Section GG: Tips and Coding to Capture Function On-Demand

Course overview

Medical necessity is a big topic in our industry. It is a term that has adopted a variety of definitions and we are looking at an increase in inappropriately billed claims. We are now having to justify our clinical decisions while capturing treatment accurately and effectively. Audits have become everyday industry concerns as we face the allegations of inappropriately billed claims. There is a higher expectation to justify why we are providing services and how is our clinical expertise what is needed. The standards have changed and we need to meet the challenges of fluctuating regulations while complying with the rapid changes in how we are providing patient care. 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.