John Wallace

PT, MS

Chief Business Development Officer of Revenue Cycle Management | WebPT

John Wallace, PT, MS, brings more than 35 years of experience in private practice orthopedics—as well as acute hospital, acute rehab, home health care, skilled nursing, sub-acute care, and sports medicine—to his current role as WebPT’s Chief Business Development Officer of Revenue Cycle Management. He has been invited to speak at numerous national healthcare events on the topics of payment policy, compliance, practice management, and rehabilitation economics and is a coding and payment policy consultant to several APTA components. He also serves as an alternate to the AMA RBRVS Update Committee. Additionally, John has held positions with the APTA Board of Directors, the Foundation for Physical Therapy, and the California PTA.

SESSIONS

Saturday, September 21, 2019

The Slippery Slope of Sloppy Documentation: Why Therapists Get Denials During Documentation Reviews

10:00–11:30 AM

Instruction level: Intermediate

Documentation requirements for rehab therapy providers are becoming increasingly stringent—and while it might be tempting to let a few things slide, that would be a big, big mistake. After all, sloppy documentation is a slippery slope—one that can lead to costly denials.

During this session, WebPT’s documentation compliance expert, John Wallace, PT, MS, will share the most important documentation rules and guidelines—including demonstrating medical necessity, determining the correct minute rule for each payer, and properly accounting for assessment and management time. That way, you can keep your footing—and your payments.

Objectives:

  1. Define the elements of medical necessity.
  2. Recognize how to read and apply payer policies to documentation and billing.
  3. Describe the components necessary to bill for assessment and management time.

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