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
facilities
At the conclusion of this webinar presentation, participants will:
1. Identify when maintenance therapy services can be a covered benefit by the Medicare program
2. Recite the settings where functional improvement must occur for payment to occur and settings where functional
improvement is not required for payment
3. Define difference between rehabilitative therapy and maintenance therapy
4. Describe how documentation can support skilled care was required and provided
5. Understand how maintenance therapy impacts the annual therapy threshold
6. Be able to explain how to bill for maintenance therapy on your respective claim forms
Physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants, speech-language pathologists, private practice owners and practice administrators, coders 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, schools, 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 references.
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.
Register for the event before 11:30am EDT on April 17, 2019.
When you register, you’ll receive a confirmation e-mail that serves as your receipt. Approximately 5 days before the webinar conference, you will receive a separate email that provides you with instructions for accessing the call and a handout attachment. If you register within 5 days of April 17, 2019, instructions will be emailed the evening of the day you registered (after 6:00PM pacific time). 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 the webinar conference via speaker phone, follow along with the session handout, and participate in a live, interactive Question and Answer session. Registration includes ONE DIAL-IN CONNECTION AND/OR COMPUTER CONNECTION (you can gather as many people at that location as you wish), an electronic handout, and a certificate of completion for participants.
PLEASE NOTE: ONE REGISTRATION PROVIDES YOU WITH ONE PHONE AND/OR 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