Documenting Medical Necessity: A How to Guide for Smart Rehab Claims


When: 1/31/13
Where: Sponsor:Cross Country Education
Crowne Plaza Glen Ellyn-Lombard-Downers Grove
1250 Roosevelt Road
Glen Ellyn, Illinois  60137
United States
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Event Details

Medical Necessity:
A How to Guide for
Smart Rehab Claims

Shelly A Mesure, MS, OTR/L

Course Description:

Medical necessity is a fast-growing industry term that has adopted
a variety of definitions. In today's current climate, rehab professionals must
document to justify their clinical decisions. RAC audits, MAC audits, ADR reviews,
Denials, and Z-Pic audits have become everyday industry concerns as we face the
allegations of "inappropriately billed” claims. The face and expectations of
the current documentation standards have changed substantially in the last two,
five, and ten years. Yesterday's methods are no longer able to meet today's
standards. This course equips health care professionals with the tools
necessary to master the challenges of fluctuating regulations while continuing
to meet company policy and procedure requirements.

This course also helps develop a thorough understanding of medical
necessity and provides a "how-to” guide for strong documentation. Whether
you're a therapist completing evaluations or an assistant completing progress
notes, every area of rehab documentation is examined. Computerized
documentation or paper versions will never replace the clinical decision making
used to determine medical necessity. Ongoing training and education are our
biggest defenses to ensure our claims get paid for the therapy services the
patients deserved. Case scenarios focus on typical, everyday occurrences with
an open format to promote group discussion and enhance the learning experience.
Resource tools and reference materials are provided to promote continued
learning beyond the classroom.

purpose/goal of this activity is to protect your license and improve claim
reimbursement! This course equips health-care professionals with the tools to
master the challenges of fluctuating regulations and provides easy strategies
for documenting medical necessity in any setting.


practical application of integrating company policies in accordance with the
most recent government regulations?

Medical Necessity and other terms important to skilled rehab services vs.

productivity by documenting in a clear and concise manner with every aspect of

the importance of correctly documenting supportive documentation as part of the
overall claim review?

an audit through better understanding of chart documentation and knowing the
"RIGHT” questions to ask?

and Locations:

Schaumburg - January 29, 2013
Holiday Inn Rolling Meadows
3405 Algonquin Rd, Rolling Meadows, IL 60008

Bloomington - January 30, 2013
The Chateau of Bloomington
1601 Jumer Dr, Bloomington, IL 61704 309-662-2020

Naperville - January 31, 2013
Crowne Plaza Glen Ellyn-Lombard-Downers Grove
1250 Roosevelt Rd, Glen Ellyn, IL 60137 630-629-6000

Madison - February 26, 2013
Sheraton Madison Hotel
706 John Nolen Dr, Madison, WI 53713 608-251-2300

Appleton - February 27, 2013
Holiday Inn Neenah Riverwalk
123 E Wisconsin Ave, Neenah, WI 54956 920-725-8441

Milwaukee - February 28, 2013
Sheraton Milwaukee Brookfield
375 Moorland Rd, Brookfield, WI 53005 262-786-1100


: Customer Service
PHONE: 1-800-397-0180

Content Area: Administration

Course Type: Traditional

Instructional Level: Intermediate

Intended Audience: PT, PTA, Health care professionals

CE Contact Hours: 6

Course Approval: IPTA Approval # 75-4628

This is
a paid advertisement.

The IPTA does not endorse nor guarantee the quality of non-IPTA
courses, whether approved by the IPTA or through the IDFPR. IPTA approval of a
course indicates that the course sponsor has submitted documentation which has
met or exceeded at least the minimum requirements set forth in the IPTA
standards for approval.