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presented by Rick Gawenda, PT
Financial: Rick Gawenda receives compensation from Gawenda Seminars & Consulting, Inc., and MedBridge for this course.
Nonfinancial: Rick Gawenda has no competing nonfinancial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Rick Gawenda, PT
Rick Gawenda is founder and president of Gawenda Seminars & Consulting, Inc. He graduated in 1991 with a Bachelor of Science in physical therapy from Wayne State University in Detroit. Rick is director of finance for a physical therapist-owned private practice with multiple offices located in Southern California. In addition, he was director of physical…
Read full bio1. NCCI Edits and Modifier 59
This chapter will teach participants what NCCI edits are, which insurance carriers use them, and how to bypass the NCCI edits on the claim form by using modifier 59. The chapter will also teach participants how services provided by one discipline can impact the payment of services provided by another discipline when provided on the same date of service in the same organization or facility.
2. Medicare’s 8-Minute Rule and Definition of Substantial
This chapter will teach participants the 8-minute rule used by the Medicare program and some other insurance carriers. The chapter will also discuss the American Medical Association’s definition of “substantial” in relation to time-based CPT codes and how much time must be provided of a time-based CPT code to bill that CPT code to an insurance carrier. Finally, this chapter will provide billing scenarios that will teach speech-language pathologists to bill correctly based on the interventions provided and the amount of time each intervention was provided.
3. SLP Billing Scenarios
This chapter will provide billing scenarios that will teach speech-language pathologists to bill correctly based on the interventions provided and the amount of time each intervention was provided.
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