Medical necessity is a big topic in our industry. It is a term that has adopted a variety of definitions and we are looking at an increase in inappropriately billed claims. We are now having to justify our clinical decisions while capturing treatment accurately and effectively. Audits have become everyday industry concerns as we face the allegations of “inappropriately billed” claims. There is a higher expectation to justify why we are providing services and how is our clinical expertise what is needed. The standards have changed and we need to meet the challenges of fluctuating regulations while complying with the rapid changes in how we are providing patient care.

This course also helps develop a thorough understanding of medical necessity and provides a “how-to” guide for strong documentation. Whether you’re a therapist completing evaluations or an assistant completing progress notes, every area of rehab documentation is examined. Computerized documentation or paper versions will never replace the clinical decision making used to determine medical necessity. Ongoing training and education are our biggest defenses to ensure our claims get paid for the therapy services the patients deserved. Case scenarios focus on typical, everyday occurrences with an open format to promote group discussion and enhance the learning experience. Resource tools and reference materials are provided to promote continued learning beyond the classroom. 

Meet The Instructor

For the past 20 years, Megan has worked primarily in the geriatric setting as a clinician and in management including Rehab Director and Area Director.

MCR Seminars was formed 7 years ago as a platform for educating therapists. Continuing Education courses include “Creating and Implementing Groups”, “Stop Falling! Decreasing Falls in the Elderly” and “Bored? Creative strategies to Maximize Functional Outcomes” Megan has also worked as a consultant for Skilled Nursing Facilities looking at ways to maximize outcomes and auditing for medical necessity. She

has also been involved in various projects that have included auditing and denials management for Skilled Nursing and Outpatient Physical therapy companies. She has been teaching for the past 3 years designing workshops to address the needs of Occupational, Physical, and Speech therapists in rehab settings focusing on the changing trends of how therapy

is being provided in their work and community. Currently, she has completed her MBA in Healthcare Administration and will continue to provide training and development for health care providers to maximize their e ectiveness in providing quality care to the aging population. 

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