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Medicare: MPPR, Therapy Cap & Above $3700
Hosted By: Gawenda Seminars & Consulting, Inc.
Location: Webinar
Ypsilanti, MI
Start Time: 6/22/2017 1:00 PM
End Time: 6/22/2017 2:00 PM
Time Zone: Eastern

If you have questions about registration or logistics for this webinar conference, click the grey "Event Contact Information" button above for contact information for the webinar conference manager. If you have content or other questions specifically for Rick Gawenda, please contact him through his website:

Medicare: MPPR, Therapy Cap & Above $3700

Thursday, June 22, 2017
(time varies depending upon your location)

• 10:00 am - 11:00 am Pacific Daylight Time
• 11:00 am - 12:00 pm Mountain Daylight Time
• 12:00 pm – 1:00 pm Central Daylight Time
• 1:00 pm – 2:00 pm Eastern Daylight Time

One registration allows for one computer log on and/or one phone line in which you can have as many participants sit and listen via your computer speaker or speaker phone and all would be eligible to receive a course certificate that you could submit to your state for POSSIBLE CEU credit

Presenter: Rick Gawenda, PT

Early Registration Deadline: June 8, 2017 at 11:59PM EDT
Final Registration Deadline: June 22, 2017 at 11:30AM EDT

The Centers for Medicare and Medicaid Services (CMS) implemented the multiple procedure payment reduction (MPPR) policy to outpatient therapy services in 2011. The MPPR reduces payment to providers of therapy services that bill 2 or more units on the same date of service to a Medicare beneficiary. This reduction also occurs when a Medicare beneficiary is receiving physical therapy and occupational on the same day, occupational therapy and speech therapy on the same day, physical therapy and speech therapy on the same day or all 3 disciplines on the same date of service.

The therapy cap, therapy cap exception process and claims exceeding $3700 in a calendar year continue to be issues for providers of outpatient therapy services. How does the annual Part B deductible impact the therapy cap? How does the MPPR impact the therapy cap? In addition, how are claims that exceed $3700 in a calendar year being paid and/or chosen for an audit?

This 1-hour webinar program will explain the MPPR and its implication on payment for your services and your bottom line profit margin. Case scenario’s will be used to show participants how you are paid a lower rate once you bill more than 1 unit of any modality or intervention on the same day. Case scenario’s will also teach participants how their payment is reduced when a Medicare beneficiary is seen by 2 or all 3 disciplines on the same date of service. Lastly, the webinar will teach the participants the current status of the therapy cap and therapy cap exception process, therapy cap exception process for 2018 and what is occurring with claims that exceed $3700 in a calendar year.


At the conclusion of this webinar presentation, participants will:

1. Explain the multiple procedure payment reduction policy and its impact on payment
2. Describe how the multiple procedure payment reduction policy is calculated
3. Recite how the multiple procedure payment reduction policy is impacted by a
Medicare beneficiary receiving 2 or 3 disciplines on the same date of service
4. List which CPT codes are and are not impacted by the MPPR
5. Understand the therapy cap exception process for 2017 and 2018
6. Determine which amount counts towards the annual therapy cap dollar threshold
7. Discuss how claims exceeding $3700 in a calendar year are chosen for an audit

Includes a live Question & Answer session at the end of the presentation.

Rick Gawenda, P.T., graduated in 1991 with a Bachelor of Science in Physical Therapy from Wayne State University, Detroit, Michigan. Mr. Gawenda is currently the President and founder of Gawenda Seminars & Consulting, Inc. and Director of Finances for Kinetix Advanced Physical Therapy Inc., a private practice located in southern California. He has provided valuable education and consulting to hospitals, rehabilitation agencies, private practices, nursing homes, and his peers in the areas of CPT and ICD-10 coding, billing, documentation, reimbursement, and compliance as it pertains to outpatient therapy services as well as denial management and the appeals process for Medicare denied claims. Mr. Gawenda’s website,, provides a valuable source of information on rehabilitation rules and regulations, coding, documentation, and reimbursement.

Mr. Gawenda is a member of the American Physical Therapy Association (APTA) and Michigan Physical Therapy Association (MPTA). Mr. Gawenda is the Past President of the Section on Health Policy & Administration of the APTA as well as Past President of the Michigan Association of Medical Rehabilitation Program Administrators.

Mr. Gawenda is also 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”.

Physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants, speech-language pathologists, private practice owners and practice administrators, coders and office managers at private practices, as well as directors, managers, supervisors, compliance officers, risk managers, and billers in skilled nursing facilities, hospital outpatient therapy departments, schools, rehabilitation agencies, home health agencies, and comprehensive outpatient rehabilitation facilities.

In addition to the expertise and advice presented during this webinar conference, you'll also receive a handout (in PDF format) that will include related reference links.

Webinar recordings are NOT included with registration, but registrants have an option to purchase a webinar playback link for $49.95 (view via your computer as many times as you would like and audio comes through your computer speakers) or CD (audio only) for $69.95 prior to completing online registration or send in the additional fee with your registration and check.

Audio - phone connection required only to hear the audio portion of the webinar

Webinar - Computer and internet connection required. Participants will be provided a url link where they can log in and follow the presentation on their computer as the speaker provides the presentation. If your computer has speakers, you will be able to hear the audio portion through your computer speakers and will not require a phone connection. If no speakers on your computer or unable to be at a computer, participants will need to call in to the phone number provided to them to hear the audio portion. You will need adobe flash. Gawenda Seminars & Consulting, Inc is not responsible for organization fire walls or computer software issues that may interfere and/or prohibit your connection to the webinar portion of the presentation.

TelSpanWeb System Requirements to View Webinar:

Operating Systems:

• Windows XP, Windows Vista, Windows 7, Windows 8
• MAC OS X v10.4 or Higher
• Linux
• Solaris

Internet Browsers:

• Internet Explorer 7 or Higher (Windows)
• Firefox 4 or Higher
• Safari 4 or Higher
• Google Chrome 2 or Higher

Stable Internet Connection, DSL or Above:

• 100 kbps for Video Transmission
• 300kbps for Screen Sharing and Remote Control
• Recommended 500kbps to ensure fluidity of all Services

Flash Player 10.3 or Newer:

Disabled pop-up blockers

Computer speakers for participants listening over the computer

In order to ensure successful connection to your upcoming meeting, please take a moment to conduct a system test by copying and pasting the entire url link in your web browser:

This webinar has not been submitted to any state board or national organization for CEU approval. A certificate of attendance will be available upon completion of the webinar for each participant and may be adequate for credit in some states; you will need to contact your state licensing regulatory body to determine whether or not credit will be granted for this webinar conference.

Register for the event on or before 11:30am EDT on June 22, 2017.

When you register, you'll receive a confirmation e-mail that serves as your receipt . Approximately 5 days before the webinar conference, you will receive a separate email that provides you with instructions for accessing the call and handouts. If you register within 5 days of June 22, 2017, instructions will be emailed the evening of the day you registered (after 6:00PM pacific time). Please make sure that your email system will accept messages from the webinar conference host: The easiest way to do this is to add this email address to the contacts list in your email software.

Gather your staff and listen to this webinar conference via your computer speakers or a speaker phone, follow along with the session handout on your computer, and participate in a live, interactive Question and Answer session.

Event Deadlines / Fees:
The early deadline for registration for this webinar conference is 11:59pm EDT, June 8, 2017. Final registration for the webinar conference is 11:30am EDT on June 22, 2017. Please call Michelle at 661.350.6187 if you would like to register after the deadline.
Registrant Type Deadline Name Deadline Date Fee
New Early Registration 6/8/2017 $79.00
New Late Registration 6/21/2017 $99.00
Online Registration is closed. If you would still like to register, please contact Michelle at 661.350.6187.

If you are interested in future audio/webinar and live seminar topics presented by Gawenda Seminars & Consulting Inc., be sure join our mailing list through the link on our website:

Participant instructions have been sent by email to all registrants for this webinar conference. The instructions were sent to the email address provided in the registration. If you find you have not received the instructions, be sure to check your spam/junk mail folder (messages are coming from Rick Gawenda or Email to inquire further.
Additional Information:
Type Document Title
Printable Registration Form
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