Gawenda

How to Bill When You are Out-of-Network

Please join us as Gawenda Seminars & Consulting, Inc. presents “How to Bill When You are Out-of-Network” webinar conference on September 18, 2024 from 1:00PM – 2:00PM eastern daylight time. This webinar will provide participants with information on how to bill and be reimbursed when you are out-of-network with a Medicare Advantage plan as well as with commercial insurance carriers.

Online registration for this webinar has closed. If you would still like to register for this webinar to listen live today, please call Michelle at 661-350-6187.!

Date

September 18, 2024
Expired!

Time

Eastern Time Zone
1:00 pm - 2:00 pm

Cost

$79.00

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.woocommerce-345137-2568417.cloudwaysapps.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”.

QR Code

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

To register online with a credit card, purchase a ticket at the bottom of this page. The only way to register for this webinar 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.

Can’t Listen Live? 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 send you a playback link of the actual live presentation and the handouts.

If you know you will not listen live; you do not need to purchase the playback link for an additional $49.95. If you will listen live and want the playback link, add on the playback for an additional $49.95. The playback link can be viewed on your computer as many times as you would like, and audio comes through your computer speakers.

The Playback link is emailed within 72 business hours after completing the webinar.

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.

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

661.350.6187

Contact Form