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PAYMENT BY CHECK:
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For calendar year 2019, the Centers for Medicare and Medicaid Services (CMS) has added physical therapists (PTs) and occupational therapists (OTs) in private practices (submit claims on a 1500-claim form) as a Merit-Based Incentive Payment System (MIPS) eligible clinician. For performance year 2019, only 2 categories will apply to PTs and OTs in private practice; quality measures and improvement activities. MIPS applies only to Private Practices and no other settings.
This webinar will teach participants the 2019 quality measures, how each measure can be reported (claims vs registry), which G-codes will count as the performance being met or the quality measure being excluded from the Performance Rate, how to score 100% for each quality measure and how the points for each measure will be determined by the Centers for Medicare and Medicaid Services (CMS). The webinar will provide participants with possible Improvement Activities that can be reported by PTs and OTs and give examples of high-weighted and medium-weighted Improvement Activities. Finally, the webinar will provide some case scenario’s showing how your score will be calculated by CMS and what your score means in terms of a payment adjustment in 2021.
At the conclusion of this webinar presentation, participants will be able to:
- List the Quality Measures available for PTs and OTs in 2019
- Recite how the Quality Measures can be reported to CMS (claims vs registry)
- Compare the PT & OT specialty set versus the Physical Medicine specialty set quality measures
- Explain how many Quality Measures must be reported by PTs and OTs in 2019
- Clarify what percent of patients the Quality Measures must be reported on for claims-based reporting and registry reporting
- Understand how each measure is scored and how the Performance Rate will determine your score for each quality measure
- Differentiate between the G-codes within each measure and know which one(s) need to be reported to maximize your score for that Quality Measure
- Name some Improvement Activities that are high-weighted and name some Improvement Activities that are medium-weighted
- Calculate their estimated score for the 2019 MIPS Performance Period
- Pros and Cons of reporting via claims vs registry
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 and occupational therapists in private practices, office managers, administrators and owners of private practices, and billers and billing companies of private practices
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 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 February 6, 2019.
LENGTH OF TIME FOR PLAYBACK or AUDIO FILES:
Time: Approximately 2 hours and 8 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 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.