Session 1: 2025 Physical Therapy Updates

The webinar will discuss the updates for 2025 for physical and occupational therapy.  While there were not code changes, the 2025 CMS Fee Schedule Final Rule had several topics of discussion and acceptance by CMS.  There are also the usual changes to the annual threshold and reminders about the differences there could be between insurance companies and the way they address the times for therapy services.  There was also a request of several therapy codes to be reviewed by the American Medical Association Relative Unit Committee in misvalued codes.  We will review changes to supervision of PTAs and OTAs as well as therapists in private practice.

Webinar Objectives

It is the responsibility of the practices and staff to know and understand new rules and regulations.  Therapy has been under some auditing scrutiny by some insurance companies over the past several years.  To avoid making mistakes, this session will get right to the updates so that you can implement them in your practice when they are valid on January 1^st.  There are on grace periods, so following these guidelines are crucial on January 1^st.

Webinar Agenda

• 2025 Thresholds and Always Therapy Codes
• Plan of Care
• Certification
• Time
• Modifiers
• Therapy Assistants
• Other Updates

Webinar Highlights

• New Updates to the rules around certification
• Knowing when the modifier KX is necessary
• Avoid denials due to changes
• Confirm the different methods of counting time
• New supervision rules Assistants
• Areas in which discussion was had, but no change was made for 2025

Session 2: Coding & Billing For Wound Care & Debridement Services - 2025 Updates

This webinar is designed to assist healthcare professionals with the knowledge and skills necessary to navigate the complex world of medical coding for wound care and debridement services. In today's rapidly evolving healthcare landscape, accurate and efficient coding is paramount, not only for ensuring proper reimbursement but also for maintaining compliance and facilitating optimal patient care.

This webinar serves as a beacon of guidance for medical coders, billers, HIM professionals, CDI specialists, healthcare administrators, and providers alike, offering a deep dive into the intricacies of coding for wound care and debridement procedures. Whether you're a seasoned coding expert seeking to sharpen your skills or a healthcare administrator striving to optimize revenue cycle management, this program is tailored to meet your needs. Throughout the session, attendees will embark on a comprehensive journey through the nuances of medical coding specific to wound care and debridement services. Our expert speaker will demystify the coding guidelines, regulations, and documentation requirements essential for accurately capturing the complexity of wound management and tissue removal procedures

Webinar Objectives

• Clarification of Coding Guidelines: This session will provide clarity on the appropriate use of Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes for wound care and debridement services. Attendees will gain a comprehensive understanding of coding rules, modifiers, and bundling edits to ensure accurate code selection.
• Documentation Best Practices: Participants will learn effective documentation strategies for capturing the essential elements of wound assessment, treatment, and progress notes. Practical tips and examples will be shared to enhance documentation accuracy, specificity, and compliance with coding requirements.
• Risk Mitigation Strategies: The webinar will highlight proactive measures to mitigate compliance risks associated with wound care coding. Insights into regulatory updates, audit triggers, and compliance pitfalls will be provided, empowering attendees to implement robust coding and documentation practices within their organizations.

Webinar Agenda

Overview of the importance of accurate medical coding in wound care and debridement services.

Understanding Wound Care Coding

• Overview of the common types of wound care procedures and their associated CPT and HCPCS codes.
• Identification of pain areas related to coding complexity and differentiation between various wound care procedures.
• Discussion of coding guidelines, modifiers, and bundling edits affecting wound care coding accuracy.

Documentation Essentials for Wound Care 

• Explanation of the essential elements of documentation required to support wound care procedures.
• Identification of pain areas in documentation, including incomplete or insufficient information and lack of specificity.
• Practical tips and examples for improving documentation accuracy and completeness.

Coding Challenges and Solutions 

• Exploration of coding challenges commonly encountered in wound care and debridement services.
• Analysis of real-world coding scenarios to identify pain areas and potential solutions.
• Strategies for addressing coding discrepancies, including code selection, bundling issues, and modifier usage.

Compliance Considerations and Risk Mitigation 

• Overview of regulatory requirements and compliance risks associated with wound care coding.
• Discussion of audit triggers, common compliance pitfalls, and consequences of non-compliance.
• Implementation of risk mitigation strategies to ensure compliance with coding and documentation standards.

Q&A Session and Closing Remarks

• Open floor for questions and answers from the audience.
• Recap of key takeaways and actionable insights from the session.
• Closing remarks and invitation to future webinars or resources for continued learning.

Webinar Highlights

• Overview of the importance of accurate medical coding in wound care and debridement services.
• Explanation of the session objectives and agenda.
• Understanding Wound Care Coding 
• Overview of the common types of wound care procedures and their associated CPT and HCPCS codes.
• Identification of pain areas related to coding complexity and differentiation between various wound care procedures.
• Discussion of coding guidelines, modifiers, and bundling edits affecting wound care coding accuracy.
• Documentation Essentials for Wound Care 
• Explanation of the essential elements of documentation required to support wound care procedures.
• Identification of pain areas in documentation, including incomplete or insufficient information and lack of specificity.
• Practical tips and examples for improving documentation accuracy and completeness.
• Coding Challenges and Solutions 
• Exploration of coding challenges commonly encountered in wound care and debridement services.
• Analysis of real-world coding scenarios to identify pain areas and potential solutions.
• Strategies for addressing coding discrepancies, including code selection, bundling issues, and modifier usage.
• Compliance Considerations and Risk Mitigation 
• Overview of regulatory requirements and compliance risks associated with wound care coding.
• Discussion of audit triggers, common compliance pitfalls, and consequences of non-compliance.
• Implementation of risk mitigation strategies to ensure compliance with coding and documentation standards.
• Q&A Session and Closing Remarks
• Recap of key takeaways and actionable insights from the session.
• Closing remarks and invitation to future webinars or resources for continued learning.

Session 3: Coding & Billing Updates For Orthopedic

The New Year is here but did we miss any coding changes that will affect the bottom line on reimbursement for 2025.  We are going to discuss the changes in coding for Orthopedic procedures to include ICD-10, CPT, and telehealth.  Knowing the changes will guarantee appropriate prior authorizations and claims.  Without the knowledge of these changes, your practice can be losing profits.  We will also take a look at the telehealth changes for 2025, which changes all of the CPT codes necessary. 

Webinar Objectives

The orthopedic practice must know and understand the changes that ICD-10 and CPT have made for the current year to submit clean claims to the insurance companies for consistent and timely claims processing for reimbursement.  Not applying the new codes could end up being a large amount of revenue if these are not found and corrected immediately

Webinar Agenda

• Telemedicine
• Integumentary
• Musculoskeletal
• CMS Final Rule for the physician’s fee schedule
• ICD-10 changes
• Supervision changes for therapy
• Pain Management

Webinar Highlights

• Understand the changes to CPT changes for the upcoming year related to E/M, Integumentary, and Musculoskeletal
• Determine what needs to be done for providers to be ready for the changes.
• Create education of office staff that will need to know what the changes are.
• Implementation of the new CPT codes in telehealth.
• Discuss what should be done post-implementation to confirm denials haven’t increased due to changes.
• Review the plan in making necessary changes to software programs, encounters, and EHRs  

Who Should Attend

Coder, biller, collection staff, managers, supervisors, administrators, directors, therapists, therapy assistants, physicians, Advanced nurses, Physician Assistants, Orthopedic Physicians & Surgeons, Medical Coders & Billers, Practice Managers, Healthcare Administrators, Compliance Officers