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To purchase this webinar, that includes the CD and handouts, please contact Michelle at 1.661.350.6187. If you want to pay by check, please fill out the Registration Form and submit with your payment to the address on the form.

If updates occur to the therapy cap exception process, therapy cap application to hospital outpatient departments and critical access hospitals, and the medical review process for claims exceeding $3700 after the webinar is completed, all participants will receive those updates sent to the email address that was provided in the registration.

COURSE DESCRIPTION:

It’s a new year and with that, payment changes occur with CPT codes being deleted, new CPT codes being added, Medicare therapy cap increases, changes to the therapy cap exception process and review process for claims exceeding $3700, and the constantly evolving Medicare G-codes updates and scenario clarifications. This webinar will provide participants with the new and deleted CPT codes for 2014, current status of the therapy cap exception process and review process for claims exceeding $3700, current status of the therapy cap as it applies to hospital outpatient departments and critical access hospitals, the use of the advanced beneficiary notice for outpatient therapy services, and updates with case scenarios regarding functional limitation reporting (i.e. Medicare G-codes).

OBJECTIVES:

At the completion of this course the participant will be able to:

1.   Identify and understand the new and deleted CPT codes for 2014

2.   Identify the therapy cap dollar amount and Medicare deductible amount for 2014

3.   Assess the current status of the therapy cap exception process for 2014

4.   Explain the current status of the therapy cap as it applies to hospital outpatient departments and critical access hospitals

5.   Recognize the current status of the medical review process of claims exceeding $3700 based on the
Medicare allowed amount

6.   Recite when you can and can’t use an ABN for outpatient therapy services

7.   Identify how to report G codes when a second condition/diagnosis is added to the plan of care

8.   Describe how to complete the 1500 and UB-04 claim forms for reporting Medicare G codes

9.   Identify when maintenance therapy services can be a covered benefit by the Medicare program

10. Recite the settings where functional improvement must occur for payment and settings where functional improvement is not required for payment

ABOUT THE SPEAKER:

Rick Gawenda, P.T., graduated in 1991 with a Bachelor of Science in Physical Therapy from Wayne State University, Detroit, Michigan. Mr. Gawenda is currently the President and founder of Gawenda Seminars & Consulting, Inc. and Director of Finances for Kinetix Advanced Physical Therapy Inc., a private practice with multiple locations located in southern California. He has provided valuable education and consulting to hospitals, rehabilitation agencies, private practices, nursing homes, and his peers in the areas of CPT and ICD-9 coding, billing, documentation, reimbursement, and compliance as it pertains to outpatient therapy services as well as denial management and the appeals process for Medicare denied claims. Mr. Gawenda’s website, www.gawendaseminars.com, provides a valuable source of information on rehabilitation rules and regulations, coding, documentation, and reimbursement.

Mr. Gawenda is a member of the American Physical Therapy Association (APTA) and Michigan Physical Therapy Association (MPTA). Mr. Gawenda is the Past President of the Section on Health Policy & Administration of the APTA as well as Past President of the Michigan Association of Medical Rehabilitation Program Administrators.

Mr. Gawenda is also the author of “The How-To Manual for Rehab Documentation: A Complete Guide to Increasing Reimbursement and Reducing Denials” and “Coding and Billing For Outpatient Rehab Made Easy: Proper Use of CPT Codes, ICD-9 Codes and Modifiers”.

WHO SHOULD LISTEN:

Physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants, speech-language pathologists, private practice owners and practice administrators, office managers at private practices, as well as directors, managers, and supervisors in skilled nursing facilities, hospital outpatient therapy departments, critical access hospitals, rehabilitation agencies, home health agencies doing Part B under Medicare, and comprehensive outpatient rehabilitation facilities.

INCLUDED IN YOUR MATERIALS PACKET:

In addition to the expertise and advice presented during this webinar conference, you’ll also receive a handout (in PDF format) that will include related references as well as supplemental “cheat sheets” to assist the provider in selecting the appropriate G code categorical functional limitation.

CEUs

Gawenda Seminars & Consulting, Inc. did not submit for continuing education approval from any national or state organization. A certificate of attendance will be available upon completion of the webinar for each participant and may be adequate for credit in some states; you will need to contact your state licensing regulatory body to determine whether or not credit will be granted for this webinar conference.

REFUND POLICY:

There are no refunds once your order has been processed since the handouts will be emailed to you immediately after your order has been completed. CD’s will be mailed the following business day by regular US mail.

To purchase this webinar, that includes the CD and handouts, please contact Michelle at 1.661.350.6187. If you want to pay by check, please fill out the Registration Form and submit with your payment to the address on the form.