Since 2018, inflation has risen by 22%. This means what took $1.00 to purchase an item in 2018 now takes $1.22 to purchase the same item in 2023. Unfortunately, insurance reimbursement has not risen 22% over the same 5-year period. In fact, taking into account inflation, you are actually being paid less in 2023 than you were in 2018, yet your expenses, especially health insurance, have increased drastically. For example, the Medicare conversion factor has decreased 9% since 2018.
Due to this inverse relationship, more and more physical therapists (PTs), occupational therapists (OTs), and speech-language pathologists (SLPs) have decided to either unenroll or not enroll with Medicare Advantage plans and commercial insurance carriers. This is known as being out-of-network (OON). However, many PTs, OTs and SLPs do not understand how to bill when they are out-of-network with an insurance plan.
This 1-hour webinar will teach participants the correct way to bill a patient for an outpatient therapy visit when the provider is not enrolled with the patient’s insurance carrier. In addition, the webinar will teach participants what they must still do each visit regarding documentation and billing even though they have no contractual relationship with the insurance carrier.
At the conclusion of this webinar presentation, participants will be able to:
- Describe the difference between In-Network and Out-of-Network with an insurance carrier
- Understand limitations of collecting payment from some Medicare Advantage beneficiaries
- Recite documentation requirements if you are out-of-network with an insurance carrier or plan
- Identify what information you must provide to a patient who is submitting a claim to their insurance carrier
- Explain the difference between accepting assignment and not accepting assignment
- Summarize what information an insurance carrier may or may not be able to share with you if you have no contractual relationship with that insurance carrier
- Determine if the patient pays you at the time of service versus the insurance carrier reimbursing you
Physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants, speech-language pathologists, private practice owners and practice administrators, and office managers at private practices, as well as directors, managers, supervisors, compliance officers, risk managers, 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.
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. No phone lines will be available for this webinar.
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 EDT on September 18, 2024.
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.
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 Webinar 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