AOCPMR 2022 Mid-Year Meeting-306289

Video Transcription

Video Summary

In this presentation on billing practices for Physical Medicine and Rehabilitation (PM&R), Dr. Cahan and Dr. Kasprzak discussed the intricacies of billing processes for outpatient and inpatient services, respectively, with a particular focus on adaptations post-COVID. Dr. Cahan, focusing on outpatient billing, highlighted the opportunities for using telemedicine to enhance practice operations and increase revenue. He emphasized that proper documentation and understanding of CPT codes, modifiers, and units can make a significant difference in maximizing reimbursements for procedures like pain management injections. Dr. Cahan underscored the importance of modifiers—such as 25, 26, 59, and new Medicare-specific XU—to denote distinct and separate services provided.<br /><br />Dr. Kasprzak transitioned to inpatient billing, focusing on the need to understand Relative Value Units (RVUs) and their role in determining productivity and reimbursement. He stressed the importance of documentation, highlighting practices like including comprehensive history, reviews of systems, and histories in patient notes to ensure appropriate billing. Dr. Kasprzak also touched upon the use of shared attestation statements for working with mid-level practitioners and critical considerations in using CMS resources for reimbursement.<br /><br />Both speakers highlighted telehealth services as an enduring legacy of the COVID-19 pandemic, detailing how its implementation has been broadened and integrated into both outpatient and inpatient services. The presentation closed with a Q&A session addressing practical billing queries, reinforcing the idea that staying updated with billing practices not only improves revenue but ensures compliance and quality patient care.

Keywords

Physical Medicine and Rehabilitation

billing practices

outpatient services

inpatient services

telemedicine

CPT codes

modifiers

Relative Value Units

telehealth

COVID-19 adaptations