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Participating vs Non-Participating Provider with Medicare: What's …

WEBLast week, I published an article titled “How to Bill Medicare for a Therapist Not Yet Credentialed“. This article then led to readers asking must physical therapists …

Actived: 8 days ago

URL: https://gawendaseminars.com/participating-vs-non-participating-provider-medicare-whats-difference/

Who Follows the 8-Minute Rule for Therapy

WEBWell, we all know the Medicare program follows the 8-minute rule for outpatient therapy services. This is true for all outpatient therapy services provided to …

Category:  Health Go Health

Outpatient Therapy in the Home: FAQs

WEBWith an increase in private practices, especially solo practices, providing outpatient therapy in a patient’s home, I am receiving more and more questions …

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UnitedHealthcare Medicare Advantage to Reduce Payment When …

WEBThis 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 …

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Physical Therapy Consultant Gawenda Seminars & Consulting

WEBTherapy Documentation, Coding and Billing Expertise. Education and consulting in the areas of CPT coding, ICD-10 coding, billing, documentation compliance, revenue …

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Documentation, Coding & Billing Onsite Seminar

WEBUnderstanding the Complex World of Therapy Services: Documentation, Coding & Billing for Physical and Occupational Therapy Course Description: Physical and occupational …

Category:  Course Go Health

Can I Treat Patient’s in Their Home as an Outpatient

WEBWhether an insurance carrier will pay for therapy services provided in the patient’s home under their outpatient therapy benefits is the answer most people do not …

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CPT Codes 97039, 97139, and 97799: What’s the Difference

WEBAccording to the American Medical Association (AMA), CPT 2017 Professional, the codes are as follows: 97039 – Unlisted modality (specify type and time …

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Progress Reports, Reevaluations and Recertifications All in One Note

WEBThis week, I want to discuss is it possible for one note to include the required elements for a progress report, reevaluation and a recertification and if yes, …

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Modifiers 96 and 97: What are They and When To Use Them

WEBEffective for dates of service on and after January 1, 2018, there were 2 new modifiers that providers of outpatient physical, occupational and speech therapy may be …

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Can a Patient Receive Therapy at More Than One Location

WEB22 Comments. /. As some physical therapists, occupational therapists and speech-language pathologists continue to specialize in the services they provide, a …

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One-on-One: Does It Only Apply to Medicare

WEBIn the CPT book, CPT codes 97110 – 97124 fall under the heading of “Therapeutic Procedures”. Under “Therapeutic Procedures”, it states “physician or other …

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Physician Refuses to Sign Therapy Plan of Care

WEBThis 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 …

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Member Login Gawenda Seminars & Consulting

WEB661.645.1490. Login Here. Next Event: Artificial Intelligence – a Crash Course for Rehab Therapy. Date: April 25,2024. This 1.5-hour webinar will teach participants how artificial …

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Dry Needling and Medicare: February 2022 Update

WEBFor those physical therapists (PTs) that perform dry needling on Medicare beneficiaries, they understand that the Medicare program does not reimburse PTs for …

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Outpatient Therapy and Home Health Services at Same Time

WEBOutpatient Therapy and Home Health Services at Same Time. June 14, 2021. /. Rick Gawenda. /. 26 Comments. /. I receive many questions regarding coverage …

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Humana Expands Telehealth to Include Therapy Services

WEBThis article was updated on May 28, 2020 Humana will now cover telehealth services for outpatient therapy services provided by physical therapists, physical …

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CMS Finalizes Lymphedema Coverage Guidelines and Payments

WEBDue to passage of the Consolidated Appropriations Act, 2023, the Centers for Medicare and Medicaid Services (CMS) will begin to reimburse for lymphedema …

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UHC Community Plan Revises PT/OT Policy

WEBUHC Community Plan Revises PT/OT Policy. September 13, 2021. /. Rick Gawenda. /. 6 Comments. /. UnitedHealthcare Community Plan has released a revised …

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