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05/22/23

Telehealth and Medicare After the PHE

The public health emergency (PHE) ended at the end of the day on May 11, 2023. What providers want to know is will the Medicare program continue to reimburse for outpatient therapy services delivered via telehealth after the PHE and if yes, in which outpatient settings and for how long? Several updates have occurred since I published an article on this topic back on May 4, 2023. The article has been updated twice since that date due to new information from the Centers for Medicare and Medicaid Services (CMS). Click HERE to read this article that does contain the latest

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04/26/23

2024 CPT Coding and Billing for Speech Therapy Services

This 1.5-hour webinar will teach speech-language pathologists how to report the correct CPT code(s) based on interventions provided and documentation in the medical record, define the definition of substantial of a time-based CPT code and will provide case scenarios to teach participants how to bill correctly to the Medicare program as well as commercial insurance carriers.

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12/05/22

2023 MIPS Quality Measures for Speech-Language Pathologists

In this article, I will answer the following questions:

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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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