2023 Respiratory Therapy Reimbursement & Compliance Update

During uncertain times, complete documentation, correct coding and proper compliance means more than ever for respiratory therapy services. With declining payments and fluctuating COVID rates in addition to the swiftly increasing risk for audits such as CERT, you need to ensure you’re capturing every legitimate dollar for the respiratory therapy services you provide. This starts with consistently accurate coding fully supported by documentation for RT, pulmonary function testing, polysomnography, and other services under the RT/PFT umbrella.

Using case examples and visual aids to reinforce key points, practical instruction, and a breakdown of opportunities for improved charge capture, renowned RT expert Robin Miller Zweifel will guide you through the latest updates so that you can be proactive, not reactive. She’ll also discuss fluctuations in supply and demand, payment changes and the impacts on RT departments, plus deliver best practices that can help reduce the threats to your revenues and compliance.

Besides gaining a wealth of actionable insights, you can earn 1.5 CRCEs from the American Association for Respiratory Care (click on CE tab above for details). This webcast is an excellent training opportunity for both audio and visual learners.

What’s on the agenda:

• New and revised codes, including changes to remote monitoring codes
  • Impact from long haul COVID
• Impact of fluctuating COVID rates on service lines and revenue into the new year
• Changing payer rules for charges for ventilation management, and what steps to take
• Coming auditor action and targets, including for Outpatient Pulmonary Rehabilitation and management of removing patients from service
• Foundations of good documentation for RT

Webcast Takeaways

• In-depth information on the 2023 OPPS final rule and the impacts for providers of RT services,
• How to correctly interpret and apply CPT®/HCPCS codes for the billing of a full spectrum of RT/ pulmonary function services, including outpatient pulmonary rehab (OPR), Respiratory Therapy Rehab (RTR), and polysomnography/sleep studies
• Understand coding of Pulmonary Function Testing (PFT) and ensure accurate billing of components that makeup the comprehensive diagnostic procedure
• Learn if the new Remote Therapeutic Monitoring (RTM) codes apply to Respiratory Therapy Services and Outpatient Pulmonary Rehabilitation (OPR)
• Skip the trial-and-error phase of billing for OPR and gain knowledge from the review of Medicare documentation audits of OPR programs
• Fortify charge capture workflow through improved understanding of CPT coding guidelines and documentation requirements, including reporting of time-based services
• Discussion and examination of common problem areas and missed revenue opportunities, including what should not be coded and why coding for productivity may be detrimental to RT departments
• Coding and documentation tips, with a special emphasis on the gray areas of “medical indications” versus “medical necessity” in the physician order
• How documentation accuracy will impact denials and audits in the new year

P.S. Our annual Respiratory Therapy Reimbursement & Compliance Update webcast is also included in our Respiratory Therapy All-Access Pass! With an All-Access Pass, everyone on your team, regardless of location, can receive unlimited education, anytime they need it, from any internet-connected device, for one affordable annual fee. Plus, an All-Access Pass provides a convenient way to earn essential continuing education credits to maintain credentials.

Each All-Access Pass is your gateway to a comprehensive set of resources, such as webcasts, eBooks, coding charts, newsletters and articles — catering to a broad range of learning preferences. To learn more, click here!

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