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10/31/22

Novitas Updates SLP Billing and Coding Article

Novitas Solutions, Medicare Administrative Contractor (MAC) for the states of Arkansas, Colorado, Delaware, District of Columbia, Louisiana, Maryland, Mississippi, New Jersey, New Mexico, Oklahoma, Pennsylvania, and Texas, have updated their article on Billing and Coding for Speech-Language Pathology Services. In this article, Novitas Solutions has published an extensive list of ICD-10 diagnosis codes, one of which must be on the claim form to support the billing of the following CPT codes: 92507, 92508, 92521, 92522, 92523, 92524, 92597, 92607, 92608, 92609, 96105, 96112, and 96113. The revised effective date of this article is October 1, 2022. To access the revised

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05/05/22

Understanding ICD-10 as It Applies to Outpatient Speech Therapy Services

This webinar will teach SLPs how to correctly select the ICD-10 diagnosis codes based on the physicians order and/or the SLPs’ evaluation findings and documentation.

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05/04/22

NCCI Edits and Modifier 59: Version 28.2

This webinar will provide participants with information on NCCI Edits Version 28.2 that became effective with dates of service beginning on July 1, 2022 and lasting through September 30, 2022

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11/22/21

NCCI Edits and Modifier 59: Version 28.0

Please join us as Gawenda Seminars & Consulting, Inc. presents “Understanding NCCI Edits and Modifier 59: Version 26.2” webinar conference on June 24, 2020 from 1:00PM – 2:00PM eastern daylight time. The Centers for Medicare and Medicaid Services (CMS) updates the National Correct Coding Initiative (NCCI) edits every quarter. This webinar will provide participants with information on NCCI Edits Version 26.2 that become effective on July 1, 2020. In addition, I will teach participants changes that occurred in April 2020 that went retroactive to either December 31, 2019 or January 1, 2020.  To register online with a credit card, purchase

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11/09/21

2022 Outpatient Therapy Regulatory and Payment Updates

Please join us as Gawenda Seminars & Consulting, Inc. presents “2022 Outpatient Therapy Regulatory and Payment Updates” webinar conference on December 9, 2021 from 1:00PM – 2:30PM eastern standard time. This webinar will teach participants the new payment changes for Medicare Part B outpatient therapy services for calendar year 2022 along with changes to supervision requirements of an assistant, the 2022 Medicare Part B deductible, 2022 therapy threshold dollar amount, the 15% payment reduction when services are provided in whole or in part by an assistant, an update on the current status of telehealth with traditional Medicare and commercial insurance

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10/04/21

UHC Community Plan Revises SLP Coverage Determination Guideline

UnitedHealthcare (UHC) Community Plan has revised their Speech Language Pathology Services Coverage Determination Guideline. QuestionWhat is the effective date of the revised policy? Answer QuestionWhat state(s) does the revised policy apply to? Answer QuestionWhat are some of the topics discussed in the policy? Answer QuestionHow can I access the revised policy? Answer I hope you found this article informative and helpful. Thank you for being a Gold Member! All material posted on our website is intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without prior written approval of Gawenda

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04/20/21

UHC Community Plan Revises SLP Coverage Determination Guideline

UnitedHealthcare (UHC) Community Plan has issued a revised Speech Language Pathology Services Coverage Determination Guideline (CDG). The effective date of this revised CDG is May 1, 2021 and only applies to the states of Arizona, California, Hawaii, Kansas, Maryland, Michigan, New York, Ohio, Pennsylvania, Rhode Island, Virginia, Washington, and Wisconsin. To access the revised policy, click I hope you found this article helpful. Thank you for being a Gold Member.

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07/29/20

Hospitals: Providing Services Remotely versus Telehealth

With the Centers for Medicare and Medicaid Services (CMS) expansion of telehealth services as well as their Hospital Without Walls initiative, many hospitals are confused on the differences between providing outpatient physical, occupational and speech therapy services remotely versus via telehealth and how to complete the UB-04 claim form. I published an article on June 18, 2020 explaining the differences between the two and how to do the billing for each type of service. Now, CMS has provided additional clarification on providing outpatient physical, occupational and speech therapy services remotely versus via telehealth and explains how to do the billing

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