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

• Discuss how CMS determines payment for each CPT code
• Describe how the multiple procedure payment reduction policy reduces the payment to outpatient therapy providers
• Recognize when to apply the CQ or CO modifier to a CPT code on the claim form
• Identify when it is and is not appropriate to issue an ABN to a Medicare beneficiary
• Recite how the annual Medicare Part B deductible impacts the annual therapy threshold dollar amount
• Explain the different Medigap plans and which plans cover the annual Medicare Part B deductible
• Discuss the Qualified Medicare Beneficiary Program and its impact on your payment for outpatient therapy services
• Describe how Medicare Advantage (MA) plans reimburse therapists who are not enrolled in the MA plan
• Recite when you can bill Medicare for outpatient therapy for a Medicare beneficiary in hospice
• Explain the differences between enrolling as a participating provider vs a nonparticipating provider
• Restate the Qualified Medicare Beneficiary program and its financial impact on a therapy visit