Occupational Therapy

Description

In this course, students will delve into the intricacies of occupational therapy and its coding procedures. This comprehensive program offers a deep understanding of the occupational therapy profession, including its diverse settings and approaches, while emphasizing the critical documentation requirements and the identification of performance deficits. Participants will explore key topics such as evaluation methodologies, clinical decision-making, and the development of precise plan-of-care strategies. The course also equips learners with the knowledge of current CPT codes, descriptors, and documentation prerequisites. By delving into modifiers, therapy caps, and exceptions, students will gain a thorough grasp of the complexities within the field.

Included Lessons:

• What Is Occupational Therapy (OT)
• Physical Medicine and Rehabilitation Section Guidelines
• Occupational Therapy Settings
• Occupational Therapy Approach
• The Evaluation
• Performance Deficits
• Occupational Therapy CPT Codes, Descriptors, and Documentation Requirements
• Determining The Correct Level Of Evaluation
• The Plan Of Care
• Plan Of Care Recertification
• Daily Treatment Notes
• Progress And Discharge Notes
• Modifiers
• What Is A Therapy Cap
• What Is An “Automatic Exception”?
• Organizational Impact

Key Takeaways

This course equips medical coders with the specialized knowledge and skills required to proficiently code for occupational therapy services while ensuring compliance with regulations and optimizing reimbursement processes within the healthcare system. Some key takeaways include:

• Understanding of Occupational Therapy: A comprehensive grasp of what occupational therapy entails, its significance in healthcare, and the types of patients it serves across various settings.
• Documentation Proficiency: Proficiency in documenting crucial information, including occupational profiles, medical and therapy histories, and assessment data to support accurate coding and billing.
• Performance Deficits Identification: The ability to identify and categorize performance deficits, whether physical, cognitive, or psychosocial, which are essential for developing tailored treatment plans.
• CPT Code Knowledge: Familiarity with the Occupational Therapy CPT codes, their descriptors, and the specific documentation requirements for each code.
• Evaluation Complexity Determination: Skills to determine the appropriate level of evaluation based on factors like patient condition, clinical decision-making complexity, and the scope of performance deficits.
• Plan of Care Development: Competence in creating comprehensive plans of care, including setting long-term goals, specifying interventions, determining treatment frequency and duration, and obtaining necessary physician approvals.
• Recertification Process: Understanding the requirements and process for recertification of an established occupational therapy plan of care, including justifying the need for continued services.
• Daily Treatment Notes: Proficiency in maintaining daily treatment notes, including recording patient attendance, session details, observations, and any modifications to the treatment plan.
• Progress and Discharge Documentation: Knowledge of when and how to complete progress and discharge notes, ensuring they justify the medical necessity of care, evaluate progress, and modify goals or treatment as needed.
• Modifiers and Therapy Caps: Understanding the use of modifiers like Modifier GO and Modifier KX, as well as the implications of therapy caps and exceptions in coding and billing.
• Diagnosis Coding: Ability to select appropriate diagnosis codes that correlate with the reason for treatment, ensuring accurate and compliant claims submission.

Benefits of Taking this Course

• Occupational Therapy In-Depth Knowledge
• Increased Coding Accuracy
• Enhanced Confidence
• Career Advancement
• Competitive Edge

FAQs

About our Medical Coding Courses

HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a comprehensive online education platform for medical coders. With a catalog of over 200 medical coding courses accepted by the American Health Information Management Association (AHIMA) for Continuing Education Units (CEUs) and a selection approved by the American Academy of Professional Coders (AAPC), HIAlearn caters to both beginners and experienced medical coders seeking to enhance their skills. The platform provides an array of training plans tailored to meet individual learning needs, from mastering challenging coding procedures to understanding broad conceptual frameworks within the coding world. Courses are available across various coding types including CPT, E/M, ICD-10-CM, ICD-10-PCS, and are designed to cater to different coder levels and coding specialties such as inpatient, outpatient, profee, and CDI. Additionally, HIAlearn offers a Coding Updates bundle to ensure coders are up-to-date with the annual changes in ICD-10-CM, ICD-10-PCS, CPT, and IPPS. Beyond individual learning, HIAlearn supports organizations with group discounts, promoting enhanced coding accuracy, efficiency, and compliance across teams.