The partners of Fearon & Levine, Helene M. Fearon, PT, FAPTA and Stephen M. Levine, PT, DPT, MSHA, have each spent over 20 years educating the physical therapy profession in the areas of practice management, payment policy, and reimbursement strategies, and are committed to continuing their effort to teach therapists and providers of physical therapy services the tools that are needed for successful practice management in the ever changing healthcare marketplace. Given the current health care environment, and the increasing focus on the utilization of therapy services and the increased frequency of audits, reviews, and investigations in the outpatient physical therapy setting, it is critical for physical therapy providers to ensure they are current in understanding the rules and regulations governing the provision of outpatient physical therapy services.
Fearon & Levine also provides education and training to third party payers, Medicare contractors, federal investigative and law enforcement officials, and policy makers who need to understand the specific issues involved with appropriate physical therapy management of patients, from both a clinical and operational perspective.
Education and training sessions or seminars can range in time from 3 hours to 2 days, and are individually designed to meet the specific needs of the audience. Fearon & Levine provides education and training in practice management, payment policy, regulation, and compliance in the outpatient setting in the following areas:
- CPT and ICD-9 Coding for physical therapy practice
- Tools for efficient and effective billing and payment of outpatient therapy claims
- Updates on federal legislative and regulatory activity and its’ impact on rehabilitation
- Application of Medicare’s Therapy Cap Exceptions Process
- Methods for documenting medical necessity, skilled care, and functional outcomes
- Audit Review Flags and their use in claims and documentation review
- Updates on CMS manual provisions and changes
- Methods to effectively minimize the risk of fraud and abuse behaviors
- Use of the Guide to Physical Therapist Practice to support medical necessity
- Appropriate and necessary documentation under Medicare’s revised Documentation requirements
- Documentation to justify medical necessity and its relationship to fraud and abuse activity
- Internal peer review and utilization management methodologies and techniques
- Criminal anti-kickback laws and the government’s application of these laws to physical therapy practices
- Staff education and training in the area of Medicare Compliance
- And More!