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Quality & Practice

Coding & Reimbursement Resources

Coding incorrectly equals lost revenue. AAPM&R has several resources and educational tools to help physiatrists, billers, coders, and office managers keep up-to-date on the latest PM&R specific coding and billing changes.

CPT® Coding The Physiatrist Articles 

AAPM&R has developed a Coding & Reimbursement Tips column in the The Physiatrist to provide you with coding insights. These articles can be used as supportive coding data to appeal insurance denials, validate coding to auditors, train staff and answer day-to-day coding questions. Note: Accurate coding is the responsibility of the provider. These coding article are intended only as a resource to assist in the coding and billing process.

AAPM&R CPT Coding Companion 

The AAPM&R CPT Coding Companion was developed by the AAPM&R to consolidate the coding process. Developed exclusively for PM&R practices. Each page has the CPT code(s) with its official description, coding tips, National Correct Coding Initiative (NCCI) and Medically Unlikely (MUE) edits, and national Medicare relative value units.

Preview the 2016 Coding Companion.

Coding and Reimbursement Webinars

Throughout the year, AAPM&R sponsors webinars that focus on issues concerning the regulatory, federal, quality, and coding, and reimbursement issues directly related to physiatry.

Coverage Determination Work Group

A joint work group between the Reimbursement and Policy Review Committee and the Evidence and Clinical Practice Guidelines Committees. The Coverage Determination Work Group acts as the coverage determination oversight committee and is responsible for determining which coverage determinations AAPM&R will comment on, performing the necessary literature reviews, and drafting the comments. Members are encouraged to contact info@aapmr.org with concerns.

AAPM&R Coverage Determination Letters

ICD-10 Resources

To help with the implementation of ICD-10, the AAPM&R offers numerous educational resources and implementation tools to increase your ICD-10 understanding and readiness.

Toolkit for Physicians Challenging Denials in IRFs

Inpatient rehabilitation facility denial toolkit, to be used as a reference tool by inpatient rehabilitation facilities in preparing for hearings before administrative law judges resulting from post-payment audits conducted by fiscal intermediaries.

Template Appeals Letter for Physicians Challenging Denials

Template Appeal Letter for Modifier 25