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Quandaries in Medical Documentation and Early Intervention Therapies

presented by Jeanine Colburn

Accrediting Body:

Target Audience:

Disclosure Statement:

Financial: Jeanine Colburn receives royalties from Three Leaf Press for the book “The Small Patient Practice: A Beginner’s Guide to Starting a Pediatric PT, OT or SLP Solo Practice, Including Medical Documentation, Billing and Coding” and receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Jeanine Colburn has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:
The purpose of this course is to help pediatric physical therapists, occupational therapists and speech therapists providing outpatient therapy and/or working in an early intervention setting, to learn the principles of medical documentation required for successful billing and reimbursement from healthcare payers. These principals of medical documentation are compared to early intervention documentation requirements. Useful guidelines for vocabulary will be provided.

Meet Your Instructor

Jeanine Colburn, PT, DPT, MS, PCS

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 therapy. Since that…

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Chapters & Learning Objectives

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1. Early Intervention Documentation and Elements of Medical Documentation Required for Billing Health Insurance

This chapter reviews early intervention documentation requirements and compares them to documentation required for reimbursement from health insurance. It introduces the basic elements of documentation required for the medically oriented evaluation. The requirements for the medically oriented re-evaluation are also discussed.

2. Pediatric Therapist Jargon, Documentation and Denials

This chapter highlights how using popular pediatric therapy terms can sabotage medical reimbursement. It will introduce known ‘red flag’ terms and why these terms may not be appropriate for medical documentation. This chapter helps the participant determine more relevant and appropriate terms for documentation of patient disorders.

3. Treatment Notes and Progress Reports

This chapter will help the participant will demonstrate an understanding of the elements of a treatment note versus a progress report. It will review the basic elements required in the treatment note, and the expected elements of a progress report. This chapter will also give examples of information that should not be included in a treatment note or progress report.

More Courses in this Series

Billing Health Insurance for Early Intervention Therapies

Presented by Jeanine Colburn, PT, DPT, MS, PCS

Billing Health Insurance for Early Intervention Therapies

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
State early intervention (EI) programs are beginning to require medical billing for physical therapy (PT), occupational therapy (OT), speech language pathology (SLP), and other professional services provided in this setting. This course describes how medical billing can be compatible with the provision of early intervention PT, OT, and speech. The course explains the necessary relationship between therapists and intervention agencies to allow successful medical payer reimbursement for therapist services in the EI setting.

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Translating Medical Rules Into a Pediatric Therapy Practice

Presented by Jeanine Colburn, PT, DPT, MS, PCS

Translating Medical Rules Into a Pediatric Therapy Practice

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
The rules and guidelines that govern medical practices are primarily written with the adult patient in mind. This course will present the guidelines, rules and conventions that apply to pediatric PT, OT and SLP outpatient therapy service provision. The student will be given resources that allow future and ongoing monitoring of compliance with regulations and conventions.

View full course details

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