ISS 2017 Program
 

 


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PC06: Coding and Reimbursement for a Successful Seating Clinic

Correct coding and documentation for therapy reimbursement is critical to the success of any outpatient clinic or home health provider. This course will include updated information on Current Procedural Terminology (CPT) and how to use these codes for wheelchair seating and mobility services. Documentation of the evaluation and treatment intervention will be presented to demonstrate provision of skilled care and justify the need for recommended assistive technology. For those patients insured by Medicare, the selection of G-codes and tools to select modifiers will be presented and discussed. In addition, strategies to keep your seating clinic viable will be shared. Many consumers with complex functional mobility needs depend upon dedicated Seating and Wheeled Mobility (SWM) Clinics for specialty CRT clinical services. SWM Clinics are increasingly under scrutiny to demonstrate cost- effectiveness or risk closure. This course provides information to support proper coding and documentation and examine methods to enhance efficiencies for sustainable clinical CRT services.

 

Learning Objectives:

Upon completion of this session, attendees will be able to;

 

Faculty:

Barbara Crume, PT, ATP
CarePartners Health Services
Asheville, North Carolina
United States

Barbara Crume, PT, ATP is a full time seating clinic specialist with CarePartners Health Services in Asheville, NC. She has over 34 years of experience working with clients of all ages and all diagnoses to obtain manual and power wheelchairs with custom seating. She has been an active member of the RESNA CPT Code Work Group, and the Professional Standards Board as well as serving as an Executive Board member of the Clinician Task Force.

Laura J. Cohen, PT, PhD, ATP/SMS
Rehab & Tech Consultants, LLC
Arlington, Virginia
United States

Laura Cohen, PhD, PT, ATP/SMS, RESNA Fellow, Principal for Rehabilitation & Technology Consultants in Arlington, VA. She is the Executive Director of the Clinician Task Force a national group of seating and mobility clinicians working to influence Medicare and Medicaid coding, coverage, and payment policies for complex rehabilitation technology. A recognized thought leader, Dr Cohen provides counsel, leadership, and clinical expertise to clients about medical necessity, benefit integrity, policy development and compliance.

 

References:

    1. Greer, N., Brasure, M, & Wilt,T (2012). Wheeled Mobility (Wheelchair) Service Delivery (No.AHRQ Publication No. 11(12)-EHCO65-EF). Rockville, MD: Agency for Healthcare Research and Quality.
    2. Abraham, M., & Ahlman, J. (2011). Current Procedural Terminology; CPT 2012; Standard Edition (Vol.1st Edition): American Medical Association Press.
    3. Smith, H. (2013). New Functional Limitation Reporting Requirements. PT in Motion, 13 (3), 42-45.
    4. Centers for Medicare and Medicaid Services. (2014). Medicare Coverage Database.
    5. American Physical Therapy Association.(2014). APTA: Mobility Device Clinical Documentation Guide.



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