Please join us as Gawenda Seminars & Consulting, Inc. presents “Maintenance Therapy Under The Medicare Program” webinar conference on August 2, 2016 from 1:00PM – 2:30PM eastern daylight time. It has been over 2 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. To register online with a credit card, click HERE. To register by check, click Printable Registration Form, complete the form and mail with check to the address listed on the registration form.
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 cap
6. Be able to explain to Medicare beneficiaries the requirements to receive maintenance therapy
ABOUT THE SPEAKER:
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. and Director of Finances for Kinetix Advanced Physical Therapy Inc., a private practice located in southern California. 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”.
WHO SHOULD LISTEN:
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.
INCLUDED IN YOUR MATERIALS PACKET:
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.
Audio – phone connection required only if your computers do not have speakers or you will not be at a computer.
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. If no speakers on your computer or unable to be at a computer, participants will need to call in to the phone number provided to them to hear the audio portion. You will need adobe flash.
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.
HOW THE WEBINAR CONFERENCE WORKS
Register for the event before 11:30am EDT on August 2, 2016.
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 August 2, 2016, 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: firstname.lastname@example.org. 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.
Written requests for refunds received on or before July 19, 2016, will receive a refund less a $60 processing fee; fees are nonrefundable after this date. There are no refunds for no shows or any other reasons after July 19, 2016. We are not responsible for organization fire walls or computer software issues that may interfere and/or prohibit your connection to the webinar portion of the presentation. Email your request for a refund to the conference coordinator: email@example.com.
PLAYBACK LINK or AUDIO RECORDINGS
Playback link or CD recordings (audio only) are NOT included with registration, but registrants have an option to purchase a playback link for $49.95 or CD recording (audio only) for $69.95 prior to completing online registration. Playback link is best option as you are able to view and listen to the webinar live on your computer as many times as you would like and the playback link is emailed 24-48 hours after the completion of the webinar where CD’s will take 10-14 days for delivery.
TelSpanWeb System Requirements to View Webinar:
• Windows XP, Windows Vista, Windows 7, Windows 8
• MAC OS X v10.4 or Higher
• Internet Explorer 7 or Higher (Windows)
• Firefox 4 or Higher
• Safari 4 or Higher
• Google Chrome 2 or Higher
Stable Internet Connection, DSL or Above:
• 100 kbps for Video Transmission
• 300kbps for Screen Sharing and Remote Control
• Recommended 500kbps to ensure fluidity of all Services
Flash Player 10.3 or Newer: http://get.adobe.com/flashplayer
Disabled pop-up blockers
Computer speakers for participants listening over the computer
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
If you have questions about registration or logistics for this webinar conference, please contact the Webinar Conference Manager:
Michelle Gawenda • 661.350.6187 • firstname.lastname@example.org
If you wish to contact Rick Gawenda directly, you may email him: email@example.com or visit his website at: https://gawendaseminars.com
REGISTER ONLINE WITH A CREDIT CARD: Click HERE
If you want to pay by check, complete the Printable Registration Form and submit with your payment to the address listed at the bottom of the registration form.