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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, the Centers for Medicare and Medicaid Services (CMS) has updated who can provide maintenance therapy in the outpatient therapy setting as well as clarified student documentation in the medical record and the use of a scribe documenting in the therapy medical record. In addition, I will provide the latest information on CPT code 99072 and the ability of a therapist to bill this CPT code for additional supplies and/or clinical time due to COVID-19. Lastly, will Medicare reimbursement decrease by over 9% in calendar year 2021 and what insurance carriers will continue to pay for telehealth in 2021? These questions will be answered in this webinar.
At the conclusion of this webinar presentation, participants will be able to:
- Identify the 2021 therapy threshold, use of the KX modifiers and the targeted medical review process for claims exceeding $3,000 in calendar year 2021
- Understand what the 2021 Part B deductible is and its impact on the annual therapy threshold
- Recall the 2021 conversion factor and its impact on payment under Medicare Part B therapy services
- Explain the role of the physical therapist assistant and occupational therapy assistant providing maintenance therapy in the outpatient therapy setting
- List what states can participate in TRICARES’ low back demonstration project
- State the current status of telehealth with traditional Medicare and major commercial insurance carriers
- Understand when it’s appropriate to bill CPT code 99072 and the current payment status of this code by the Medicare program and commercial 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”.
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, rehabilitation agencies, home health agencies doing Part B in the home, 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 reference links.
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 December 15, 2020.
LENGTH OF TIME FOR PLAYBACK or AUDIO FILES:
Time: Approximately 1 hour and 40 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.
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 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 email@example.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.