Wound Care, Physical Therapy & Provider Credentialing Updates 2026

Segment -1 - Wound Care and Debridement Coding Updates 2026 (From 11 AM ET - 12 Noon ET) - Speaker - Adilakshmi Sankara CPC, CIC, CPMA, CRC, CASCC

🕒 First 15 Minutes | 2026 Wound Care Coding Updates – Foundational Knowledge

Learning Outcomes

At the conclusion of this segment, participants will be able to:

• Identify key 2026 CPT and ICD-10 coding updates impacting wound care and debridement services

• Describe how recent CMS policy changes affect reimbursement and compliance risk

• Recognize common coding and billing challenges introduced by the 2026 updates

• Explain the compliance implications of failing to apply updated wound care guidelines

• Summarize the scope and objectives of the 2026 wound care coding changes

---

Minutes 16–30 | Debridement Coding – Code Selection & Application

Learning Outcomes

At the conclusion of this segment, participants will be able to:

• Differentiate between selective, non-selective, and surgical debridement procedures

• Apply appropriate CPT codes based on depth, tissue type, and method of debridement

• Interpret provider documentation to support accurate debridement code selection

• Avoid common coding errors related to surface area, anatomical site, and technique

• Demonstrate correct code selection through procedural examples

---

Minutes 31–45 | Skin Substitutes, Diagnosis Coding & Medical Necessity

Learning Outcomes

At the conclusion of this segment, participants will be able to:

• Explain the 2026 CMS policy changes related to skin substitutes and biologics

• Assess how skin substitute policies impact documentation and reimbursement

• Select appropriate ICD-10-CM diagnosis codes for diabetic and pressure ulcers

• Correlate diagnosis coding with medical necessity and coverage requirements

• Identify documentation deficiencies that commonly result in payer denials

---

Minutes 46–60 | Documentation Standards, Case Studies & Compliance

Learning Outcomes

At the conclusion of this segment, participants will be able to:

• Evaluate wound care documentation for completeness and compliance

• Apply correct coding principles to real-world wound care case scenarios

• Recognize common denial and audit triggers related to wound care services

• Implement best practices to reduce audit risk and improve claim outcomes

• Respond to compliance-focused questions during interactive case discussions

 

Overall CEU Learning Outcomes

Upon successful completion of this webinar, participants will be able to:

• Apply 2026 wound care and debridement coding updates with confidence

• Ensure accurate code selection supported by compliant documentation

• Reduce coding errors, denials, and audit exposure

• Strengthen collaboration between clinicians, coders, and billing teams

• Maintain compliance with CMS and payer-specific wound care policies

 

_______________________________________________________________________________________________________________________________________________

 

Segment -2 - Physical Therapy Coding and Compliance Updates for 2026 (From 12:15 PM ET - 1:15 PM ET) - Speaker - Lynn M. Anderanin, CPC, CPMA, CPC-I, CPPM, COSC

 

First 15 Minutes | 2026 Physical Therapy Coding Update Overview

Learning Objectives

By the end of this segment, participants will be able to:

• Identify key 2026 CPT® code changes impacting physical therapy services

• Describe how AMA and CMS updates affect therapy reimbursement

• Recognize regulatory trends influencing physical therapy coding in 2026

• Explain the importance of proactive compliance planning for therapy practices

• Summarize payer expectations related to updated physical therapy services

---

Minutes 16–30 | Key CPT Changes & High-Risk Coding Areas

Learning Objectives

By the end of this segment, participants will be able to:

• Differentiate between new, revised, and deleted CPT® codes for physical therapy

• Apply updated CPT® coding rules to common therapy services

• Identify high-risk coding scenarios that frequently result in denials

• Select appropriate modifiers when required for physical therapy claims

• Avoid common CPT® coding errors identified by payers and auditors

---

Minutes 31–45 | Documentation Requirements, Telehealth & Compliance Risks

Learning Objectives

By the end of this segment, participants will be able to:

• Explain documentation requirements supporting physical therapy CPT® codes

• Assess documentation for medical necessity and payer compliance

• Identify compliance risks related to insufficient or inconsistent documentation

• Describe current telehealth rules applicable to physical therapy services

• Recognize audit triggers commonly associated with therapy documentation

---

Minutes 46–60 | Implementation, Audit Readiness & Best Practices

Learning Objectives

By the end of this segment, participants will be able to:

• Develop an implementation plan for 2026 physical therapy coding updates

• Apply best practices to reduce claim denials and payment delays

• Identify internal audit strategies to strengthen compliance programs

• Utilize tools and resources to support ongoing coding accuracy

• Prepare staff for regulatory changes through education and workflow updates

• Engage in Q&A to clarify real-world compliance and coding challenges

 

______________________________________________________________________________________________________________________________________________

 

Segment -3 - Provider Credentialing in 2026: Updated Standards, Verification Best Practices & Strategies to Reduce Delays (From 1:30 PM ET - 2:30 PM ET) - Speaker - R.Sharma

 

First 15 Minutes | Provider Credentialing Landscape & 2026 Updates

Learning Objectives

By the end of this segment, participants will be able to:

• Identify key regulatory, payer, and industry updates impacting provider credentialing in 2026

• Describe how increased regulatory scrutiny affects credentialing workflows

• Recognize evolving payer expectations influencing credentialing and enrollment timelines

• Explain the importance of data accuracy and documentation consistency in credentialing

• Summarize risks associated with outdated or manual credentialing processes

---

Minutes 16–30 | Verification Standards & Primary Source Verification (PSV)

Learning Objectives

By the end of this segment, participants will be able to:

• Identify appropriate and compliant primary source verification (PSV) methods

• Differentiate between acceptable and non-acceptable verification sources

• Explain PSV timelines, monitoring requirements, and documentation expectations

• Recognize common verification gaps that lead to credentialing delays

• Apply best practices to maintain accurate and verifiable provider data

---

Minutes 31–45 | Documentation, Payer Expectations & Credentialing Platforms

Learning Objectives

By the end of this segment, participants will be able to:

• Identify required documentation elements for clean credentialing files

• Explain how payer enrollment requirements impact credentialing timelines

• Recognize differences in credentialing expectations across Medicare, Medicaid, commercial, and Medicare Advantage plans

• Utilize essential platforms such as CAQH, NPPES, PECOS, and NPDB self-query appropriately

• Identify documentation and data inconsistencies that commonly cause delays

---

Minutes 46–60 | Workflow Optimization, Automation & Ongoing Compliance

Learning Objectives

By the end of this segment, participants will be able to:

• Apply workflow optimization strategies to improve credentialing efficiency

• Recognize how automation and digital tools reduce errors and turnaround time

• Develop strategies to improve communication between providers, staff, and payers

• Support audit readiness through organized recredentialing and revalidation processes

• Maintain continuous compliance through ongoing monitoring and data maintenance

• Participate in Q&A to clarify real-world credentialing challenges