Seminar Detail

Comprehensive Coding, Billing and Payment for Outpatient Therapy Services: CPT Codes, CCI Edits, Therapy Cap, ABN & ICD-10
Comprehensive Coding, Billing and Payment for Outpatient Therapy Services: CPT Codes, CCI Edits, Therapy Cap, ABN & ICD-10

Where:   RICHMOND, VA

When:  Thursday, August 23, 2018 at 8:00 AM - 3:30 PM

Other ways to Register: Call (800) 397-0180   |   Printable Form (fax or mail)
Credit Card Required for online registration | Contact us to redeem Gift Certificates

Please note: There has been an update to the Speech Language Pathologist credit information, which can be viewed on the CE Credits tab. Please call Vyne Customer Service at 800-397-0180 for more information. 

Details

$229.99
Single Registration
$219.99
2-4 Group Rate: per person
$209.99
5+ Group Rate: per person
*** All prices are shown in US Dollars ***
 
View brochure for CE details
Location

GRADUATE RICHMOND
301 WEST FRANKLIN ST
RICHMOND, VA 23220
Phone:  804-644-9871
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Alternate Locations

Student Discounts
If you are a student, please click here for registration information.

Group Discounts
If 5+ staff members from your facility are attending this event, please call (800) 397-0180 to learn more about our special rates.

In-House Options
If you would like this educational event brought to your facility, please click here for in-house training options.

The cost of providing therapy continues to RISE …

even as insurance carriers (including Medicare) continue to reduce payments. Without a proper understanding of the coding and billing requirements, practices and organizations run the major risk of leaving money on the table and ultimately being audited.
This comprehensive course takes the guess work out of charging correctly so you can focus more on your patient. Learn what interventions are included within each CPT, why billing all services under therapeutic exercise can leave you high and dry, and more:
  • Correct application of CPT codes for PT, OT, and SLP
  • L Codes for orthotics provided by PT and OT
  • Medicare Part B therapy cap repeal, therapy services above $3000 in a calendar year, and the continued use of KX modifier
  • Appropriate use of an advance beneficiary notice (ABN) for therapy services below and above the therapy cap dollar threshold in a calendar year
  • Application of the Multiple Procedure Payment Reduction policy and its impact on your payment for therapy services


 

  • Describe service-based vs. time-based CPT codes along with rationale for the use of CPT and L Codes in all outpatient settings
  • Distinguish between column 1/column 2 CCI edits and appropriately append modifier-59 to the correct CPT code(s)
  • Outline the differences between Medicare’s “8-Minute Rule” and the definition of “substantial” for time based codes when billing Medicare vs. private insurance carriers
  • Describe the manual medical review process for patients receiving Medicare benefits above the therapy cap dollar threshold
  • Explain when to use an ABN as well as the Multiple Procedure Payment Reduction policy and its impact on payment
  • Discuss ICD-10 coding guidelines and the 7th character as they apply to therapy services
  • Rehab Directors, Managers and Supervisors


  • Physical Therapists


  • Occupational Therapists


  • Speech–Language Pathologists


  • Physical Therapist Assistants


  • Occupational Therapy Assistants


  • Rehab Billers, Coders and Billing Companies


  • Nursing Home Administrators


  • Office Managers and Front Office Staff


  • Compliance Officers


  • Physicians

RICK A GAWENDA, PT

RICK GAWENDA, PT, is a licensed physical therapist with 27 years of clinical and consulting experience. A former Director of Rehabilitation and the founder of Gawenda Seminars & Consulting, he has provided valuable education and consultation to skilled nursing facilities, hospitals, private practices, and rehabilitation agencies in the areas of CPT/ICD-10 coding, billing, PQRS, documentation compliance, revenue enhancement, practice management, and denial management as they relate to both outpatient and inpatient therapy services.

Mr. Gawenda is a past President of both the Section on Health Policy and Administration of the American Physical Therapy Association and the Michigan Association of Medical Program Rehabilitation Administrators. He is the author of The How-To Manual for Rehab Documentation: A Complete Guide to Increasing Reimbursement and Reducing Denials and Coding and Billing For Outpatient Rehab Made Easy: Proper Use of CPT Codes, ICD-9 Codes and Modifiers.
 
Disclosure:
Financial - Receives a speaking honorarium from Vyne Education
Nonfinancial - No relevant nonfinancial relationship exists
Coders
AAPC Logo
This program has the prior approval of the American Academy of Professional Coders (AAPC) for 6.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by the AAPC of the program content or the program sponsor. AAPC approval good thru 4/30/2019.


Nursing Home Administrators
NAB Logo
This program has been approved for Continuing Education for 6 total clock hours and 6 total participant hours by NAB/NCERS – approval # Roanoke, VA on 08/22/2018, #20190821-6-A44982-IN, Richmond, VA on 08/23/2018, #20190821-6-A44996-IN, Norfolk, VA on 08/24/2018, #20190821-6-A44997-IN. This program is approved by the National Association of Long Term Care Administrator Boards. For additional information, contact NAB at 1444 I St., NW, Suite 700, Washington, DC 20005-2210, (202)712-9040, or www.nabweb.org.


Occupational Therapists, Occupational Therapy Assistants
AOTA Logo
Vyne Education, LLC. is an AOTA Approved Provider of continuing education. This course is offered for 0.6 AOTA CEUs. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. AOTA Educational level Intermediate, Category 3: Professional Issues.


Office Managers
PAHCOM Logo
Comprehensive Coding, Billing and Payment for Outpatient Therapy Services: CPT Codes, CCI Edits, Therapy Cap, ABN & ICD-10 has been submitted to the Professional Association of Health Care Office Management for approval of 6 CEUs.


Physical Therapists, Physical Therapist Assistants: North Carolina
NCBPTE approval by virtue of approval by The New York State Education Department, Office of the Professions, State Board for Physical Therapy licensure board or state APTA chapter Approval good through 8/31/2018.


Speech-Language Pathologists, Audiologists
This educational offering qualifies for 6.0 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.


Information obtained in this course should be used within your scope of practice.


Other Professions
This educational offering qualifies for 6 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.


Information obtained in this course should be used within your scope of practice.

All Professionals: In order to process continuing education, please bring the appropriate license/certification number to the seminar.

Certificates, Educational Offering Completion Requirements: Certificates will be awarded upon receipt of payment and successful completion of the educational offering and evaluation form.

Amended Certificates: Please note that the credit hours listed above are offered by Vyne Education and/or boards/associations for a full day's attendance. In the event of late arrival and/or early departure, amended certificates indicating the actual number of credit hours earned will be provided upon calling Vyne Education.

ADA: If you require ADA accommodations, please contact Vyne Education at least two weeks before the seminar date or prior to purchasing any online or distance learning products so that arrangements can be made.

Credit Card Required for online registration | Contact us to redeem Gift Certificates