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Webinar Conference Registration Form

ICD-10 Beyond the Basics: 7th Character, External Cause Codes,

Activity Codes & Aftercare Codes

Webinar Occurred on December 7, 2015

REGISTRATION FORM for CD OR WEBINAR LINK AND HANDOUTS Post Webinar

All requested information is required. • Please print clearly or type using the Acrobat (PDF) Typewriter.

Registrant’s Name:____________________________________________________________

Mailing Address:______________________________________________________________

City:________________________State:________Zip Code:______________________

Contact Phone Number:_________________________________________________________

Email Address:________________________________________________________________

CIRCLE ONE OPTION:

1. WEBINAR PLAYBACK LINK and HANDOUTS - Must have computer with speakers (see below for

system requirements). Best advanced option over the audio CD!

No limit to the number of times the webinar can be viewed = $179.00

2. CD (AUDIO ONLY) AND HANDOUTS = $199.00

3. PACKAGE: CD, WEBINAR PLAYBACK LINK (see above explanation) and HANDOUTS= $219.00

TOTAL PAYMENT $__________(INCLUDE THIS FORM WITH YOUR CHECK)

Note: To purchase by Credit Card, please go to our webinar store online at:

PLEASE MAKE CHECKS PAYABLE TO:

Gawenda Seminars & Consulting, Inc.

23501 Cinema Dr. Suite 116

Valencia, CA 91355

Questions or to order via phone : Call Michelle at 661.350.6187 or email michelle@

ICD-10 Beyond the Basics: 7th Character, External Cause Codes,

Activity Codes & Aftercare Codes

COURSE DESCRIPTION:

With the transition to ICD-10 now complete and providers submitting claims to the Medicare program and other insurance carriers, questions and confusion remain regarding when does an ICD-10 code requires a 7th character and when one is required, how do I know which one to use? In addition, providers are still uncertain when an external cause code is required and if the patient had surgery do we or do we not have to use the aftercare ICD-10 codes.

This 2-hour webinar program will teach participants how to determine which ICD-10 codes require a 7th character and when one is required, how to select the appropriate 7th character based upon the status of the patient. In addition, the webinar will teach participants when an external cause code, activity code and/or aftercare code could be reported on a claim form and how to select the appropriate code. Lastly, the webinar will have an extended Q&A time to answer any questions participants may have as they relate to ICD-10.

OBJECTIVES:

At the conclusion of this audio presentation, participants will:

1. Understand when an ICD-10 code requires a 7th character

2. Define initial encounter, subsequent encounter and sequela

3. Be able to append the appropriate 7th character to an ICD-10 code, when applicable

4. Describe when an external cause code could be reported on the claim form

5. Understand when to use place of occurrence, activity, and/or aftercare ICD-10 codes

ABOUT THE SPEAKER:

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 Finance for Kinetix Advanced Physical Therapy Inc., a private practice with multiple locations 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, payment, 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, functional limitation reporting, PQRS, payment, and ICD-10.

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”.

WHO SHOULD LISTEN:

Physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants, private practice owners and practice administrators, billing companies, coders and office managers at private practices, as well as directors, managers, supervisors, coders, and billers in skilled nursing facilities, hospital outpatient therapy departments, rehabilitation agencies, home health agencies doing outpatient therapy in the home, and comprehensive outpatient rehabilitation facilities.

INCLUDED IN YOUR MATERIALS PACKET:

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 references.

CEUs

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.

REFUND POLICY

There are no refunds once your order has been processed since the handouts and webinar link will be emailed to you immediately after your order has been completed. CD’s will be mailed the following business day by regular US mail.

TelSpanWeb System Requirements to View Webinar on Computer:

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

Testing

In order to ensure successful connection to your upcoming meeting, please take a moment to conduct a system test by clicking this link:

Contact Us

If you have questions about registration or logistics for this webinar conference, please contact the Webinar Conference Manager:

Michelle Gawenda • Gawenda Seminars & Consulting, Inc. • 661.350.6187 • seminars@

If you wish to contact Rick Gawenda directly, you may email him: info@ or visit his website at:

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