Dispelling the Myths: Coding, Billing and
Key Regulations for PT Clinics -
Billing Staff Welcome!
Presented by Robbie Leonard, PT, DPT
6.5 Contact Hours, MT category A
Full Course information can be found by scrolling down below.
If you are registering a member, and you find the selection does not give you member pricing, please log in with the email we have on file for you. This will recognize you as a member. If that doesn't work, feel free to call or email and we will find the problem and fix.
Provisions include coffee/tea in the morning and lunch at the business meeting.
Accommodations and Meeting Sites:
Room Block will be at the Bozeman Marriott Springhill Suites, $129, and this block expires on 12/31/2019. After this date, the hotel will do it's best to accommodate you at this price, but it is not guaranteed. 1601 Baxter Ln, Bozeman, MT 59715. Click here to book your room online.
This course will be held at the Bozeman Marriott Springhill Suites.
January 31, 2020, 6pm. Bozeman. Site TBA
Business meeting and elections will be held at noon on Saturday, Feb. 1, 2020 at the CE site. Lunch is included for those registered for the course. Please RSVP if you are not registered (you may register online for this without paying). Please send agenda items to the office or President Christian Appel by January 11, 2020. Final agenda will be posted in the members only section at www.mapta.com by January 22, 2020.
MAPTA reserves the right to refuse/cancel an event registration. If MAPTA refuses a registration, registrants will be offered a full refund.
Registration Cancellation by Participant:
Cancellations will be accepted in writing via email or mail. A $25.00 administration fee will be withheld when cancellation occurs up to ten days prior to the start of the event; 50% refund if cancelled 2-10 days prior; 25% refund if cancelled 0-1 day prior.
10% Discount for 3 or more APTA Member PTs/PTAs from one clinic. Fees for all persons must be made with one payment. No exceptions. Credit will not be provided at a later date. Combining discounts (ie Lifetime AND Group) is not applicable. If you need to take advantage of this, call us for a group code to pay online, or mail in your check with participant names.
Students may take this course at a rate discounted by 50% of the member and non-member rate, if there is space available prior to the start of the course. This course is a laboratory class with limited space, and therefore we must limit the spaces available at the student rate. If you are a student and would like to attend if we do have extra room for this course, please register for the student waitlist. MAPTA will notify you one week prior to start of the course to offer you a space in the course, if available.
Lifetime members may take any non-limited seating, MAPTA sponsored CE at 50% discount. Combining discounts (ie Lifetime AND Group) is not applicable. If you need to take advantage of this, call us for a group code to pay online, or mail in your check with participant names.
7:15 - 8:00am Professional Issues Forum (MAPTA)
8:00am - 12noon Concurrent courses with break, see details below
12noon - 2:00pm MAPTA Business meeting and luncheon
2:00pm - 6:00pm Pelvic Health and Ortho Concepts Course moves to Great Northern PT at 1419 N. 14th; Payment course remains in hotel meeting room.
6:00pm - MAPTA Hosts Happy Hour Site TBD
7:00pm - No Host Group Dinner in Town. Details to follow
8:000am - 12noon Pelvic Health and Ortho Concepts Course, at Great Northern PT, with break, see details below
12noon - 1:00pm Lunch on your own
1:00pm - 4:00pm Pelvic Health and Ortho Concepts Course, at Great Northern PT, with break, see details below
About the course:
There has never been a more important time to understanding correct coding and billing in physical therapy including key documentation elements to support the codes billed. An increasing number of insurance audits, Medicare Targeted Probe and Educate audits and OIG investigations in outpatient therapy illustrate the importance of this topic for physical therapists.
There is a good amount of misinformation about this topic including myths that persist. Who follows Medicare rules? Who doesn’t? What’s the difference between the total treatment time rule and the midpoint rule? What time counts for timed based codes? What’s the difference in Therapeutic Exercise and Therapeutic Activity? What am I required to do every 30 days – or is it just every 10 visits?
These questions and more will be answered in this course. You will leave with a clear understanding of correct coding and billing and a clear understanding of the most confusing Medicare regulations for physical therapy. Join us to get your questions answered and the myths dispelled.
At the conclusion of this program, each participant will be able to:
- Compare the principles of accumulated time (total time) vs incremental time.
- Articulate 3 key concepts in the introductory language for the physical medicine and rehabilitation CPT codes
- Articulate the 3 factors that determine payment under RBRVS
- Distinguish between the requirements for low, moderate and high complexity evaluation coding
- Articulate the requirements for billing a re-evaluation
- Articulate the difference between untimed/supervised and timed/constant attendance CPT codes
- Distinguish between the requirements for timed and untimed codes
- Distinguish between the midpoint rule and the Medicare total treatment time rule.
- Articulate the key elements for the 6 most commonly used timed CPT codes utilized by physical therapists.
- Propose a PT scenario for the appropriate use of a HCPCS Level II code.
- Articulate key documentation requirements to support codes billed.
- Articulate the Medicare criteria for physical therapy care provided under the maintenance criteria
- Articulate the Medicare outpatient therapy threshold and documentation requirements when using the KX modifier
- Articulate the review process and potential audit triggers for the $3000 therapy threshold.
- Debunk the myths regarding Medicare regulations for physician referrals, student supervision, plans of cares, progress reports and re-evaluations.
8:00 – 8:30 CPT Process and Structure
8:30 – 9:00 CPT Values
9:00 – 9:30 Reporting & Documenting PT Evaluation Codes
9:30 – 9:45 Reporting & Documenting Modality Codes
9:45 – 10:00 Morning Break
10:00 – 12:00 Reporting & Documenting Time Based Codes
12:00 – 2:00 Lunch & MAPTA Meeting
2:00 – 3:00 Reporting & Documenting Testing, Work Hardening, Dry Needling & Other Codes
3:00 – 4:00 Rules and Regulations Part 1
4:00 – 4:10 Afternoon Break
4:10 – 5:00 Rules and Regulations Part 2
This course will include lectures with knowledge checks and utilization of the content interspersed at key intervals. Questions and interaction are intermingled within the content.
About the Speaker
Dr. Robbie Leonard, PT, DPT has extensive clinical and administrative experience in rehabilitation. She has provided continuing education seminars nationwide in the areas of Medicare, compliance, billing and coding, and administration. She has taught in the academic setting for the Physical Therapy Programs at the Medical University of South Carolina and Western Carolina University. Robbie has owned a private practice and has served as the VP of Administration for a multi-state private practice with over 250 employees and 30 clinics. Robbie is the owner of Robbie Leonard Consulting and co-founder of 8150 Advisors specializing in outpatient therapy practice consulting.