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2020 Outpatient Therapy Payment Updates

December 12th @ 1:00 pm - 2:30 pm EST

$129.00 – $159.00

Please join us as Gawenda Seminars & Consulting, Inc. presents “2020 Outpatient Therapy Payment Updates” webinar conference on Thursday, December 12, 2019 from 1:00pm – 2:30pm EST. This 1.5-hour webinar will discuss and teach participants the new payment changes, including the new PTA and OTA modifiers, for outpatient physical, occupational and speech therapy that become effective with dates of service on and after January 1, 2020.

To register online with a credit card, purchase a ticket on this page. To register by check, click Printable Registration Form, complete the form and mail with check to the address listed on the registration form.

One registration allows as many people to watch and listen to the webinar on one computer and/or phone line and each participant would be eligible to print off a certificate of attendance that may be eligible for 1.5 CEUs from your state board or national association. If your computer has no speaker or you unable to be at a computer, you can still call in to the phone number provided to hear the audio portion and follow along with the handout in pdf format.

Can’t Listen Live on December 12th? Not a problem. Register for the webinar, email us after the webinar stating no one from your organization logged in or called in to listen live, we will verify, and then send you a playback link of the actual live presentation along with the handouts. The playback link can be viewed on your computer as many times as you would like and audio comes through your computer speakers. Playback link is emailed 72 business hours after the completion of the webinar.


It’s a new year and with that, payment changes occur in terms of the annual Medicare therapy threshold dollar amount, use of the KX modifier for claims exceeding the therapy threshold, the medical review process for claims exceeding $3000 in a calendar year and the annual Medicare Part B deductible and its impact on the annual therapy threshold dollar amount. In addition, there are several deleted CPT codes and at least 6 new CPT codes that will become effective with dates of service on and after January 1, 2020 that will be applicable to physical therapy, occupational and/or speech therapy services. Two of the new codes are for trigger point dry needling as well as 2 new CPT codes for cognitive function intervention and 2 new biofeedback codes.

In addition, the webinar will discuss the new modifiers that will be required to append to CPT codes for services provided in whole or in part by physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) beginning on January 1, 2020. Finally, the webinar will discuss how the Medicare program will reimburse for services provided in whole or in part by PTAs and OTAs beginning with dates of service on and after January 1, 2022 and how this change may impact non-Medicare insurance carriers payments for outpatient therapy services.

This 1.5-hour webinar will provide participants with the following details:

  • 2020 Medicare therapy threshold dollar amount
  • 2020 Medicare use of KX modifier
  • Medical review process for Medicare beneficiaries exceeding $3000 in 2020
  • 2020 Medicare Part B deductible and its impact on the annual therapy threshold dollar amount
  • Targeted Probe and Educate in 2020 for outpatient therapy services
  • Detailed review of new and deleted CPT codes in calendar year 2020 impacting outpatient therapy services
  • Examples of when the new PTA and OTA modifiers will be required on CPT codes on the claim form


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

  1. List the new and deleted CPT codes for calendar year 2020
  2. Understand what interventions and services are included in the new CPT codes
  3. Identify the 2020 therapy cap threshold, use of the KX modifiers and the targeted medical review process for claims exceeding $3,000
  4. Understand what the 2020 Part B deductible is and its impact on the therapy threshold
  5. List the 2020 conversion factor and its impact on payment under Medicare
  6. Recite how the Targeted Probe and Educate program works and what CPT codes are being reviewed under outpatient therapy
  7. Name the new modifiers to distinguish services provided in whole or in part by a PTA or OTA
  8. Recall when the new modifiers will be required to be appended to CPT codes on the claim form


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 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-10 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”.


Physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants, speech-language pathologists, private practice owners and practice administrators, billing companies, office managers at private practices, as well as compliance officers, risk managers, directors, managers, supervisors, and billers in skilled nursing facilities, hospital outpatient therapy departments, rehabilitation agencies, home health agencies, comprehensive outpatient rehabilitation facilities, and billing companies.


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.


Audio – phone connection required only if your computers do not have speakers or you will not be at a computer.

Webinar – Computer and internet connection required. Participants will be provided a url link where they can log in and follow the presentation on their computer as the speaker provides the presentation. If your computer has speakers, you will be able to hear the audio portion through your computer speakers and will not require a phone connection. If no speakers on your computer or unable to be at a computer, participants will need to call in to the phone number provided to them to hear the audio portion. You will need adobe flashIf sound goes in and out, it is due to your internet connection and is not the fault of Gawenda Seminars & Consulting, Inc. Gawenda Seminars & Consulting, Inc is not responsible for organization fire walls or computer software issues that may interfere and/or prohibit your connection to the webinar portion of the presentation.


This webinar has not been submitted to any state board or national organization for CEU approval. 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.


Register for the event before 11:00AM EST on December 12, 2019. First 70 minutes is presentation/lecture and last 20 minutes is question and answer.

When you register, you’ll receive a confirmation e-mail that serves as your receipt. Approximately 5 days before the webinar conference, you will receive a separate email that provides you with instructions for accessing the call and a handout attachment. If you register within 5 days of December 12, 2019, instructions will be emailed the evening of the day you registered (after 6:00PM pacific time). Please make sure that your email system will accept messages from the webinar conference host: seminars@gawendaseminars.com. The easiest way to do this is to add this email address to the contacts list in your email software.

Gather your staff and listen to the webinar conference via speaker phone, follow along with the session handout, and participate in a live, interactive Question and Answer session. Registration includes ONE DIAL-IN CONNECTION AND/OR COMPUTER CONNECTION (you can gather as many people at that location as you wish), an electronic handout, and a certificate of completion for participants.

PLEASE NOTE: ONE REGISTRATION PROVIDES YOU WITH ONE PHONE AND/OR COMPUTER CONNECTION FOR THE WEBINAR CONFERENCE. You may pay for additional locations where indicated on the registration form.


Written requests for refunds received on or before November 30, 2019, will receive a refund less a $60 processing fee; fees are nonrefundable after this date. There are no refunds for no shows or any other reasons after November 30, 2019We are not responsible for organization firewalls or computer software issues that may interfere and/or prohibit your connection to the webinar portion of the presentation. Email your request for a refund to the conference coordinator: seminars@gawendaseminars.com.


Playback links and audio recordings are NOT included with registration, but registrants have an option to purchase a playback link that can viewed on your computer just like watching it live (no limit to the amount of times it can be viewed) for $49.95 or audio recording (CD) for $69.95 prior to completing online registration.

TelSpanWeb System Requirements to View Webinar on Computer:

   Operating Systems:

  • Windows XP, Windows Vista, Windows 7, Windows 8
  • MAC OS X v10.4 or Higher
  • Linux
  • Solaris

Internet Browsers:

  • Internet Explorer 7 or Higher (Windows)
  • Firefox 4 or Higher
  • Safari 4 or Higher
  • Google Chrome 2 or Higher

Stable Internet Connection, DSL or Above:

  • 100 kbps for Video Transmission
  • 300kbps for Screen Sharing and Remote Control
  • Recommended 500kbps to ensure fluidity of all Services

Flash Player 10.3 or Newer: http://get.adobe.com/flashplayer

Disabled pop-up blockers

Computer speakers for participants listening over the computer


In order to ensure successful connection to your upcoming meeting, please take a moment to conduct a system test by clicking this link: http://web.telspan.com/systemcheck

Contact Us

If you have questions about registration or logistics for this webinar conference, please contact the Webinar Conference Manager:

Michelle Gawenda • Gawenda Seminars & Consulting, Inc. • 661.350.6187

If you wish to contact Rick Gawenda directly, you may fill out our contact form.


If you want to pay by check, complete the Printable Registration Form and submit with your payment to the address listed at the bottom of the registration form.


December 12th
1:00 pm - 2:30 pm
$129.00 – $159.00
Event Category:
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