Medicare 201: Beyond the Basics
Please join us as Gawenda Seminars & Consulting, Inc. presents “Medicare 201: Beyond the Basics” webinar conference on July 22, 2021 from 1:00PM – 2:30PM eastern daylight time. This webinar will teach participants about topics that are typically not taught in onsite seminars, at national conferences and definitely not in college. Topics discussed will include, but are not limited to Multiple Procedure Payment Reduction policy, out-of-network payment for Medicare Advantage patients, outpatient therapy provided to a Medicare beneficiary in hospice, participating vs non-participating provider with Medicare, and the CQ/CO therapist/therapy assistant modifier.
To register online with a credit card, purchase a ticket at the bottom of this page. The only way to register is online with a credit card. We do not take Purchase Orders (PO’s) from any organization!
One registration allows as many people to watch and listen to the webinar on one computer 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. This webinar is NOT being submitted for CEUs by Gawenda Seminars & Consulting, Inc. to any national or state association. We do not provide any agenda or other material that you may need if you want to submit to your state or national association.
Can’t Listen Live on July 22nd? Not a problem. Register for the webinar below, 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 within 72 business hours after the completion of the webinar.
COURSE DESCRIPTION:
In college, therapists and assistants get very little education and training in the business and compliance aspect of outpatient physical, occupational and/or speech therapy services. If they do, it is usually limited to the basics of CPT coding, documentation and perhaps, some billing. This webinar will focus on topics that “veteran” therapists and assistants as well as recent graduates may not know and/or completely understand.
This webinar will discuss the following topics:
- How does CMS determine the payment for each CPT code
- How is the multiple procedure payment reduction applied and how does it impact your payment
- CQ and CO therapist/therapy assistant modifiers
- When to and when not to issue an advance beneficiary notice of noncoverage (ABN)
- How does the annual Medicare Part B deductible impact the annual therapy threshold
- Explain which Medigap plans cover the annual Part B deductible and 115% limiting charge for nonparticipating providers
- Describe how Medicare Advantage (MA) plans reimburse therapists who are not enrolled in the MA plan
- Recite when you can bill Medicare for outpatient therapy for a Medicare beneficiary in hospice
- Differences and benefits of enrolling as a participating provider vs a nonparticipating provider in Medicare
- Qualified Medicare Beneficiary Program
OBJECTIVES:
At the conclusion of this webinar presentation, participants will be able to:
- Discuss how CMS determines payment for each CPT code
- Describe how the multiple procedure payment reduction policy reduces payment to outpatient therapy providers
- Recognize when to apply the CQ or CO modifier to a CPT code on the claim form
- Identify when it is and is not appropriate to issue an ABN to a Medicare beneficiary
- Recite how the annual Medicare Part B deductible impacts the annual therapy threshold dollar amount
- Explain the different Medigap plans and which plans cover the annual Medicare Part B deductible
- Discuss the Qualified Medicare Beneficiary Program and its impact on your payment for outpatient therapy services
- Describe how Medicare Advantage (MA) plans reimburse therapists who are not enrolled in the MA plan
- Recite when you can bill Medicare for outpatient therapy for a Medicare beneficiary in hospice
- Explain the differences between enrolling as a participating provider vs a nonparticipating provider
- Restate the Qualified Medicare Beneficiary program and its financial impact on a therapy visit
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 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”.
WHO SHOULD LISTEN:
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, 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 reference links.
COURSE FORMAT
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.
CEUs
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. We provide no additional information for CEU approval.
HOW THE WEBINAR CONFERENCE WORKS
Register for the event on or before 12:45pm EDT on July 22, 2021.
When you register, you’ll receive a confirmation e-mail that serves as your receipt. You will receive an email the day prior to the webinar that will provide you instructions on how to access the webinar, test your computer and download the handouts. If you register the day of the webinar, instructions are emailed every half hour beginning at 10:00am EDT. 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 this webinar conference via your computer speakers or a speaker phone, follow along with the session handout on your computer, and participate in a live, interactive Question and Answer session.
PLEASE NOTE: ONE REGISTRATION PROVIDES YOU WITH ONE COMPUTER CONNECTION FOR THE WEBINAR CONFERENCE. You may pay for additional locations where indicated on the registration form.
REFUND POLICY
Due to the short registration period, there are no refunds for no shows or any other reasons once you register and payment is received. We 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 LINK
Playback link is NOT included with registration, but registrants have an option to purchase a playback link for $49.95 prior to completing online registration or send in the additional payment with your registration and check. Playback link allows you to view and listen to the webinar live on your computer as many times as you would like and the playback link is emailed 48-72 business hours after the completion of the webinar.
TelSpanWeb Hardware/Operating Systems/Browser Requirements to View Webinar on Your Computer:
Windows
- 2.0GHz CPU with dual-core processor minimum (Recommended: Quad-core i5 processor or better)
- 4GB of RAM minimum (Recommended: 8GB or more)
- Microsoft® Windows 10®
- Microsoft® Windows 8.x®
- Microsoft® Windows 7® SP1
- Chrome v50 or higher (recommended for best performance), Firefox 49.x or higher
MAC OS
- Mac computer with an Intel processor (Recommended: Dual core 2.0GHz or faster
- 4GB of RAM minimum (Recommended: 8GB or more)
- Mac OS X v10.8 or higher
- Chrome v50 or higher (recommended for best performance), Safari 12.1 or higher, Firefox 49.x or higher
Linux
- 2.4GHz or faster x86-compatible processor or Intel® Atom™ 1.6GHz or faster processor for netbooks
- 4GB of RAM minimum (Recommended: 8GB or more)
- Red hat® enterprise Linux (RHEL) 5
- Novell SUSE® 9.x or higher
- Ubuntu 10 or later
Solaris
- Solaris 10
- Chrome v50 or higher (recommended for best performance), Firefox 49.x or higher
Bandwidth/Ports:
- Minimum 800 kbps upload/download
- Recommended 1.5 mbps upload/download
- WEB SERVER: https traffic on port 443.
- SIGNALING SERVER: https traffic on port 443 (recently changed from port 80).
- MEDIA SERVER API: https traffic on port 443.
Disabled pop-up blockers
Computer speakers for participants listening over the computer
Testing 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.
REGISTER ONLINE WITH A CREDIT CARD: PURCHASE A TICKET ON THIS PAGE
Note: Use the -/+ buttons in the tickets area below to choose the number of tickets you wish to purchase.