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Clinical Outcomes & Documentation Education

Molly McCoy, CPO
Code@spsco.com
800.767.7776 Ext. 5

CODE: Helping Practitioners Maximize Business

Battling insurance audits? CODE (Clinical Outcomes and Documentation Education) is here to help. As part of SPS’ Clinical Services program, CODE is a reliable source for practitioners to stay up-to-date with policy changes and O&P documentation best practices.

CODE Webinars: Earn 1.5 CEUs

Molly McCoy, L/CPO, Manager of Clinical Services, delivers various webinars where she covers O&P policy changes and relevant documentation tips and tricks. SPS customers can earn 1.5 CEUs for every CODE webinar by simply attending the webinar and taking a short quiz.

“There are so many rules, and just when you think you understand how to document, the rules change. It’s very difficult to keep up, especially as a practitioner who needs to continue to provide good patient care along with improved documentation. We, as practitioners, need to start documenting our clinical reasoning and making a strong written case for our clinical choices. Having great hand skills and
excellent patient care can’t keep us afloat if no one is paying for the work.” –
Molly McCoy, L/CPO

CMS Letter:

Strategies to Support Dual Eligible Beneficiaries’ Access to DME, Prosthetics, Orthotics & Supplies

click here to view letter

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AOPA 2016 Presentations

  Click here - Documentation Full Circle from Patient to Policy to Clinical Expertise
Click here - Documentation Changes that Work!
   

CODE Short Videos

Pre-authorization Rule for CMS
  Click here to watch the video
   
Proposed LCD Changes
  Click here to watch the video
   
MLN Matters
  Click here to watch the video
   
Webinar 3 - Documenting a K2 patient with K3 expectation
  Click here to watch the video
Reference Documents:
  Click here - Documenting a K2 Patient with K3 Expectation
Click here - G-Codes and Severity Modifiers
Click here - Example Documentation
 
Webinar 4 - AFO in complex review
  Click here to watch the video
Reference Documents:
  Click here - AFOs in Complex Review
Click here - Medicare Program Integrity Manual
Click here - Documentation Packet
   
Webinar 5 - Documentation tips for justifying elevated vacuum
  Click here to watch the video
Reference Documents:
  Click here - Avionics Technicians Report
Click here - Cigna Elevated Vacuum Guide
Click here - Cigna Medical Coverage Policy
Click here - Documentation tips for justifying elevated vacuum
   
Webinar 6 - Juicy Details From The Medicare Program Integrity Manual
  Click here to watch the video
Reference Documents:
  Click here - CODE Webinar 6 2014 Review
Click here - CPI Key Antifraud Activities from the Centers for Medicare and Medicaid Services
   
Webinar 7 - Spinal Orthoses and Medicare
  Click here to watch the video
Reference Documents:
  Click here - CODE Webinar 7 Review
Click here - Spinal Orthoses & Medicare Post-Test for CEUs
Click here - Medicare Physician Chart Note Requirements for Spinal Orthoses
   
Webinar 10 - VA Prosthetic Limbs OIG Report & New VA National Contracting Template
  Click here to watch the video
Reference Documents:
  Click here - CODE Webinar 10 Review
Click here - Webinar 10 Quiz
   
Webinar 11- You CAN Bill for Vacuum Systems!
  Click here to watch the video
Reference Documents:
  Click here - Webinar 11 Quiz
   
Webinar 12 - K2-K3 Transition - How to work with your doctors to get the documentation you need
  Click here to watch the video
Reference Documents:
  Click here - CODE Webinar 12 Review
Click here - Short Guide
Click here - CMS Clinical Template
Click here - Preauthorization
Click here - Medical Record Charting for Prosthetic Limbs
Click here - Prosthetics Guide for Patients with Power Mobility Devices
Click here - Webinar 12 Quiz
   

CODE Reference Guides

  Click here - Five Keys to Writing Effective Chart Notes
   

The Real McCoy Articles

  Click here - Some Helpful Information about ICD-10 and Medicare Prior Authorization
Click here - Using Medicare's LCD as a Guide for Prosthetists' Notes
Click here - Spinal Orthoses: Charting "Substantial Modifications" for Medicare Compliance
Click here - The Importance of Getting Physicians Notes
Click here - Making the Claim Reviewers Job Easier Helps You Get Paid
Click here - Upper Limb Amputee Management - Part 1
Click here - Upper Limb Amputee Management - Part 2
Click here - Using a Fall Log to Document Improved Ambulation
Click here - Low-Tech Tools for Documentation Support

 

Learn More about Molly

Molly McCoy is a Washington State Licensed, Certified Prosthetist/Orthotist with 20 years experience in P&O. After graduating from the University of Washington she completed her residencies at an independent practice in Kentucky and worked in Kentucky and Indiana as a practitioner in settings from rural clinics to level 1 trauma hospitals and Shriners hospital.  Molly then worked as Director of Clinical and Technical Services for SPS providing clinical education courses before returning to P&O practice in Washington state.  Most recently, Molly taught lower extremity prosthetics at University of Washington.

Seeing the need for improved and updated information on documentation and patient data gathering in light of recent changes in reimbursement, Molly aims to provide current information on documentation practices that help practitioners improve their reimbursement rates by writing documentation that complies with ever changing insurance regulations.  Understanding the challenges of daily clinic life for a prosthetist/orthotist, Molly’s goal is to bring this needed information to practitioners in a format that’s quick and easy to absorb with as little disruption to busy practice as possible.

Molly McCoy, L/CPO
CODE program at SPS
800-767-7776 ext. 5
CODE@spsco.com

www.spsco.com/code