Understanding Medicare Part B in the SNF setting is a must for therapy professionals.

Chapter 15 of the Medicare Benefit Policy Manual contains very specific rules for provision, documentation and billing for therapists and assistants.

The custom information guides (cheat sheets) included in this course will save you tons of time! No need to look up codes…have them at your fingertips!


This course will walk you through all components of Medicare Part B and provide clear information and action steps for practice. Pertinent regulatory requirements from Chapter 15 of the Medicare Benefit Policy Manual are reviewed, as are all necessary components for successful documentation. The Part B reimbursement structure, including billing and coding, is reviewed in detail with case examples and a UB-04 billing claim. The negative practice patterns that trigger claim reviews and audits are included to help you build a strong, compliant practice.

  • Course Outline:
    • Technical Criteria Required for Part B
      • Eligibility and Chapter 15
    • Coverage Criteria Required for Payment
      • Skill and Reasonable & Necessary
      • Documentation and Supervision
    • Part B Reimbursement Components – The How-To of Each:
      • Value Based Payment
      • ICD 10 and CPT Coding
      • Billing & Coding
      • Modifiers, Cap and Manual Reviews
      • Status of Telehealth Temporary Rules
    • Unreasonable and Unnecessary; Fraud Triggers
      • Negative practice patterns
      • Improper Payment Reports


  • Includes:
    • Video Presentation
    • Presentation Handouts
    • Supplemental Materials Including:
      • ICD-10 CM Tabular List of Diseases and Injuries
      • ICD-10 CM Alphabetical Index to Disease and Injuries
      • Fee Schedule CPT Code Look Up Tool
      • Targeted Probe and Educate (TPE) Decision Tree
    • Custom Information Guides (Cheat Sheets)
      • Most Common PT, OT and Speech CPT Codes with Rate Info (Montero Custom Document)
      • PT and OT Evaluation CPT Code Complexity Decision Tree (Montero Custom Document)
      • What Codes Can/Can’t Be Billing Together? Updated List of NCCI Edits for SNF (Montero Custom Document)


Duration: 4 Contact Hours | .40 CEU’s

Level: (x) Entry Level   ( x) Intermediate (x )Advanced

This course is appropriate for Rehab Directors, PT, PTA, OT, COTA, SLP and MDS Coordinators

Type: Audio and Video

Participant has the ability to remotely interact with presenter to ask questions.


Instructor Credentials: Dolores Montero, PT, DPT, RAC-CT, RAC-CTA (Click for Bio)


1 Course totaling 4 Contact Hours of Continuing Education Credit *

Presentation slides, written materials and valuable downloads/links listed above

Access to Course Instructor for questions about the material.

Certificate of Completion

*Participant is responsible for determining if course meets state requirements for CE credit. Contact us prior to purchase if you need assistance determining state requirements for your discipline.


  • Facility Members: FREE (Contact us for link)
  • Individual Members: $99
  • Individual Members get 1 free course per year (email us if you want this as your free one)
  • This Course is included in our Rehab Manager Certification Program

*Log in with your Individual Membership to Access the purchase link above*

Learn more about our Membership Levels HERE

We are confident you will find value in this course.

If you are not completely satisfied, we will refund your purchase.

Questions? Contact Us