In college, therapists and assistants receive 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 online course will focus on topics that “veteran” therapists and assistants as well as recent graduates may not know and/or completely understand.
This online course 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 and how it reduces your payment
At the conclusion of this online course, participants will:
- 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
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.
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.
Online Course – 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. No phone lines will be available for this online course.
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.
Register for the event on or before 12:45pm EST on February 10, 2027.
When you register, you’ll receive a confirmation email 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 11:00am EST. 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.
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.
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.
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 72 business hours after the completion of the webinar.
If you know you will not listen live, you do not need to purchase the playback link for an additional $49.95.
TelSpanWeb System Requirements to View Course on 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
Rick Gawenda, PTPresident