SEMINAR: Raleigh-Durham, NC 2025

Lucy MacedoLeave a Comment

Gawenda Seminars Event Icon

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing
This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services.

SEMINAR: Charlotte, NC 2025

Lucy MacedoLeave a Comment

Gawenda Seminars Event Icon

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing
This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services.

SEMINAR: Tampa, FL 2025

Lucy MacedoLeave a Comment

Gawenda Seminars Event Icon

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing
This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services.

SEMINAR: West Palm Beach, FL 2025

Lucy MacedoLeave a Comment

Gawenda Seminars Event Icon

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing
This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services from pediatrics to geriatrics.

SEMINAR: Orlando, FL 2025

Lucy MacedoLeave a Comment

Gawenda Seminars Event Icon

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing
This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services.

Medicare Payments for Outpatient Therapy in 2025

Gawenda

On November 1, 2024, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2025 Medicare Physician Fee Schedule (MPFS) final rule. This final rule does have regulatory and reimbursement implications for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings. In this article, I will provide my members with the estimated payment amounts for calendar year 2025 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2024 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT … Read More

Diagnostic Services Provided by Physical Therapists

I receive many questions regarding the ability of a physical therapist to perform diagnostic services on a Medicare beneficiary and reimbursement from the Medicare program for these services. In this article, I will answer the following questions: