2025 CPT Coding and Billing for Physical and Occupational Therapy

2025 CPT Coding and Billing for Physical and Occupational Therapy is organized by Gawenda Seminars & Consulting, Inc. and will be held on Jan 15, 2025.

Description:
An accurate understanding of the CPT coding and billing process is critical for rehab professionals. 2025 CPT Coding & Billing for Physical & Occupational Therapy covers the correct use of CPT codes for evaluations, reevaluations, modalities, and interventions used by physical therapists, physical therapist assistants, occupational therapists, and occupational therapy assistants in all outpatient settings including private practice, hospital-based outpatient departments (including critical access hospitals), rehabilitation agencies, comprehensive outpatient rehabilitation facilities, skilled nursing facilities doing Part B, and home health agencies doing Part B in a patient’s home.

The course will teach participants which CPT codes are service-based and which CPT codes are time-based. In addition, the webinar will teach participants what interventions are included within each CPT code.

The course will review Medicare’s 8-minute rule and the definition of substantial time-based CPT codes per the American Medical Association (AMA) in order to bill correctly to insurance carriers who do not adhere to Medicare’s 8-minute rule. Billing scenarios are discussed and reviewed to ensure therapists can accurately charge patients correctly for their services not only to the Medicare program but also to non-Medicare insurance carriers.

Objectives:
At the conclusion of this webinar presentation, participants will be able to:

• Describe & understand how to select the correct CPT code(s) based on the intervention(s) provided
• Recognize which CPT codes are service-based and which are time-based for billing purposes
• Differentiate between one-on-one interventions and group therapy
• List who can bill L codes to Medicare and what is included in the L code payment for orthotics
• Describe and understand Medicare’s “8-Minute Rule” to bill correctly and ensure correct reimbursement
• Define “each 15-minutes” and what is a substantial portion for non-Medicare insurance companies that do not apply Medicare’s “8-minute rule” (i.e. follow AMA guidelines)
• Be able to charge correctly for the services you provide under outpatient therapy benefits for Medicare and non-Medicare insurance carriers