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Translating Medical Rules Into a Pediatric Therapy Practice

presented by Jeanine Colburn, PT, DPT, MS, PCS

Accrediting Body:

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Disclosure Statement:

Financial: Jeanine Colburn receives royalties from Three Leaf Press for the book “The Small Patient Practice: A Beginner’s Guide to Starting a Pediatric PT, OT or SLP Solo Practice, Including Medical Documentation, Billing and Coding” and receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Jeanine Colburn has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:

The rules and guidelines that govern medical practices are primarily written with the adult patient in mind. This course will present the guidelines, rules and conventions that apply to pediatric PT, OT and SLP outpatient therapy service provision. The student will be given resources that allow future and ongoing monitoring of compliance with regulations and conventions.

Meet Your Instructor

Jeanine Colburn, PT, DPT, MS, PCS

Jeanine has been a practicing physical therapist since 1975. A pediatric clinical specialist since 1994, she had extensive experience with the adult rehabilitation population earlier in her career. She first began billing for services as a solo provider in 1992 when she moved to an area that did not have pediatric physical therapy. Since that…

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Chapters & Learning Objectives

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1. The Centers for Medicare and Medicaid

This chapter introduces the Medicare Benefit Policy Manual, Chapter 15, and the wealth of free information available to the practicing therapist. The participant will learn some of the information that is included in this document and where to find it. The participant will also learn why and how the information in this manual applies to the outpatient pediatric therapy practice.

2. HIPAA (Health Information Privacy) HHS.gov

This chapter introduces HIPAA, why it exists, and compliance required of the pediatric therapist in the outpatient pediatric therapy setting. It highlights useful information and directs the participant to resources for small practice requirements compared to institutional requirements. The course addresses requirements for the privacy rule as well as requirements for the security rule and how these rules apply to the employee versus the business owner.

3. Coding for Billing

This chapter introduces and reviews ICD 10 coding and CPT coding required for billing healthcare payers. It gives the participant an overview of information available in suggested resources. It explains how these codes affect requirements for documentation and service provision. The course also offers tips for selection of codes and successful billing and reimbursement.

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