem to be working harder for less. Cash flow for
you or your organization is
always a concern
- You know that even though you have the best
intentions, you may have some problems with understanding the CPT coding
system, and you know that despite your best efforts, you clinic's
documentation is not what it should be
- You may not always be coding accurately, and you
think that you may do better with obtaining payment for services if you understand how to
code and bill correctly and if your fee schedule is accurate
- You are aware that insurers are cracking down on
paying for services that are not coded correctly, not documented
sufficiently, or that are not medically
necessary, and you are just hoping that your practice/facility is small enough (after
all, you are not a large multi-state corporation) that you do not trigger an audit of
your coding and documentation. You may have also already been audited, or
received denials based on coding or medical necessity, and you want to avoid
these in the future
- But, you also understand that a great number of
audits are purely random, and you want to make sure that if audited, you
have done all you can to minimize the risk that you will have to pay back
money, or worse, that you may be accused of committing fraud or abuse!
- You realize that assessing your current level of
risk can dramatically help you to develop a Corrective Action Plan
and assist you in minimizing your potential for third party audit or review.
If this sounds like you, RCRI can help - Contact us
today!
To print this scenario and share with your
colleagues, click here
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