Don’t Be Surprised Regarding the Good Faith Estimate Requirement

The No Surprises Act was enacted as part of the Consolidated Appropriations Act, 2021, which became law on December 27, 2020. Subpart G – Protection of Uninsured or Self-Pay Individuals, does apply to outpatient physical, occupational and speech therapy services provided in all outpatient therapy settings, including private practices and does include cash-based therapy practices as well as out-of-network providers.

Date

January 27, 2022
Expired!

Time

1:00 pm - 2:30 pm

Speaker

  • Rick Gawenda, PT
    Rick Gawenda, PT
    President

    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. 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”.

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On July 13, 2021, 4 Agencies, including the Centers for Medicare and Medicaid Services (CMS), Department of Health and Human Services published an interim final rule titled Requirements Related to Surprise Billing; Part 1 in the Federal Register. On October 7, 2021, 4 Agencies, including CMS published an interim final rule titled Requirements Related to Surprise Billing; Part 2 in the Federal Register.

This webinar will teach participants what they need to know regarding Part 149 – Surprise Billing and Transparency Requirements, Subpart G – Protection of Uninsured or Self-Pay Individuals of the No Surprises Act that went into effect on January 1, 2022. Subpart G – Protection of Uninsured or Self-Pay Individuals, does apply to outpatient physical, occupational and speech therapy services provided in all outpatient therapy settings, including private practices and does include cash-based therapy practices as well as out-of-network providers. Essentially, if you provide outpatient physical, occupational and/or speech therapy services, this Good Faith Estimate requirement applies to you.

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

661.350.6187

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