Category Archives: Uncategorized

Wednesday, December 3, 2014

Announcing our Friends and Colleagues Affiliate Program

Join the Gawenda Seminars Friends & Colleagues Affiliate Program, and get your Virtual Showroom (VSR). It’s simple: Top Affiliate (you/your clinic) You earn 20% commission on all sales from your website. 1st Sub-Affiliate (your friends or colleagues that you refer) They earn 20% commission on all sales from their website. You’ll earn 4% commission from…
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Monday, September 9, 2013

CMS Proposed Changes in Hospital ED Payments

The Centers for Medicare and Medicaid Services (CMS) is proposing to change the way it reimburses hospitals for facility fees for  emergency department visits. CMS officials want to replace five escalating price codes hospitals can choose from in billing facility fees with one flat rate, starting next year. The 2013 rates for ED facility fees…
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Monday, May 20, 2013

Physician Signature Requirements

First Coast Service Options, Inc., a Medicare Administrative Contractor, has put together a nice slide presentation on appropriate physician signatures in the medical records. This would also be applicable for therapists and assistants. Even though this was done by First Coast, the requirements are CMS requirements, hence, this presentation would be applicable for all providers…
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Friday, May 3, 2013

Indiana Enacts Direct Access

On May 2, 2013, Indiana Governor Mike Pence signed HB 1034 into law. HB 1034 provides Indiana residents direct access to evaluation and treatment by a physical therapist (PT) without a physician referral. The law, which will take effect on July 1, allows for evaluation and up to 24 days of treatment without a referral…
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Wednesday, April 10, 2013

2009 Healthcare Costs

From the Wall Street Journal, a state-by-state comparison on healthcare costs for calendar year 2009. Click HERE for the story.

Wednesday, April 3, 2013

Congressional Advisory Panel Repeats Call to Repeal SGR Formula

The Medicare Payment Advisory Commission (MedPAC) renewed its calls to reform the Medicare physician payment system in its annual report to Congress on Medicare payment policy issued March 15 and in congressional testimony given the same day. To read the report, click HERE.  

Friday, March 15, 2013

Cigna 2013 Therapy Cap Process

For dates of service January 1, 2013 through December 31, 2013, all outpatient therapy claims submitted above the $3,700 threshold will be subject to prepayment medical review. CGS will send Additional Documentation Requests (ADRs) for all claims above the $3,700 threshold. In these ADRs, CGS will request the following documentation:

Monday, March 11, 2013

CMS Updates Therapy Q&A’s

The Centers for Medicare & Medicaid Services updated the therapy question and answers on February 28, 2013. You’ll find clarifications on reassessments in the revised Q&As. To access the updated Q&As, click

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