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.
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.
On July 15, 2019, the Centers for Medicare & Medicaid Services (CMS) released a proposal to cover acupuncture for Medicare patients with chronic low back pain (CLBP) who are enrolled participants either in clinical trials sponsored by the National Institutes of Health (NIH) or in CMS-approved studies. To read the proposed decision memo, click HERE.…
For dates of service on and after July 1, 2019, the Centers for Medicare and Medicaid Services (CMS), as well as UnitedHealthcare (UHC), is changing which CPT code Modifier 59 must be appended to on the claim form in order for both the Column 1 and Column 2 CPT codes to be paid when provided…
The Centers for Medicare and Medicaid Services (CMS) updates the National Correct Coding Initiative (NCCI) edits every quarter. Effective with dates of service on and after July 1, 2019, CMS is changing how modifier 59 is appended to a CPT code(s) on the claim form. Click below for the full webinar description, objectives and to register.
One of the most common questions I am asked via email and in-person during a seminar is “When does an order for therapy expire” or “How old can an order be before a patient starts therapy”? To answer this question, we must look in 3 places. The first is your
A question I often receive is can a new graduate physical therapist or graduate physical therapist assistant treat Medicare patients while they are waiting to take their national examination and have their services supervised by a licensed physical therapist (PT) or physical therapist assistant (PTA) and billed to the Medicare program? Does the Centers for…
There are many modifiers providers of therapy services are use to adding to CPT codes on the claim forms. Common modifiers include the KX modifier, 59-modifier and therapy specific modifiers of GN, GO and GP. But do you know the following modifiers and when to use them: GA, GX, GY and GZ? In this article,…