PT Pro Talk

39- Telehealth Insurance Coverage with Rick Gawenda


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💭”I think if we can get congress to add PTs, OTs, SLPs as permanent telehealth providers is going to help us with other insurances that maybe are still hanging out there.” - Rick Gawenda

👉🏻 Our guest is Rick Gawenda, PT. He is a licensed physical therapist with 30 years of experience and currently serves as the founder and President of Gawenda Seminars & Consulting, Inc. He graduated with a Bachelor of Science degree in Physical Therapy from Wayne State University in Detroit, Michigan, in 1991. Mr. Gawenda is a member of the American Physical Therapy Association (APTA) and Michigan Physical Therapy Association (MPTA). 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”.


📚What will you learn:

▪️ Rick's story and career

▪️ Telehealth insurance coverage during and after the pandemic

▪️ Telehealth insurance reimbursement

▪ Medicare telehealth coverage after the pandemic

▪️ Therapist and patient location when providing telehealth

▪️Advice to clinicians that are starting their careers

▪️ How to become successful in Physical Therapy


🔎Rick's favorite resource of information:

1. Google: insurance provider page - monthly newsletter/bulletins/updates, automatic email notifications.

2. CMS.gov

Here is the pending legislation:

3.H.R. 3322/S 826, the Medicare Patient Empowerment Act. This legislation would permit Medicare beneficiary patients to privately contract with their physical therapists.
https://www.congress.gov/bill/117th-congress/senate-bill/826?q=%7B%22search%22%3A%5B%22Medicare+Patient+Empowerment+Act%22%5D%7D&s=1&r=1

4.Expanded Telehealth Access Act (H.R. 2168)
https://www.congress.gov/bill/117th-congress/house-bill/2168/text


📲Rick’s contact information:

Facebook: http://www.facebook.com/gawendaseminars

Instagram: @gscconsulting

Website: www.gawendaseminars.com


🎥Link to interview on Youtube: https://youtu.be/7MMRayIgt9U


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📸Instagram:https://www.instagram.com/ptprotalk/

📱Facebook:https://www.facebook.com/ptprotalkpodcast

💻LinkedIn: https://www.linkedin.com/company/pt-pro-talk

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PT Pro TalkBy Mariana Hanna Parks

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