Medicare Alphabet Soup for Outpatient Rehabilitation Practices: Navigating the Medicare Maze (Updated for 2017 & 2018 Regulations)

Physical Therapy


September 15, 2017 | 8:30 AM – 4:00 PM (Registration at 8:00) 

WCU Health and Human Sciences Building, Room 204
Early Registration: $55 
Late Registration: $70 (after September 1)
Registration includes a boxed lunch


Course Description

Medicare is an ever-changing landscape for outpatient physical therapists. From Functional Limitation Reporting, Manual Medical Review and Medicare caps, to outcome tools, probe and targeted audits, total time rules, maintenance, Merit-based Incentive Payment System, and documentation requirements, the regulations seem overwhelming. Learn how to navigate the Medicare maze.

This course will provide a clear understanding of the Medicare rules and regulations for outpatient physical and occupational therapy. Participants will develop a basic understanding of the audit process and how to position oneself for success in an audit situation. This course will cover the issues that therapists find most confusing.


At the conclusion of this program, each participant will be able to:

  • Describe the data that Medicare is capturing and how that data can impact your practice.
  • Discuss the regulations regarding plans of cares and how those can impact reimbursement.
  • List the required Medicare documents and the required elements of each of those.
  • Define MIPS and how MIPS might impact outpatient practices in 2019.
  • Understand the new review process for the $3700 therapy cap and gain insight from this year’s reviews.
  • Understand the Medicare regulations as it relates to maintenance and which patient populations would meet the regulations.
  • Understand the Medicare billing rules and how they may differ from commercial payers.
  • Understand the most common charge codes and when to choose each of them to best define practice.

Target Audience

Physical Therapists, Occupational Therapists and Office Managers in Outpatient Practices

Course Schedule (6 continuing competence contact hours):

8:00 – 8:30 - Registration
8:30 – 9:00 - Introduction, Medicare Basics
9:00 – 9:30 - Medicare Data and Its Impact
9:30 – 10:00 - Medicare Regulations Part 1 (Supervision, Referrals)
10:00 – 10:15 - Morning Break
10:15 – 11:15 - Medicare Regulations Part 2 (Plans of Care, Documentation Requirements, FLR)
11:15 – 12:00 - Medicare Regulations Part 3 (Medicare Cap, Maintenance, MIPS)
12:00 – 1:00 - Lunch
1:00 – 1:30 - CPT Coding Basics
1:30 – 2:00 - New Evaluation Codes – How Are You Doing?
2:00 – 2:45 - Billing and Coding Rules
2:45 – 3:00 - Afternoon Break
3:00 – 3:45 - Billing and Coding, Case Scenarios, Auditing Your Records
3:45 – 4:00 - Conclusions and Questions and Next Steps for Your Clinic


Robbie B. Leonard, PT, DPT 

Robbie Leonard


Robbie B. Leonard, PT, DPT is a 1986 graduate of Clemson University (B.S. Microbiology), 1988 graduate of Duke University (M.S. Physical Therapy) and a 2017 graduate of the transitional DPT program at the University of Montana (tDPT). Robbie has clinical and administrative experience in both hospital and outpatient private practices.  She has served as an educator in many capacities including providing continuing education seminars nationwide in the area of Medicare, compliance, billing and coding, neurological rehabilitation and rehabilitation administration. She has taught in the academic setting at the Medical University of South Carolina and currently teaches the Administration Course at Western Carolina University. Robbie has owned a private practice and has served as the VP of Administration for a large private practice with over 250 employees and 30 clinics in multiple states. Robbie has completed the Lean Healthcare Certificate Program at Belmont University and has experience implementing Lean Methodology in Outpatient Therapy. Robbie is currently the Chief Operating Officer for the Medical Billing Center, Inc. MBC specializes in billing for outpatient therapy businesses.   

Office of Web Services