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Next Event: Establishing Your Budget and Metrics for 2025

Date: November 13,2024

This webinar will teach participants what metrics should be tracked on a weekly or monthly basis as well as how to establish your budget for outpatient therapy services provided in calendar year 2025. For additional information and to register, click HERE.

Next Event: 2025 Outpatient Therapy Regulatory and Payment Updates

Date: November 27,2024

This webinar will provide participants with regulatory and payment changes that will impact outpatient physical, occupational and speech therapy services in calendar year 2025. For additional information and to register, click HERE.

Next Event: Complying With The Good Faith Estimate Requirement in 2025

Date: December 11,2024

This 1.5 hour webinar will teach participants what the Good Faith Estimate (GFE) is, to which insurance carriers and patients the GFE applies to, what are the required elements of a GFE and explain the patient-provider dispute resolution process. For additional information and to register, click HERE.

Next Event: 2025 MIPS for Physical Therapists, Occupational Therapists, and Speech-Language Pathologists

Date: December 17,2024

This 2-hour webinar will assist physical therapists, occupational therapists, and speech-language pathologists in private practices, office managers of private practices, administrators and owners of private practices, and billers and billing companies of private practices in their preparation to report MIPS for the 2024 Performance Period. For additional information and to register, click HERE.

Next Event: NCCI Edits & Modifier 59: Version 31.0

Date: January 08,2025

This webinar will provide participants with information on NCCI Edits Version 31.0 that will be in effect with dates of service beginning on January 1, 2025 and lasting through March 31, 2025. For additional information and to register, click HERE.

Next Event: Remote Therapeutic Monitoring for Outpatient Physical and Occupational Therapy in 2025

Date: January 09,2025

This 2-hour webinar will teach patients how to provide, document, and bill for remote therapeutic monitoring services. For additional information and to register, click HERE.

Next Event: 2025 CPT Coding and Billing for Physical and Occupational Therapy

Date: January 15,2025

This 2.5-hour webinar will teach participants what CPT code to bill dependent upon their intent and documentation in the medical record. The webinar will provide case scenarios to teach participants how to bill correctly to the Medicare program as well as non-Medicare insurance carriers. For additional information and to register, click HERE.

Next Event: 2025 CPT Coding and Billing for Speech Therapy Services

Date: January 22,2025

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. For additional information and to register, click HERE.

Next Event: Negotiating With Insurance Companies to Maximize Your Bottom Line

Date: February 27,2025

This 1.5-hour webinar will teach participants how to master initial negotiations and renegotiations with insurance companies to maximize your reimbursement and be paid fairly for the valuable services you provide. This includes private practices and facility settings that provide outpatient physical, occupational, and speech therapy services. For additional information and to register, click HERE.

Next Event: Policies and Procedures for Therapy Departments: The Why, The What and the Pitfalls

Date: March 12,2025

This 1.5-hour webinar will discuss the Office of the Inspector General (OIG) Program Guidance for all entities involved in the Healthcare Industry. This includes private practices and facility settings that provide outpatient physical, occupational, and speech therapy services. For additional information and to register, click HERE.

Next Event: Defining Your Compensation Structure In Today’s Environment

Date: May 07,2025

This 1.5-hour online course will uncover the key ingredients to developing  a sustainable compensation structure in today’s environment to retain staff and increase transparency as a cornerstone of workforce retention. For additional information and to register, click HERE.
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    How to Bill When You are Out-of-Network

    Rick GawendaAugust 30, 2023Leave a Comment

    Gawenda

    This webinar will provide participants with information on how to bill and get reimbursed when the provider is out-of-network with the insurance carrier or insurance plan.

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    661.645.1490
    • Home
    • About
    • Membership
    • My Account
    • Store
      • Upcoming Seminars
      • Upcoming Webinars
      • Past Webinars
    • Services
    • Current News
    • Medicare
      • Carriers and Fiscal Intermediaries
      • Claims Processing Manual
      • CMS NCCI Edits
      • Physician Fee Schedule
      • Benefit Policy Manual
    • Insurances
      • Aetna
      • Blue Cross Blue Shield
      • Cigna
      • Humana
      • Medicaid
      • Molina
      • Tricare
      • United Healthcare
    • FAQ
      • ABN
      • Caregiver Training Services
      • Certifications & Recertifications
      • CPT Code 97750
      • Dry Needling
      • Group Therapy
      • Hospice
      • ICD-10
      • L Codes for Orthotics
      • Lymphedema Garments
      • Maintenance Therapy
      • Medicare Advantage Plans
      • Medicare Appeals
      • MIPS 2019-2022
      • MIPS 2023
      • MIPS 2024
      • MPPR
      • NCCI Edits – PT & OT
      • NCCI Edits – SLP
      • Plan of Care
      • Progress Reports
      • PT & OT
      • PT & OT Eval Codes
      • PTA & OTA Modifiers
      • Qualified Medicare Beneficiary Program
      • Reevaluations
      • Remote Therapeutic Monitoring
      • SLP Billing & Payment
      • Telehealth
      • Therapy Students
      • Therapy Threshold
    • Contact