Webinar: 2019 Maintenance Therapy Under The Medicare Program

Please join us as Gawenda Seminars & Consulting, Inc. presents “Maintenance Therapy Under The Medicare Program” webinar conference on April 17, 2019 from 1:00PM – 2:30PM eastern daylight time. It has been over 5 years since the Centers for Medicare and Medicaid Services (CMS) issued revised portions of the various CMS manuals pertaining to home health, inpatient rehabilitation facilities, skilled nursing facilities, and outpatient therapy settings and the coverage of maintenance therapy in those settings; however, I still receive questions of what is maintenance therapy, when is it covered by the Medicare program, in what settings is it covered, and who can provide maintenance therapy as it applies to therapy services. This webinar will answer those 4 questions plus much much more.



April 17, 2019


1:00 pm - 2:30 pm

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  • Rick Gawenda, PT
    Rick Gawenda, PT

    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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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.

In accordance with the Jimmo v. Sebelius Settlement Agreement, the Centers for Medicare & Medicaid Services (CMS) issued revised portions of the relevant chapters of the program manual used by Medicare contractors in January 2014, in order to clarify that coverage of skilled therapy services “…does not turn on the presence or absence of a beneficiary’s potential for improvement, but rather on the beneficiary’s need for skilled care.”

This 1.5-hour webinar program will explain the significant aspects of the manual changes that include:

• No “Improvement Standard” is to be applied in determining Medicare coverage for maintenance claims that require
skilled care
• Enhanced guidance on appropriate documentation
• Nothing in this Settlement Agreement modifies, contracts, or expands the existing eligibility requirements for receiving
Medicare coverage
• Skilled therapy services versus non-skilled therapy services

The webinar will discuss maintenance therapy with examples in the following settings:

• Home Health
• Skilled Nursing Facility
• Inpatient Rehabilitation Facility
• Outpatient settings including private practice, hospital outpatient departments, rehabilitation agencies, and skilled nursing

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


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