2021 Respiratory Therapy Reimbursement & Compliance Update

Equip your team to combat declining reimbursements — and earn CRCEs!

During uncertain times, correct coding and proper compliance means more than ever for respiratory therapy services. With declining payments — and an increased risk of audits — you need to ensure you’re capturing every legitimate dollar for the respiratory therapy services you provide. This starts with consistently accurate coding, fully supported by documentation, for RT, pulmonary function testing, polysomnography, and other services under the RT/PFT umbrella.

Using case examples and visual aids to reinforce key points, practical instruction, and a break-down of common missed revenue opportunities, renowned RT expert Robin Miller Zweifel will guide you through code changes and the latest coding guidelines. She’ll also discuss payment changes and the impact on RT departments, plus deliver best practices that can help reduce the threats to your revenues and compliance.

Besides gaining a wealth of actionable insights, you can earn 1.5 CRCEs from the American Association for Respiratory Care (click on CE tab above for details). This webcast is an excellent training opportunity for both audio and visual learners.

Webcast Takeaways

• Guidance through new, deleted, and revised CPT codes including a new code for exercise test for bronchospasm, plus HCPCS and NCCI updates specific to RT services
• In-depth information on the 2021 OPPS final rule and the impacts for RT providers
• Discussion and examination of common problem areas and missed revenue opportunities, including what should not be coded and why coding for productivity count may be detrimental to RT departments including inhalation treatments and ventilation management
• Insight into the approved RAC audit topic for polysomnography medical necessity and documentation requirements
• Explanation on updates to supervision requirements for pulmonary rehab and some review of COVID-19 impacts including remote monitoring services
• Coding and documentation tips, with a special emphasis on the gray areas of “medical indications” versus “medical necessity” in the physician order, plus knowing when medical necessity extends to durable medical equipment
• How to correctly interpret and apply CPT^®/HCPCS codes for the billing of a full spectrum of RT/ pulmonary function services, including pulmonary rehab, RT rehab, and polysomnography/sleep studies
• Step by step instruction through challenging scenarios for coders, such as determining which CPT codes should be used during a problem-oriented office visit
• Guidance with ambiguous billing opportunities, such as nitrous oxide administration for a minor procedure in the emergency department and how many times you may report CPT code 94640 for multiple inhalation treatments during a single episode of care
• Coding and billing requirements for polysomnography, including device pass-through payment status for 2021

CPT^® is a registered trademark of the American Medical Association.

Webcast Access Privileges: Only one login is allowed per webcast purchased. Discounted pricing for additional registrants is available. For more information about webcast pricing and requirements, click here.