Who Should Attend?
Now more than ever before, the payers have the tools to examine and evaluate patients records. Payers demand to quality documentation has been increasing. This course will guide therapy professionals to align their documentation to match payers demand. The course provides details and feedback from previous practice behavior that lead to major changes to payment system. The course provides detailed learning of the new payment model for home health PDGM. The course outlines a strategy to defend plan of care. Disablement model introduced as conceptual model in the context of clinical practice, the planning and reporting. Inherent complexity and justifying med necessity are the core for quality documentation. The course discusses in detail what is “reasonable” and necessary”, skilled” and “maintenance”. the course guides clinician on the clinical decision making to determine frequency and duration. Clinician will learn how to apply the concept to documentation. Justification of care will require a set of documentation from initial evaluation to discharge. The course provides details about the consequences of improper documentation
I. Discuss the payor scrutiny to the health care providers, particularly, therapy services.
II. The Concept; Align documentation to the payor demands
III. Implement the concept into documentation
IV. The consequences
1) Learn at least two major upcoming changes in payment to home health care and outpatient
2) Understand the Patient Driven Grouping Model (PDGM) and how it will change home health care payment and practice
3) Learn how past practice and billing behavior still haunting providers
4) Discuss the payor scrutiny to the health care providers, particularly, therapy services
5) Identify healthcare payor demands and align it with patient documentation
6) Describe the components that determine differences between complexity levels
7) Discuss the components of the Patient/Client Management Model
8) Identify four types of goals formulate at least three goals that are measurable and meaningful for their patient’s condition
9) Acquire knowledge on the consequences of improper documentation
|8:00-8:15 am Introduction|
The payer scrutiny to the health care providers, particularly, therapy services.
A. Past, current, Future changes
B. Waste, Abuse, And Fraud
C. Common denial reasons
D. PDGM and CDR
|9:45-10:00 am Break|
|10:00-11:45 am The Concept
A. The principals of payer demand in therapy documentation
B. The application of the disablement process as conceptual model in the context of clinical practice, the planning and reporting
C. What is medical necessity? What is “reasonable” and “necessary”?
D. What is “skilled services” mean? Who decides if the services are skilled?
E. The relationship between inherent complexity and frequency and duration
F. F. Maintenance therapy and clinical implication
|11:45-12:00 pm Lab (Case Study)|
|12:00-12:15 pm Break|
|12:15-1:15 pm Implementation of the concept into documentation
A. The components of the Patient/Client Management Model
B. Required documentation that reflects justification to care provided.
C. Plan of care and goals writing
D. What should be included in Initial evaluation, visit note, progress report (reassessment), Reevaluation, missed visit note, physician order, and discharge summary
E. The concept and strategy of developing home exercises programs (HEP)
F. Strategy to avoid repetitive notes/interventions
|1:15-1:30 pm Lab (Case Study)|
|1:30-2:15 pm The consequences
A. The risk of not defending your plan of care
B. The audit process
C. C. Why therapy professionals should know about the appeal process
|2:15-2:30 pm Conclusion/Q&A|
Who Should Attend?
No CEUs awarded for SLP/Coders/DON
Home Health Focused
Dr. Osman is a clinician, CEU instructor, expert witness, audit reviewer, and appeal letter writer. Dr. Osman earned his Bachelor of science Degree in physical therapy in 1987, Master’s Degree in physical therapy 2000,Board Certified Orthopaedic Physical Therapy by The American Board of Physical Therapy Specialists 1999, Board Recertified Orthopaedic Physical Therapy by The American Board of Physical Therapy Specialists 2009, Doctorate Degree (DPT) 2010, Board Recertified Orthopaedic Physical Therapy by The American Board of Physical Therapy Specialists 2019, Over 30 years of clinical experience in multiple settings (acute inpatient, Inpatient rehab, Outpatient, and Home Health. Special experience; over 3000 joint replacement (Knee, hip, shoulder combined) with more than 60 orthopaedic surgeons. APTA member, Member American Academy of Othopaedic Physical Therapy. Areas of interests, Pain management, research and patient education, Other skills; Data base programmer and websites builder. Future research; “unveiling the secret of A-FIB”
Favorite patient review Mike Ditka Former Chicago Bears head coach and 1984/1985 hall of fame
PT Practitioners: 6 contact hours “The Illinois Chapter Continuing Education Committee has certified that this course meets the criteria for approval of Continuing Education offerings established by The Illinois Physical Therapy Association.”
OT Practitioners: 6 contact hours “This course has been approved for continuing education hours for occupational therapy practitioners by the Illinois Occupational Therapy Association” ILOTA records: 201411477
No CEUs awarded for SLP/Coders/DON
Chicago Near O’Hare
8745 W. Higgins Rd. Suite 110
Chicago, IL. 60631
Included: breakfast, Free Parking, Free Wifi
Registration will be accepted after deadline on a space available basis. Cancellation accepted up to one weeks before course, minus an administration fee of $25. NO REFUNDS WITHIN 2 DAYS OF COURSE date
OCS.LLC reserves the right to cancel any course due to Insufficient registration or extenuating circumstances. Please do not make non-refundable travel arrangements until you have called us and received confirmation that the course will be held. We are not responsible for any expenses Incurred by participants if the course must be canceled.
This seminar is an environment friendly “Save a Tree”
we use Online Handouts (will be accessible on the course day)
There will be no paper handouts, please bring a smart phone, tablet or laptop to view handouts. Free Wi-Fi will be available
PT/PTA IL Chapter members 25% off using code IPTA4846
OT/OTA IL Chapter members 25% off using code ILOTA4846
For group discount, please email firstname.lastname@example.org
WHAT CLINICIANS SAID ABOUT THIS COURSE?
Very knowledgeable- interesting and information that can be used in patient care today, PT Rehab Manager, Amita Health
Thank you for your specialty and ability to share your knowledge, OTR/L
Excellent information and great presentation. Important& appreciated. Thank you!, SLP , Amita Health
We need to do this every year, PT , Amita Health
Thanks “very helpful, PT , Amita Health
Great!, scary but stimulating”, Amita Health