An accurate understanding of the coding and billing process is critical for rehab professionals. 2021 CPT Coding & Billing for Speech Therapy Services covers the correct use of CPT codes used by speech-language pathologists and speech-language assistants in all outpatient settings including private practice, hospital-based outpatient departments, rehabilitation agencies, schools, comprehensive outpatient rehabilitation facilities, skilled nursing facilities doing Part B and in a patient’s home.
The course will review the definition of substantial time-based CPT codes per the American Medical Association (AMA) in order to bill correctly to the Medicare program and private insurance carriers. Billing scenarios are discussed and reviewed to ensure speech-language pathologists can accurately charge patients correctly for their services. Lastly, the webinar will review National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits and the use of Modifier 59 as they pertain to outpatient speech therapy services.
At the conclusion of this webinar presentation, participants will be able to:
- Be able to select and bill the appropriate CPT code based on the type of speech therapy evaluation performed
- Describe & understand how to select the correct treatment CPT code(s) based on interventions provided
- Understand how to bill for the evaluation for a speech-generating communication device
- Differentiate between one-on-one interventions and group therapy
- Define “per hour”, “each additional 15-minutes”, and “each additional 30-minutes” and what is a substantial portion of a time-based CPT code to the bill to Medicare and private insurance carriers
- Define and distinguish between column 1/column 2 NCCI PTP edits
- Be able to read the NCCI edit chart correctly and apply modifier 59 to the correct CPT code on the claim form
- Understand how what SLP’s bill may impact PT and OT reimbursement when patients are seen on the same day
- Be able to charge correctly for the services you provide under outpatient therapy benefits for Medicare and private insurance carriers
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”.
Speech-language pathologists, speech-language assistants, private practice owners, and practice administrators, office managers at private practices, as well as administrators, directors, managers, and supervisors in skilled nursing facilities, hospital outpatient therapy departments, schools, rehabilitation agencies, home health agencies providing Part B SLP services in the home, 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 as well as supplemental modifier 59 “cheat sheet” to assist the provider in identifying which CPT code(s) require modifier 59 appended to them.
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 playback link of the live presentation that occurred on January 21, 2021.
LENGTH OF TIME FOR PLAYBACK or AUDIO FILES:
Time: Approximately 1 hour and 37 minutes (including Q&A time recorded)
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.
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
- Disable pop-up blockers
- Computer speakers for participants
Note: Android Smart Phones (i.e. iPhone) are not compatible.
In order to ensure a 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 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 here for pricing.
