Please join us as Gawenda Seminars & Consulting, Inc. presents “2020 Outpatient Therapy Payment Updates” webinar conference on Thursday, December 12, 2019 from 1:00pm – 2:30pm EST. This 1.5-hour webinar will discuss and teach participants the new payment changes for outpatient physical, occupational and speech therapy that become effective with dates of service on and after January 1, 2020.
The Centers for Medicare and Medicaid Services (CMS) has released the annual update that provides the list of codes that sometimes or always describe therapy services. Providers of therapy services need to be aware of this list and the annual updates as this list will tell providers which CPT codes the Multiple Procedure Payment Reduction…
The Centers for Medicare and Medicaid Services (CMS) has announced the 2020 Medicare Part A and Part B premiums and deductibles. In this article, I will provide you with what the premiums and deductibles are for 2020 and how the Medicare beneficiaries Part B deductible can impact the annual therapy threshold dollar amount dependent upon…
Big changes are coming in calendar year 2020 for Medicare beneficiaries who purchase Medicare Supplement plans (known as Medigap). The changes are a result of the Medicare Access and CHIP Reauthorization Act (MACRA) that will change Medicare Supplement plans in all states, and this becomes effective January 1, 2020. Who will this change impact in…
On January 1, 2020, there will be 2 new CPT codes to report needle insertion(s) (i.e. dry needling) for qualified healthcare professionals, such as physical therapists, who provide dry needling where allowed by state law and state practice act. Now, just because we have the new CPT codes that describe dry needling does not mean…
On November 1, 2019, the Centers for Medicare and Medicaid Services (CMS) released the final rule for services paid under the Medicare Physician Fee Schedule (MPFS) and the Merit-Based Incentive Payment System (MIPS) program for calendar year (CY) 2020. Highlights of the final rule include, but are not limited to, the following: 2020 Medicare Conversion…
Please join us as Gawenda Seminars & Consulting, Inc. presents “Therapy Compliance: 7 Easy Pieces” webinar conference on Wednesday, October 2, 2019 from 1:00pm – 2:30pm EDT. This 1.5-hour webinar will identify key areas of risk for the outpatient therapy practice, demonstrate examples of recent cases, settlements, and sanctions and will include compliance tools that can be customized for you practice.
A question I often receive is can I bill a Medicare beneficiary who is under an outpatient therapy plan of care a cancel or no show fee (missed appointment fee)? The answer may surprise you. According to the Centers for Medicare and Medicaid Services (CMS), Medicare Claims