Complying With The Good Faith Estimate Requirement in 2025
This 1.5 hour online course will teach participants what the Good Faith Estimate (GFE) is, to which insurance carriers and patients the GFE applies to, what are the required elements of a GFE and explain the patient-provider dispute resolution process.
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2025 Outpatient Therapy Regulatory and Payment Updates
This online course will provide participants with regulatory and payment changes that will impact outpatient physical, occupational and speech therapy services in calendar year 2025. It’s a new year and with that, new, revised and deleted CPT codes become effective on January 1, 2024 and payment changes occur in terms of the annual Medicare therapy threshold dollar amount, use of the KX modifier for claims exceeding the therapy threshold, the targeted medical review process for claims exceeding $3000 in a calendar year and the annual Medicare Part B deductible and its impact on the annual therapy threshold dollar amount.
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Establishing Your Budget and Metrics for 2025
This online course will teach you what metrics you should track on a monthly basis, at minimum, and how to establish your budget for outpatient therapy services in 2025.
Participants will also receive Gawenda Seminars & Consulting budget tracking documents in an excel format that can be customized by the participant to meet the needs of your practice.
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Understanding ICD-10 as it Applies to Pelvic Health
The online course will build upon the basics of ICD-10 by providing in-depth ICD-10 coding and documentation scenarios for physical therapy services with a focus on pelvic health conditions. A hands-on approach using case scenarios will be used to teach participants what key words must be documented and how to select the most appropriate ICD-10 codes to place on the claim based on their documentation. In addition, the course will discuss when the 7th character is required and distinguish between the initial encounter, subsequent encounter and sequela. This intermediate to advanced session includes coding resources and additional tips related to transitioning to ICD-10.
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How to Bill When You are Out-of-Network
This 1-hour online course will teach participants:
- Difference between accepting assignment, not accepting assignment, and providing a superbill
- The correct way to bill a patient for an outpatient therapy visit when the provider is not enrolled with the patient's insurance carrier
- Documentation requirements even though you have no contractual relationship with the insurance carrier
- Factors to consider when determining whether to go out-of-network or stay in-network
- Balance billing patients for outpatient therapy services
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Understanding MPPR and Its Impact on Your Payment
This 1-hour online course presented on August 14, 2024 will teach participants:
- Explaining the multiple procedure payment reduction (MPPR) policy
- Which CPT codes MPPR applies to
- How MPPR is applied to the CPT codes by the Medicare contractor
- How to calculate the MPPR reduction
- How MPPR impacts all therapy disciplines provided the same date of service by the same practice or organization
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Understanding ICD-10 As It Applies to Outpatient Therapy and Orthopedic Conditions
This 2-hour online course is intended for the beginner to an immediate physical therapist, occupational therapist, and/or coder and will thoroughly explain and answer many of the questions that you may have concerning the 7th character and when is one required and which one do I use, Excludes1 and Excludes2 meanings, how to select the correct ICD-10-CM code(s) based on the physician's order and/or therapist initial evaluation documentation, and the difference between ICD-10-CM coding guidelines and what an insurance carrier requires
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NCCI Edits & Modifier 59: Version 30.2
This 1-hour online course program will explain NCCI edits, the use of modifier 59 and what code(s) to append modifier 59 to on the claim form as well as provide the participants with any significant changes to the procedure-to-procedure (PTP) edits effective beginning on July 1, 2024 (version 30.2) that will impact outpatient physical, occupational and speech therapy services. In addition, the online course will provide detailed and realistic examples when providers of outpatient therapy services would utilize modifier 59. Examples will include all 3 disciplines as well as how speech therapy billing impacts the physical and occupational therapy codes billed the same day. This webinar was presented on June 12, 2024.
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Artificial Intelligence – A Crash Course for Rehab Therapy
This 1.5-hour online course will teach participants how artificial intelligence can assist providers of outpatient therapy services in a variety of ways; including selecting and billing the most appropriate CPT code(s), increasing patient retention, and decreasing burnout while staying compliant. Join Dr. Pedro Teixeira to learn about how AI is already making life easier for administrators and therapists, and what near term possibilities exist in physical, occupational and speech therapy.
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Evaluating and Improving Your Revenue Cycle
The 1.5-hour online course will provide you with the tools to learn how to evaluate the revenue cycle process and provide ideas for improving the process.
Can you answer the following questions? What is your DSO, ARC Ratio and Collection Percentage? What percentage of your AR is in the 90+ category? What is your denial management process? What is your refund identification and management process? How do all the team members affect your Revenue Cycle?
This webinar occurred on March 13, 2024.
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Providing Maintenance Therapy to Medicare Beneficiaries
This webinar occurred on February 08, 2024
This 1.5-hour online course will teach participants the rules and regulations regarding providing maintenance therapy not only to traditional Medicare beneficiaries, but also Medicare Advantage beneficiaries. The webinar will discuss providing maintenance therapy in Home Health Part A, Skilled Nursing Facility Part A, Inpatient Rehabilitation Facility, and Outpatient settings which include private practice, hospital outpatient departments, rehabilitation agencies and skilled nursing facilities.
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2024 CPT Coding and Billing for Speech Therapy Services
This 1.5-hour online course will teach speech-language pathologists how to report the correct CPT code(s) based on interventions provided and documentation in the medical record, define the definition of substantial of a time-based CPT code and will provide case scenarios to teach participants how to bill correctly to the Medicare program as well as commercial insurance carriers.
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2024 CPT Coding and Billing for Physical and Occupational Therapy
This 2.5-hour online course will teach participants what CPT code(s) to bill dependent upon their intent and documentation in the medical record. In addition, the webinar will provide case scenarios to teach participants how to bill correctly to the Medicare program as well as non-Medicare insurance carriers.
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Remote Therapeutic Monitoring for Outpatient Physical and Occupational Therapy in 2024
This 2-hour online course will teach therapists and assistants how to provide, document, and bill for remote therapeutic monitoring services for patients under an outpatient physical and/or occupational therapy.
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2024 MIPS for Physical, Occupational and Speech Therapy Services
This 2-hour online course will assist physical therapists, occupational therapists, and speech-language pathologists in private practices, office managers of private practices, administrators and owners of private practices, and billers and billing companies of private practices in their preparation to report MIPS for the 2024 Performance Period.
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Complying With The Good Faith Estimate Requirement in 2024
This 1.5 hour online course will teach participants what the Good Faith Estimate (GFE) is, to which insurance carriers and patients the GFE applies to, what are the required elements of a GFE and explain the patient-provider dispute resolution process.
Click below to learn more about the course objectives or to purchase by credit card or check.
2024 Outpatient Therapy Regulatory and Payment Updates
This online course will provide participants with regulatory and payment changes that will impact outpatient physical, occupational and speech therapy services in calendar year 2024.
Click below to learn more about the course objectives or to purchase by credit card or check.
Understanding the ABN for Outpatient Therapy Services
This 1-hour online course will teach participants when they can and can't issue an advance beneficiary notice of noncoverage (ABN) to a Medicare beneficiary, how to complete the ABN form correctly and provide answers to many of the questions providers of therapy services have regarding the ABN.
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ICD-10 for Pediatric PT, OT and SLP Outpatient Therapy Services
The 2-hour online course will build upon the basics of ICD-10 by providing in-depth ICD-10 coding and documentation information for pediatric outpatient physical, occupational and speech therapy services. This webinar occurred on September 13, 2023.
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Creating an Award Winning Culture that Delivers Recruiting Success, Employee Engagement, & Employee Retention
This webinar occurred on May 24, 2023.In this 1-hour webinar, you will learn some of secrets to building an award-winning culture that will attract quality healthcare professionals, see them become engaged employees, and stay with the organization.
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2023 Documentation for Everything after the Initial Evaluation for PT, OT, & SLP
This webinar occurred on April 19, 2023. The 2-hour webinar will assist physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants and speech-language pathologists in understanding the required elements of documentation for a progress report, daily note, discharge report for all insurance carriers plus the Medicare Part B certification and recertification requirements.
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2023 Documentation for Evaluations and Reevaluations for PT, OT, and SLP
This webinar occurred on March 8, 2023. The 2-hour webinar will assist physical therapists, occupational therapists, and speech-language pathologists in understanding the required elements of documentation for an initial evaluation and reevaluation.
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Outpatient Therapy Compliance Programs: Key Elements You MUST Have!
This webinar occurred on February 16, 2023. The 1.5-hour webinar will teach participants the key items that should be monitored and audited to meet outpatient therapy regulatory compliance.
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Dispelling the Most Common Outpatient Therapy Myths
This webinar will dispel over 20 common myths that exist in outpatient physical, occupational and speech therapy.
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Understanding ICD-10 as It Applies to Outpatient Speech Therapy Services
This 2-hour webinar program will build upon the basics of ICD-10 by providing in-depth ICD-10 coding, documentation and payment information for speech-language pathology therapy services.
Click below to learn more about the course objectives or to purchase by credit card or check.
Understanding ICD-10 As It Applies to Outpatient Therapy and Orthopedic Conditions
This 2-hour webinar is intended for the beginner to an immediate physical therapist, occupational therapist, and/or coder and will thoroughly explain and answer many of the questions that you may have concerning the 7th character and when is one required and which one do I use, Excludes1 and Excludes2 meanings, how to select the correct ICD-10-CM code(s) based on the physician's order and/or therapist initial evaluation documentation, and the difference between ICD-10-CM coding guidelines and what an insurance carrier requires
Click below to learn more about the course objectives or to purchase by credit card or check.
Medicare 201: Beyond the Basics
This webinar will teach participants about topics that are typically not taught in onsite seminars, at national conferences, and definitely not in college. Topics discussed will include, but are not limited to Multiple Procedure Payment Reduction policy, out-of-network payment for Medicare Advantage patients, outpatient therapy provided to a Medicare beneficiary in hospice, participating vs non-participating provider with Medicare, and the CQ/CO therapist/therapy assistant modifier.
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Scheduling, CPT Coding, Billing, and Productivity: How They All Interrelate for Outpatient Therapy
This webinar will teach participants how scheduling, understanding of what interventions are included within each CPT code, and billing differences between traditional Medicare and commercial insurance carriers all impact the productivity of a therapist or an assistant, thus having a financial impact on the success of the practice or therapy department. In addition, I will discuss metrics PTs, OTs and SLPs should be tracking on a weekly or monthly basis in their organization to ensure its financial success and explain how more units per visit may not always mean more money per visit.
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The Path to More Completed Plans of CARE: Can it Be as Simple as Your Front Desk?!
This webinar will teach you how, by optimizing your Front Desk, you can improve your entire practice. You can reduce operational costs, improve patient metrics and grow overall profit…without any added costs.
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