Highlights of Medicare Reimbursement

Presented by Rehab Connections

Description

2014 UPDATE!

This popular one-day course has been updated to address new reporting requirements, in addition to selected policies, procedures, and coding topics. A variety of key resources that are easily accessible on-line will be viewed then provided as links for you to add to your bookmarks, tabs, and/or desktop or tablet home screen.

This course is a unique opportunity for clinicians to clarify how Medicare policies impact our daily documentation and share experiences with other rehab providers. Although much of this course relates to outpatient settings billing Medicare Part B, discussions related to documentation supporting medical necessity and demonstrating skilled intervention and progress are critical to therapy professionals in all settings.

Instruction level: Basic to Intermediate
CE contact hours: 7.0
Intended audience: PTs, PTAs, OTs, OTAs

Topics

Key topics for clinicians

• Skilled, therapeutic intervention and medical necessity
• Therapy Cap, the exception process, and manual medical review
• Treatment time and direct (one-on-one) contact time
• Connections between documentation and coding
• How to show progress especially when gains are slow yet incremental
• Part B billing scenarios for PTs and OTs
• Reporting functional limitations and goals, G codes and severity/complexity modifiers

Overview of Medicare documentation requirements

• Plan of Care certification and re-certification
• Progress Reports
• Daily Notes
• 8 Minute Rule
• Measurement tools to determine functional limitations
• Basis for selecting the severity modifier in functional reporting

ICD-9 codes that support medical necessity and those that do not

Medicare Improvement Standard (new for 2014)

• Clarifications vs changes to the Medicare Benefits Policy Manual
• Services only the PT or OT may provide (not PTA or OTA)
• Examples of maintenance therapy services that require skilled care

Online resources and published reference materials

IMPORTANT! 2-3 days prior to the CE event, you will receive your CE materials and Zoom registration link by email. This gives you the opportunity to preview, download or print, save, and refer back to the information at any time. If you do not receive your CE material please contact us before the day of the course or workshop.

Instructor

Sheryl Poremba, PT, CCM

Sheryl focuses on the practical, most direct treatments, tests, and measurements for her patients to see immediate results.  Her exceptional clinical experience and teaching background enables her to actively involve her patients in their treatment program.  While also working as a Physical Therapist for 25+ years, Sheryl has taught at numerous clinics, colleges, and universities, including the Institute of Physical Art, Northwestern University, Morton College, University of Illinois Extension, and South Suburban College.  Dynamic and down to earth, Sheryl's immediate and fluid teaching style brings concepts and techniques to life.  Her enthusiasm and eclectic approach complements her expertise in educating the adult learner.

Sheryl's professional experience ranges from clinical specialist to management in acute care, home health, and outpatient settings.  She currently owns a private practice and lectures nationally.  She also has the unique experience as a certified case manager having worked with insurance companies to determine medical necessity of therapy and manage designated, limited funds for providers.  She also is contending with the same clinical challenges as most clinicians are because she is currently a treating therapist, clinical instructor, and private practice owner.  She will share her synthesis of information, practical tools and strategies, experience, and perspectives to enable you to expand your repertoire of skills to provide the best care for your patients.

Follow @SherylPTCCM

Location

Location

Rehab Connections
Physical Therapy
and
Education and Training Center
14901 S. Founders Crossing, Homer Glen, IL 60491
Phone: (708) 301-9933

Registration: 8:00 am - 8:30 am
Course: 8:30 am - 4:30 pm

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Click on date to register.

Lunch is on your own

Tuition: $199

Seating is limited. Please register early!

Rehab Connections reserves the right to modify the content and the scheduled speakers when circumstances are beyond our control.

Rehab Connections is an approved continuing education sponsor through the State of Illinois; PT License No: 216-000101

Cancellations:
Registration fee, less a $50 administration fee per session, is refunded if notice of cancellation is received more than 10 days in advance of the CE event. Cancellations made less than 10 days in advance of the CE event date forfeit the entire tuition fee. Tuition can be transferred to another individual or another CE event, one time only. No transfer, refund or credit will be given for cancellation 3 days or less before the CE event, or when handouts or other CE event materials are available electronically, including but not limited to emailed or downloadable pdf documents.
All unapplied transfers and credits will expire September 26, 2026.

Rehab Connections reserves the right to cancel the CE event up to one week prior to the CE event. Rehab Connections will not be responsible for any charges incurred by the registrant due to the cancellation of the CE event, other than the CE event tuition.

© 2025 Rehab Connections

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