Intelligent Coding & Compliance

With embedded industry-leading expertise and continuously updated regulations, OptimisPT improves adherence to professional practice guidelines and insurance/regulatory requirements, thereby ensuring third-party payment and reducing adverse audit risk.

In today's environment there is heightened third-party payor emphasis on compliant documentation and coding, and shortfalls in this area can bring severe penalties. OptimisPT provides clinicians the real-time benefit of industry-leading expertise and tremendous peace of mind that comes with knowing the CPT codes they submit for third party payment are supported by documentation that appropriately supports the billed services.

Regulatory change continually pushes even the best-prepared practitioner to work overtime to maintain the training, policies, and standards related to documentation and coding for clinical services. Despite its importance, most physical therapists do not receive adequate training or support to ensure that they can comply with the ever-evolving requirements in this area. The issue of medical necessity has become the primary reason for payor and agency audits. Billing for services that are not adequately justified in the medical record can become an issue of potential fraud or abuse, carrying a significant risk to the provider.

Helene Fearon and Steve Levine, the industry's leading experts in documentation, coding, and compliance, have dedicated their careers to helping rehab professionals get these areas right. Their full expertise, as well as current regulatory requirements within the Medicare program and other third party payors, are woven into OptimisPT, which is expeditiously updated as compliance and payor guidelines change. As a web-based ASP platform, these changes are seamlessly integrated into the program without the need for users to upgrade their software, and notifications of these updates are provided real time. This dynamic process improves third-party payment and reduces the risk for an adverse audit.

Helene Fearon
Learn more about Helene.

Steve Levine
Learn more about Steve.

Fearon & Levine Consulting
Learn more about F&L.

OptimisPT subscribers get a complimentary basic subscription to FearonLevine.com.