Billing Health Insurance for Early Intervention Therapies
Presented by Jeanine Colburn
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Meet your instructor
Jeanine Colburn
Jeanine has been a practicing physical therapist since 1975. A pediatric clinical specialist since 1994, she had extensive experience with the adult rehabilitation population earlier in her career. She first began billing for services as a solo provider in 1992 when she moved to an area that did not have pediatric physical…
Chapters & learning objectives
1. Medically Related Early Intervention Services and Insurance Billing
This chapter reviews requirements for provision of PT, OT, and SLP services across settings. It discusses compliance within state licenses and professional standards of practice. There will be comparisons of service provision requirements under early intervention and those required for billing health insurance.
2. How Medical Billing Rules and Conventions Support Billing for Early Intervention PT, OT, and Speech
This chapter provides guidelines and resources that support billing health insurance and Medicaid for therapy services under IDEA. It includes introductory strategies for billing, coding, and documentation. The chapter also discusses how parent coaching may be incorporated into a service billed to health insurance.
3. The Role of the Early Intervention Agency in Ensuring Successful Billing and Reimbursement
This chapter describes how the billing therapist and the EI agency can support each other. It discusses how state laws and various health insurance plans can affect reimbursement. It also discusses the transdisciplinary model, coaching, and consultation services as related to scope of practice, early intervention service provision, and medical billing.
