2019 Outpatient Therapy Payment Updates


This 1.5 hour webinar will provide participants with the 2019 outpatient therapy updates as they pertain to physical, occupational and speech therapy services.  Click below to learn more about the course objectives or to purchase by credit card or check.

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Credit Card Payment:  Choose an option above and add to cart


To pay by check, please fill out the REGISTRATION FORM BY CHECK and submit with your payment to the address on the form. If you have any questions, please contact Michelle at 661.350.6187. 


It’s a new year and with that, 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 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. In addition, there is one deleted CPT code and 2 new CPT codes that will become effective with dates of service on and after January 1, 2019 that may be applicable to PT, OT and/or SLP services. In addition, this webinar will discuss the status of functional limitation reporting for traditional Medicare as well as Medicare Advantage plans. Finally, the webinar will discuss the new modifiers that will be required to append to CPT codes for services provided by physical therapist assistants and occupational therapy assistants.

This 1.5-hour webinar will provide participants with the following details:

  • 2019 Medicare therapy threshold dollar amount
  • 2019 Medicare use of KX modifier
  • Medical review process for Medicare beneficiaries exceeding $3000 in 2019
  • 2019 Medicare Part B deductible and its impact on the annual therapy threshold dollar amount
  • Detailed review of new and deleted CPT codes in calendar year 2019
  • Current status of Functional Limitation Reporting in 2019 for traditional Medicare and Medicare Advantage plans


At the conclusion of this webinar presentation, participants will be able to:

  1. List the new and deleted CPT codes for calendar year 2019
  2. Understand what interventions and services are included in the new and revised CPT codes
  3. Identify the 2019 therapy cap threshold, use of the KX modifiers and the targeted medical review process for claims exceeding $3,000
  4. Understand what the 2019 Part B deductible is and its impact on the therapy threshold
  5. List the 2019 conversion factor and its impact on payment under Medicare
  6. Recite the current status of functional limitation reporting in 2019 for traditional Medicare and Medicare Advantage plans
  7. Name the new modifiers to distinguish services provided by a PTA or OTA


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”.


Physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants, speech-language pathologists, private practice owners and practice administrators, billing companies, office managers at private practices, as well as compliance officers, risk managers, directors, managers, supervisors, and billers in skilled nursing facilities, hospital outpatient therapy departments, rehabilitation agencies, home health agencies, comprehensive outpatient rehabilitation facilities, and billing companies.


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.


A certificate of attendance will be available upon purchase of the webinar 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 listened to via a CD of the live presentation that occurred on January 10, 2019.


Time:  Approximately 1 hours and 35 minutes  (including Q&A time recorded)


There are no refunds once your order has been processed since the handouts/links will be emailed to you immediately after your order has been completed. CD’s will be mailed the following business day by regular US mail.

System Requirements Required To View Webinar Playback Link On Computer:

Venue system requirements:

  • Microsoft Internet Explorer 7+, Mozilla Firefox 2.5+, Safari, or Chrome
  • 1024 x 768 screen resolution
  • Stable Internet connection, DSL or above
  • Wired Internet connection; wireless is not recommended
  • Flash Player 9 or higher
  • Disabled pop-up blockers
  • Computer speakers for participants

Note:  Android Smart Phones (i.e. IPhone) are not compatible.

In order to ensure successful connection to the playback webinar link, please take a moment to conduct a system test by clicking this link: http://web.telspan.com/systemcheck

***Application Sharing does not need to be operational in order to view this webinar playback link.


*** This WEBINAR PLAYBACK LINK/CD and HANDOUTS  is not to be distributed outside of your organization. If you have a larger organization and have multiple locations, then please contact us at seminars@gawendaseminars.com for pricing.


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

Michelle Gawenda at 661.350.6187 or contact Rick or Michelle via email by filling out our contact form.