Course Code: REL-RTS-0-MPBDBRT
Hours: 1.5
Type: Online Course
Content Expiration Date: 12/31/2028
Learning Objectives:
Identify the most common codes and modifiers used in billing therapy services under Medicare Part B.
Recall requirements and best practices related to billing and documentation for Part B therapy services.
Recognize common Medicare myths and misinterpretations related to billing and reimbursement for therapy services.
Outline:
Section 1: Medicare Part B Overview
Introduction to Medicare
Knowledge Check
Key Takeaways
Section 2: Documenting Medical Necessity and Skilled Service
Covered Therapy Services
Key Takeaways
Section 3: Required Documentation Elements
Evaluation and POC
Treatment and Progress Notes
Role of the Therapy Assistant
Knowledge Check
Key Takeaways
Section 4: Billing and Coding
Billing CPT Codes
Billing Examples
Assessment and Management Considerations
Billing for Group Therapy and Co-Treatment
Coding Edits and Modifier 59
Therapy Threshold: KX Modifier Threshold
Discipline-Specific and Therapy Assistant Modifiers
Knowledge Check
Key Takeaways
Section 5: Conclusion
Summary
Course Contributors
Resources
References
Subject Matter Expert: Susan Almon-Matangos, MS, CCC-SLP
Susan Almon-Matangos, MS, CCC-SLP, is a certified and licensed speech-language pathologist with over 40 years of experience. She earned her bachelor's degree in psychology from Jacksonville State University and her Master of Science degree in speech-language pathology from The University of Alabama. She has provided care to clients across the lifespan with diverse diagnostic conditions in settings including school, hospital, skilled nursing facility, outpatient clinic, and home health settings. In her previous role as a national clinical director for a contract therapy company, she developed training programs for physical therapy, occupational therapy, and speech-language pathology focusing on clinical rehabilitation needs of older adults in post-acute care. Currently, she serves as the Lead Subject Matter Expert Writer for Speech-Language Pathology at Relias, where she leverages her clinical expertise and analysis of published research. She is a certified member of the American Speech-Language-Hearing Association and the Pennsylvania Speech-Language-Hearing Association.
Target Audience:
The target audience for this course is: Entry level Physical Therapist; Entry level Physical Therapist Assistant; Introductory level Occupational Therapist; Introductory level Occupational Therapy Assistant; Introductory level Speech-Language Pathologists; Introductory level Speech-Language Pathology Assistant; in the following settings: Comprehensive Outpatient Rehabilitation Facilities (CORFs), Rehabilitation Settings.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.