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Gawenda Seminars

Seminars and Consulting

Telehealth in 2021: What You Need to Know

Get the latest information on outpatient therapy delivered via telehealth by attending our “Telehealth in 2021: What You Need to Know” webinar on February 4, 2021. Click HERE to learn more and to register.

documentation

Can Students Document in the Medical Record

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A question I often receive is can a physical therapist (PT) student, physical therapist assistant (PTA) student, occupational therapist (OT), occupational therapy assistant (OTA) student or speech-language pathologist (SLP) student document in the medical record for a Medicare beneficiary receiving outpatient therapy services and if yes, what are the co-signature requirements? In this article, I will answer these 2 questions plus a third question applying it to Medicare Advantage and commercial insurance carriers.

Question
Can a PT student, PTA student, OT student, OTA student or SLP student document in the medical record for a Medicare beneficiary receiving outpatient therapy services?

Answer

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Question
If a PTA student or an OTA student documents in the medical record on a Medicare beneficiary receiving outpatient therapy services, can their documentation be co-signed by the supervising PTA or OTA, respectively?

Answer

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Question
How would the above 2 answers apply to Medicare Advantage plans as well as commercial insurance carriers?

Answer

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I hope you found this article helpful. Thank you for being a Gold Member!

CMS Releases CY 2021 Proposed Rule for Services Paid Under the MPFS

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The Centers for Medicare and Medicaid Services (CMS) has released the calendar year (CY) 2021 Proposed Rule for services paid under the Medicare Physician Fee Schedule (MPFS). This would include outpatient physical, occupational and speech therapy services provided in all settings (private practice (both therapist-owned and physician-owned, skilled nursing facilities doing Part B, comprehensive outpatient rehabilitation facilities, rehabilitation agencies, home health agencies providing Part B therapy services in the home and hospital outpatient therapy departments). This proposed rule would not apply to outpatient therapy services provided by critical access hospitals (CAHs) since CAHs are not reimbursed under the MPFS.

Highlights of the proposed rule as they pertain to outpatient therapy services include:

  • CY 2021 Conversion Factor (used to determine payment of CPT codes)
  • Brief online assessment and management services
  • Remote evaluation of patient-submitted video or images and virtual check-ins
  • Telephone assessment and management services
  • Remote physiologic monitoring services
  • Direct supervision by interactive telecommunications technology
  • Revaluation of therapy evaluations and reevaluations for PT and OT
  • Revaluation of speech therapy evaluation CPT codes
  • Therapy assistants furnishing maintenance therapy
  • Therapy student documentation in the medical record
  • Physical, Occupational and Speech Therapy 2021 payment cuts

CY 2021 Conversion Factor

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Brief Online Assessment and Management Services

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Remote Evaluation of Patient-submitted Video or Images and Virtual Check-ins

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Telephone Assessment and Management Services

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Remote Physiologic Monitoring Services

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Direct Supervision by Interactive Telecommunications Technology

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Revaluation of Therapy Evaluations and Reevaluation CPT Codes for PT and OT

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Revaluation of Speech Therapy Evaluation CPT Codes

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Therapy Assistants Furnishing Maintenance Therapy

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Adding Therapy to the Medicare Telehealth Services List

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Physical, Occupational and Speech Therapy 2021 Payment Cuts

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Access Proposed Rule

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I hope you found this article informative. Watch for a separate article on the proposed 2021 Merit-Based Incentive Program (MIPS). Thank you for being a Gold Member!

Do Notes Written by an Assistant Need to be Co-signed?

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A question I have been receiving lately is do notes written by an assistant need to be co-signed/counter-signed by the supervising therapist? For the answer to this question, you must look in 2 places and both must say either no and be silent on this question.

You must first look at your

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Raleigh, NC

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Understanding the Complex World of Therapy Services: Documentation, Coding and Billing for Physical & Occupational Therapy

Join insurance billing expert Rick Gawenda, PT, and learn how to accurately navigate the reimbursement guidelines and regulations as they pertain to outpatient therapy services. Billing scenarios will be reviewed to ensure you can accurately charge patients correctly for their service for Medicare and non-Medicare beneficiaries. At the end of the day, you will leave with a new found understanding of why claims are denied and how to maximize your reimbursement legally and ethically.

If you would prefer to pay by check, please Click HERE to download a printable registration form and send in this form with your check.

CEUs

PT/PTA and OT/COTA Continuing Education (CE) credit provided through CIAO Seminars (www.ciaoseminars.com)

6.5 Hours (0.65 CEUs)

CIAO is an AOTA Approved Provider #P2881 (0.65 AOTA CEUs)

This Course Meets PDU Requirements for NBCOT (6.5 PDUs)

Approved for:

6.5 Hrs. PT/PTAs in OH(OPTA Approval #20S0580)

0.65 CEU’s/6.5 contact hrs. PT/PTAs in TN (#2020-007) Class 1 Continuing Education

6.5 hrs. by the Louisiana Physical Therapy Board (Administrative Category)

6.5 CCUs by the Mississippi Board of Physical Therapy

This activity has been approved by the Texas Board of Physical Therapy Examiners for 6.50 CCUs for PTs and PTAs.

7.5 Hrs PT/PTAs in FL (FPTA Approval #CE20-662977)

Meets Requirements for:

PT/PTAs in AZ, DC, DE, GA, HI, ID, KY, MO, MI, MO, MT, NC, ND, OR, PA, RI, SC, UT, VT, VA, WI, WY

Questions about CEUs?  Contact Cory at CIAO 850-916-8886

 Meets PDU Requirements for NBCOT

The Assignment of AOTA CEUs does not apply endorsement of specific course content, products, or clinical procedures by AOTA.

Charlotte, NC

by

Understanding the Complex World of Therapy Services: Documentation, Coding and Billing for Physical & Occupational Therapy

Join insurance billing expert Rick Gawenda, PT, and learn how to accurately navigate the reimbursement guidelines and regulations as they pertain to outpatient therapy services. Billing scenarios will be reviewed to ensure you can accurately charge patients correctly for their service for Medicare and non-Medicare beneficiaries. At the end of the day, you will leave with a new found understanding of why claims are denied and how to maximize your reimbursement legally and ethically.

If you would prefer to pay by check, please Click HERE to download a printable registration form and send in this form with your check.

CEUs

PT/PTA and OT/COTA Continuing Education (CE) credit provided through CIAO Seminars (www.ciaoseminars.com)

6.5 Hours (0.65 CEUs)

CIAO is an AOTA Approved Provider #P2881 (0.65 AOTA CEUs)

This Course Meets PDU Requirements for NBCOT (6.5 PDUs)

Approved for:

6.5 Hrs. PT/PTAs in OH(OPTA Approval #20S0580)

0.65 CEU’s/6.5 contact hrs. PT/PTAs in TN (#2020-007) Class 1 Continuing Education

6.5 hrs. by the Louisiana Physical Therapy Board (Administrative Category)

6.5 CCUs by the Mississippi Board of Physical Therapy

This activity has been approved by the Texas Board of Physical Therapy Examiners for 6.50 CCUs for PTs and PTAs.

7.5 Hrs PT/PTAs in FL (FPTA Approval #CE20-662977)

Meets Requirements for:

PT/PTAs in AZ, DC, DE, GA, HI, ID, KY, MO, MI, MO, MT, NC, ND, OR, PA, RI, SC, UT, VT, VA, WI, WY

Questions about CEUs?  Contact Cory at CIAO 850-916-8886

 Meets PDU Requirements for NBCOT

The Assignment of AOTA CEUs does not apply endorsement of specific course content, products, or clinical procedures by AOTA.

Asheville, NC

by

Understanding the Complex World of Therapy Services: Documentation, Coding and Billing for Physical & Occupational Therapy

Join insurance billing expert Rick Gawenda, PT, and learn how to accurately navigate the reimbursement guidelines and regulations as they pertain to outpatient therapy services. Billing scenarios will be reviewed to ensure you can accurately charge patients correctly for their service for Medicare and non-Medicare beneficiaries. At the end of the day, you will leave with a new found understanding of why claims are denied and how to maximize your reimbursement legally and ethically.

If you would prefer to pay by check, please Click Here to download a printable registration form and send in this form with your check.

CEUs

PT/PTA and OT/COTA Continuing Education (CE) credit provided through CIAO Seminars (www.ciaoseminars.com)

6.5 Hours (0.65 CEUs)

CIAO is an AOTA Approved Provider #P2881 (0.65 AOTA CEUs)

This Course Meets PDU Requirements for NBCOT (6.5 PDUs)

Approved for:

6.5 Hrs. PT/PTAs in OH(OPTA Approval #20S0580)

0.65 CEU’s/6.5 contact hrs. PT/PTAs in TN (#2020-007) Class 1 Continuing Education

6.5 hrs. by the Louisiana Physical Therapy Board (Administrative Category)

6.5 CCUs by the Mississippi Board of Physical Therapy

This activity has been approved by the Texas Board of Physical Therapy Examiners for 6.50 CCUs for PTs and PTAs.

7.5 Hrs PT/PTAs in FL (FPTA Approval #CE20-662977)

Meets Requirements for:

PT/PTAs in AZ, DC, DE, GA, HI, ID, KY, MO, MI, MO, MT, NC, ND, OR, PA, RI, SC, UT, VT, VA, WI, WY

Questions about CEUs?  Contact Cory at CIAO 850-916-8886

 Meets PDU Requirements for NBCOT

The Assignment of AOTA CEUs does not apply endorsement of specific course content, products, or clinical procedures by AOTA.