PT Course Details

Course # 1163
Fraud, Abuse, Audits & Appeals Specific to Therapy Services

Cost: This course is included in a $99 CEU Total Access package.
Learn More.

Unlimited CEUs - Only $99/yr Buy Now

CEUs/Hours Offered: See All State Associations

AL/2.0; CA/2.0; DC/2.0; IL/2.0; KY/2.0; MD/0.2; MN/2.0; MS/2.0; NJ/2.0; NM/2.0; NV/0.2; NY/2.0; OH/2.0; OK/2.0; TX/2.0; AK/1.0; AR/1.0; CO/1.0; CT/1.0; DE/1.0; GA/1.0; HI/1.0; ID/1.0; IN/1.0; IA/1.0; ME/1.0; MA/1.0; MI/1.0; MO/1.0; MT/1.0; NE/1.0; NH/1.0; NC/1.0; ND/1.0; OR/1.0; RI/1.0; SD/1.0; TN/1.0; UT/1.0; VT/1.0; VA/1.0; WA/1.0; WI/1.0; WY/1.0

Course Abstract

This course will address Federal Fraud & Abuse Laws and will include applicable therapy examples of non-compliance. In addition, the presenter will discuss the types and roles of federal auditors, your rights during an ‘on-site’ audit, the appeal levels and courses of action available.
Disclosure: This learning event does not focus exclusively on any specific product or service.

This course was recorded on May 15, 2012

Course Learning Outcomes

Preview Exam
  • Define the Fraud & Abuse Statutes that are most applicable to therapists
  • Implement pre-emptive procedures to avoid non-compliance with Fraud & Abuse Statutes
  • Create a policy and procedure for handling ‘on-site’ audits and management of a contractor’s request for records.

Time-ordered Agenda

0-15 Minutes Background and Overview
15-60 Minutes Fraud & Abuse Statutes & Non-Compliant Practices
60-90 Minutes Audits, Auditors, Appeals Processes
90-115 Minutes On Site Audits & Submission of Records
115-120 Minutes Questions and Answers

Average Rating (5 Reviews)

Most Recent Comments

Review by: Member on January 8, 2013
informational
Review by: Member on August 30, 2012
helpful info
Review by: Member on June 20, 2012
the speaker even though the content was disturbing.

Course Information

This is an audio recording of a Live Webinar.

Review Technical Requirements

Visit our Contact us page or give us a call if you have questions.


Course Presenter

mary r daulong

Mary R. Daulong, PT, CHC, CHP

Mary Daulong, PT, CHC, CHP has a very diverse practice background which includes private practice ownership, corporate managed services and hospital based practice exceeding four decades. Her consulting company was established in 1985 and has been, for the past ten years, 100% dedicated to working with healthcare professionals in the areas of federal and state compliance, practice and business office operations, payment and coverage policy including billing, coding and documentation. Her company also provides rehabilitation specific compliance policy and procedure manual production and provider enrollment services.

Mary has been certified in Health Care Compliance since 2002 and is a member of the Healthcare Compliance Association she is also certified as a HIPAA Professional by the HIPAA Academy. Mary has been an active member of the APTA and just recently served as its Risk Management Committee chair. She is a member of the APTA’s State Reimbursement Chair Forum and has held the position of Chair of the Texas Physical Therapy Association’s Payer Relations and Payment Policy Committee for nearly six years.  She served for five years on the Texas Board of Physical Therapy Examiners as well as was a member of its Executive Council for PT and OT and Investigations.

 Mary has presented well over one hundred (100) courses related to compliance both on a federal and state level often being the featured speaker at National, Chapter and Section Annual Conferences.


Disclosure: This presenter has no relevant financial or nonfinancial relationships to disclose.


Continuing Education Information

CEUs/Hours Offered: See All State Associations
AL/2.0; CA/2.0; DC/2.0; IL/2.0; KY/2.0; MD/0.2; MN/2.0; MS/2.0; NJ/2.0; NM/2.0; NV/0.2; NY/2.0; OH/2.0; OK/2.0; TX/2.0; AK/1.0; AR/1.0; CO/1.0; CT/1.0; DE/1.0; GA/1.0; HI/1.0; ID/1.0; IN/1.0; IA/1.0; ME/1.0; MA/1.0; MI/1.0; MO/1.0; MT/1.0; NE/1.0; NH/1.0; NC/1.0; ND/1.0; OR/1.0; RI/1.0; SD/1.0; TN/1.0; UT/1.0; VT/1.0; VA/1.0; WA/1.0; WI/1.0; WY/1.0

Alabama


California

PhysicalTherapy.com is an approval agency for the Physical Therapy Board of California.


Washington D.C.

This course is approved by the District of Columbia Board of Physical Therapy.


IL Physical Therapy Continuing Education Sponsor

This course is offered for 2.0 CEUs (Introductory level) by the Illinois Department of Professional Regulation (Sponsor License #216000252).


KPTA

This course is offered for 2 CEUs (Introductory level, Category 2) by the Kentucky Physical Therapy Association (Provider #CS80-2012-KPTA).


Minnesota

This course is offered for 2 CEUs (unknown level) by the Minnesota Board of Physical Therapy.


Mississippi State Board of Physical Therapy

This course is offered for 2 CEUs (Clinical level) by the Mississippi State Board of Physical Therapy.


New Jersey


New Mexico

This course is offered for 2 CEUs (Introductory level) by the APTA, New Mexico Chapter.


Nevada

This course has been approved by the Nevada State Board of Physical Therapy Examiners for 0.2 units of continuing education (Non-Clinical).


New York

PhysicalTherapy.com is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider of physical therapy and physical therapist assistant continuing education.


Oklahoma


Texas Physical Therapy Association

This course is offered for 2.0 CEUs (Introductory level) by the Texas Physical Therapy Association.


Passing an online exam will be required to earn continuing education credit.

Please Note: The CEU exam and course evaluation must be completed within 30 days of course registration.

To participate in the course, complete the CEU exam and earn continuing education credit, you must be a CEU Total Access member.


We recognize that state CE requirements are constantly changing. If you have any questions regarding our courses and your state requirements, please contact us at 1-866-782-6258 or brenda.pantalone@PhysicalTherapy.com.

If you have any technical questions or problems related to this course,
please contact PhysicalTherapy.com toll free at 1-866-782-6258