An accurate understanding of the CPT coding and billing process is critical for rehab professionals. 2025 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 webinar will teach participants which CPT codes are service-based and which CPT codes are time-based. In addition, the webinar will teach participants what interventions are included within each CPT code. 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. The webinar will review Medicare’s 8-minute rule and the definition of substantial time-based CPT codes per the American Medical Association (AMA) in order to bill correctly to insurance carriers who do not adhere to Medicare’s 8-minute rule. Billing scenarios will be discussed and reviewed to ensure speech-language pathologists can accurately charge patients correctly for their services not only to the Medicare program but also to non-Medicare insurance carriers.
This webinar is appropriate for speech-language pathologists who provide outpatient therapy services to pediatrics, adults, and geriatrics.
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
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. 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.woocommerce-345137-2568417.cloudwaysapps.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.
This webinar is appropriate for speech-language pathologists who provide outpatient therapy services to pediatrics, adults, and geriatrics.
In addition to the expertise and advice presented during this online course conference, you’ll also receive a handout (in PDF format) that will include related references. The NCCI Edit cheat sheet will also be included.
This online course 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 online course 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. We provide no additional information for CEU approval.
Approximately 1 hours and 30 minutes (including Q&A time recorded) The online course was presented on January 22, 2025.
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.
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*** 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.
