The How-To Manual for Rehab Documentation, Third Edition
A Complete Guide to Increasing Reimbursement and Reducing DenialsRick Gawenda, PT
Up-to-speed with Medicare documentation requirements for 2009 and beyond?Increase cash flow and reduce Medicare claim denials by using strategies provided in the Third Edition of "The How-To Manual for Rehab Documentation. "
Written by national consultant Rick Gawenda, PT.
Since our last edition, there have been significant changes to the rules and regulations surrounding documentation in therapy settings. And now that the RACs are underway it is even more important to have accurate and thorough documentation. Mistakes can lead to delayed payments and denials, so how do ensure that you are in compliance with the current guidelines?
Make it easy. Order your copy of "The How-To Manual for Rehab Documentation, Third Edition: A Complete Guide to Increasing Reimbursement and Reducing Denials."
Written by author and national consultant Rick Gawenda, PT, of Gawenda Seminars, this book and CD-ROM set""focuses on the clinical aspects of documentation and offers proven methods to strengthen documentation and decrease the frequency of denials. Gawenda encourages b documentation methods that have worked for him and help you conquer potentially tough concepts such as maintenance therapy and CPT codes.
What's new in the third edition?
- Clarification of certification and re-certification requirements regarding how long they are valid for and how soon they need to be signed
- Explanation of delayed certification
- Tips to write function-based short- and long-term goals
- Updated examples of well-written goals
- Updated payer documentation guidelines for evaluations, progress reports, daily notes, discharge reports, and re-evaluations
"The How-To Manual for Rehab Documentation, Third Edition: A Complete Guide to Increasing Reimbursement and Reducing Denials" outlines proper documentation strategies starting from the moment a patient registers and receives treatment to billing for time and services. Gawenda encourages b documentation methods that have worked for him and help you conquer potentially tough concepts such as maintenance therapy and CPT codes.This comprehensive book and CD-ROM, helps you:
- Improve therapy billing through better documentation
- Prevent denials as a result of better documentation practices
- Maintain quality assurance through proper documentation
- Optimize your reimbursement from both Medicare and third-party payers
- Avoid audits and targeted medical reviews
- Document care in a more efficient way
- Take the critical steps to verify therapy benefit coverage prior to a patient's initial visit
- Support skilled therapy services with inclusion of required documentation
- Understand Medicare certification and recertification time frames and requirements for all therapy settings
- Understand and use the most commonly used CPT codes and modifiers in rehabilitation therapy
Table of Contents:
Chapter 1: The Role of the Registration Staff
Registration Basics
Benefit Verification
Preregistering
Chapter 2: Initial Documentation
Evaluation Format
Documentation Components
Evaluation Process
Objective Criteria
Assessment Documentation
Goals
POC Documentation
Creating a Solid Foundation
Chapter 3: Certification and Recertification
Physician Referrals
Physician Referral Denials
Outpatient Therapy Settings
Certification and Recertification
SNF Part A Therapy Services Reimbursed Under the Prospective Payment System (PPS)
Home Health Agency Part A Therapy Services
Chapter 4: Daily Documentation
Daily Documentation
Documentation Requirements
Home Exercise Programs (HEPs)
Plan Documentation
Chapter 5: Progress Reports, Discharge Reports, and Reevaluations
Progress Re