Therapists, assistants, practice owners, therapy directors and managers, office managers, billers, and billing companies do not understand how the multiple procedure payment reduction (MPPR) is calculated, how MPPR impacts your payment, and how MPPR impacts all disciplines of therapy provided on the same date of service by the same therapy practice or organization.
This 1-hour course will teach participants what the multiple procedure payment reduction (MPPR) policy is, how MPPR is applied to the CPT codes by the Medicare contractor, which CPT codes MPPR applies to, how to calculate the MPPR reduction, and how MPPR impacts all therapy disciplines provided the same date of service by the same practice or organization.
Examples will be provided to show participants how MPPR impacts payment when a patient is receiving 1 discipline of therapy on a date of service, 2 disciplines of therapy on the same date of service, and all 3 disciplines of therapy on the same date of service.
At the conclusion of this course, participants will be able to:
- Conclude which relative value unit the multiple procedure payment reduction policy impacts
- Recall the percent reduction of the practice expense relative value unit under MPPR
- Calculate how the Medicare program applies the MPPR reduction to each unit of each CPT code
- Understand which CPT codes the MPPR policy applies to
- Recognize the claim adjustment reason code identifying the multiple procedure payment reduction
Rick Gawenda, P.T., graduated in 1991 with a Bachelor of Science in Physical Therapy from Wayne State University, Detroit, Michigan. Rick 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. Rick’s website, www.gawendaseminars.com, provides a valuable source of information on rehabilitation rules and regulations, coding, documentation, and reimbursement.
He is a member of the American Physical Therapy Association (APTA) and Michigan Physical Therapy Association (MPTA). Rick 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.
Rick 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, coders and office managers at private practices, as well as directors, managers, supervisors, billing companies, and billers in skilled nursing facilities, hospital outpatient therapy departments, schools, rehabilitation agencies, home health agencies, and comprehensive outpatient rehabilitation facilities.
In addition to the expertise and advice presented during this course, you’ll also receive a handout (in PDF format) that will include related reference links.
This 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 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 course. We provide no additional information for CEU approval.
This course was approximately 1 hour (including Q&A)
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 this online course, 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 to view this course recording link.
*** This COURSE RECORDING 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.
