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Clinical Outcomes & Documentation Education

CODE: Helping Practitioners Maximize Business

Are you 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.

CMS Letter

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

2017 Recorded Webinars & Reference Documents

Documentation Myths Debunked: Writing for the 21st century  
  Click here to watch the video
Reference Documents:
  Click here - Systematic Review of Lower Limb
Click here - Lower Limb Prosthetics
Click here - Webinar Handouts
   
What is Medicare Thinking? A "crystal ball" of policy knowledge  
  Click here to watch the video
Reference Documents:
  Click here - What is Medicare Thinking Presentation
Click here - CMS documentation
Click here - Ottawa Family Decision Guide
Click here - CMS - Medicare Claim Submission Guidelines
   
Documentation for Billing Success: A guide for practitioners  
  Click here to watch the video
Reference Documents:
  Click here - Documentation for Billing Success
Click here - AFO/KAFO note score card
Click here - Educating Doctors on Note Requirements
Click here - Noridian AFO Q&A
Click here - Provider Compliance Tips for Spinal Orthoses
   
Documentatation for Orthoses: What you need to write now  
  Click here to watch the video
Reference Documents:
  Click here - Community Coach Program
Click here - Documentation Checklist Spinal Orthoses
Click here - Standard Documentation Requirements for all Claims submitted to DME MACS
Click here - Correct Coding - Definitions used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces)
   
Documentation Changes that Work!  
  Click here to watch the video
Reference Documents:
  Click here - Patient Guide to talk to their doctor about P&O
Click here - Tips for Talking with Your Doctor Handouts
   
Why Practitioners Should Care About PDAC  
  Click here to watch the video
Reference Documents:
  Click here - Coding Issues AOPA – PDAC
Click here - Prosthetic_Foot_Project
Click here - Correct Coding
Click here - DMECS at a glance
   

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
   
State of P&O Documentation
Clinical Documentation tips and Best Practices
  Click here to watch the video
Reference Documents:
  Click here - The State of P&O Documentation
Click here - Department of Health and Human Services
Click here - Accountable Care Organization 2013
   
Corroboration with Doctors Notes
  Click here to watch the video
Reference Documents:
  Click here - Corroboration with Doctors Notes
Click here - Best Practices and Advice
Click here - Prevention of Falls in Older Persons
Click here - Department of Health and Human Services
 
LCD & at Risk Group Based Documentation Guidelines
  Click here to watch the video
Reference Documents:
  Click here - LCD & at Risk Group Based Documentation Guidelines
Click here - Lower Limb Prostheses
 
Outcome Measures
  Click here to watch the video (Part 1)
Click here to watch the video (Part 2)
Reference Documents:
  Click here -Time up and Go (TUG) Test Procedures
Click here -Activities-specific Balance Confidence
Click here -Patient-specific Functional Scale
 
CODE - Documentation: Link It!
  Click here to watch the video
Reference Documents:
  Click here - Linking Functional Needs, Problems and Solution
   
Q&A
  Click here to watch the video (Part 1)
Click here to watch the video (Part 2)
   
Knee Brace Probe Review Results
  Click here to watch the video
   

Recorded Webinars & Reference Documents

Webinar 1 - Case review: 62 year old, retired, Knee Disarticulation, needs MPK with High Activity Frame
Reference Documents:
  Click here - CODE Webinar 1 - March 2014
Click here - Physical Therapist Notes handout
Click here - Lower Extremity Functional Scale
Click here - Practitioner Notes
Click here - PAVET Protocol
Click here - PAVET Evaluation
Click here - The L Test of Functional Mobility
Click here - Documentation Packet
Click here - Documentation Packet Highlighted
   
Webinar 2 - Using the whatever doctors notes you get to support your claim
  Click here to watch the video
Reference Documents:
  Click here - Webinar 2 Slides
Click here - Detailed RX Webinar
Click here - Practitioner Notes
Click here - Lower Limb Prosthesis Clinical Template
Click here - Doctors Notes Webinar
Click here - Support from Doctors Example
Click here - Medical Record Note Example
   
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 8 - Diabetic Shoe Documentation for Orthotists  
  Click here to watch the video
Reference Documents:
  Click here - CODE Webinar 8 Review
   
Webinar 9 - Mining for Clinically Useful Information  
  Click here to watch the video
Reference Documents:
  Click here - CODE Webinar 9 Review
   
Webinar 11- You CAN Bill for Vacuum Systems!  
  Click here to watch the video
   
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
   

CODE Reference Guides

  Click here - Five Keys to Writing Effective Chart Notes
   

The Real McCoy Articles

  Click here - PDAC and O&P: A Tangled Tale
Click here - Documenting a Change in K-Level: It Takes a Village
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 - Physician's Notes: Working With What You Get
Click here - Using a Fall Log to Document Improved Ambulation
Click here - Low-Tech Tools for Documentation Support