PLEASE NOTE:  COPYRIGHT / PROTECTED INTELLECTUAL PROPERTY

As a reminder, course materials are protected intellectual property of the course creator(s)/presenter(s).  Please help to protect the work and do not reproduce, distribute or share without consent.

COURSE DESCRIPTION:

Pediatric physical therapists often express frustration with documentation requirements and payment for rehabilitation services. This course will examine the contemporary reimbursement climate, with a focus on utilization management. Participants will gain insights into utilization management procedures, including authorizations and rationales for the determination of medical necessity for pediatric rehabilitative care. Defensible documentation for pediatric physical therapy services over an entire episode of care will be covered, with techniques for coding and billing to maximize payment. Participants will have the opportunity to critique and create sample documentation based on case scenarios. Strategies for responding to denials for care will be presented. Internal peer review and other mechanisms to strengthen documentation and improve reimbursement will also be explored. Billing for school-based services under Medicaid will be included in the discussion. The content will be aligned with the APTA Code of Ethics and Guide to Professional Conduct, APTA Defensible Documentation, the Center for Medicare and Medicaid Services guidance, and current published evidence.   

OBJECTIVES:  Upon completion of this course, the learner will:

  • discuss common utilization management practices used in reimbursement for pediatric physical therapy services.
  • appraise his/her current documentation practices for demonstration of medical necessity.
  • craft documentation for an entire episode of care that reflects the medical necessity for skilled physical therapy services.
  • display a professional commitment to professional best practices in documentation, billing and reimbursement.

KNOWLEDGE APPLICATION:

  • This content will assist PTs in considering how to document professional judgement and clinical decision making throughout an episode of care for a pediatric patient. There will be an emphasis on self-reflection and assessment as we go through the class.
  • This course provides a framework for making changes in one’s individual documentation practices.

COURSE SCHEDULE: 

* Note:  All online meetings will be recorded for viewing by those unable to attend.  Attendance or viewing the recording is required for CEU.

Lesson 1: June 10 – 16

Lesson 1 Online Meeting:  Thursday, June 13, 7:30 – 8:30 pm ET

Lesson 1 Discussion Forum Posts Due:  June 13

Lesson 1 Assignment Due: June 13

 

Lesson 2: June 17 – 23

Lesson 2 Online Meeting:  June 20, 7:30 – 8:30 pm ET

Lesson 2 Discussion Forum Posts Due:  June 20

Lesson 2 Assignment Due: June 20

 

Lesson 3: June 24 – 30

Lesson 3 Online Meeting:  June 27, 7:30 – 8:30 pm ET

Lesson 3 Discussion Forum Posts Due:  June 27

Module 3 Assignment Due: June 27

Post-Test and Course Evaluation:  June 30, 2019

 

Academy of Pediatric Physical Therapy thanks Cascade DAFO for generous sponsorship of the online education catalog.

Please visit Cascade DAFO to learn more.

Course Content

Lessons Status
1

CORE Course Orientation

2

GENERAL COURSE INFORMATION:

3

APPT Documentation Changes Everything: INTRODUCTION

4

APPT Documentation Changes Everything: REQUIRED PRE-TEST

5

APPT Documentation Changes Everything: LESSON 1 Begin with the end in mind June 10-16

6

APPT Documentation Changes Everything: RESOURCES AND REFERENCES

7

APPT Documentation Changes Everything: ONLINE MEETING RECORDINGS

8

APPT Documentation Changes Everything: LESSON 2 Navigating the Middle June 17-23

9

APPT Documentation Changes Everything: LESSON 3 Peer Review June 24-June 30

10

APPT Documentation Changes Everything: ADDITIONAL MATERIALS FOR ONLINE MEETINGS 1 AND 2

11

APPT Documentation Changes Everything: POST COURSE by July 7