ࡱ> rtq /bjbjupup 4P'6 6 Tn41M(LLLLLLL,ORLLLLLFJ@E1& ?H,LM01MHUSUSXJJ6LLL1MUS6 :   This form for payment by check only If using a credit card, please register online  Webinar Conference Registration Form Slip Into ICD-10 & Get Comfortable with Pelvic Health: Pelvic Health ICD-10 Coding for Pregnancy, Continence & Pain Webinar Occurred on November 24, 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. Registrants 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: http://gawendaseminars.com/webinars-store/ 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 661.350.6187or email michelle@gawendaseminars.com Slip Into ICD-10 & Get Comfortable with Pelvic Health: Pelvic Health ICD-10 Coding for Pregnancy, Continence & Pain COURSE DESCRIPTION: With the transition to ICD-10 now complete, providers of outpatient physical therapy services who specialize in pelvic health continue to have questions which ICD-10 codes they should use and what documentation they should have in the medical record to support the ICD-10 codes utilized. This 2-hour webinar program will focus completely on pelvic health case scenarios seen by physical therapists and physical therapist assistants in the outpatient setting. This 2-hour webinar program will build upon the basics of ICD-10 by providing in-depth ICD-10 coding and documentation scenario's for physical therapy services with a focus on pelvic health. Conditions discussed will include, but are not limited to: Low back pain in pregnancy Incontinence (stress, urge, mixed) Fecal incontinence Interstitial Cystitis/Painful Bladder Syndrome Vaginismus Pelvic pain (Endometriosis, Dyspareunia, Prostatitis, SI Joint Dysfunction) Diastasis recti post-partum Coccydynia Pediatric nocturia A hands-on approach using case scenarios will be used to teach participants what key words must be documented and how to select the most appropriate ICD-10 codes to place on the claim based on their documentation.In addition, the webinar will discuss when the 7th character is required and distinguish between the initial encounter, subsequent encounter and sequela. This intermediate to advanced session includes coding resources and additional tips related to transitioning to ICD-10. OBJECTIVES: At the conclusion of this audio presentation, participants will: Apply ICD-10 coding concepts to physical therapy pelvic health services Understand the impact of ICD-10 coding to physical therapy practice in terms of documentation & billing Identify how many ICD-10 codes need to be or should be on the claim form Describe when a 7th character is required in ICD-10 coding Define initial encounter, subsequent encounter and sequela Utilize ICD-10 resources for an effective transition to ICD-10 ABOUT THE SPEAKERS: 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. Gawendas website, www.gawendaseminars.com, 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. Sarah J. Haag, PT, DPT, MS, WCS, Cert. MDT, RYT Sarah graduated from Marquette University in 2002 with a Masters of Physical Therapy. Sarah has pursued an interest in treating the spine, pelvis with a specialization in womens and mens health. Sarah was awarded the Certificate of Achievement in Pelvic Physical Therapy (CAPP) from the Section on Womens Health. She went on to get her Doctorate of Physical Therapy and Masters of Science in Womens Health from Rosalind Franklin University in 2008. In 2009 she was awarded a Board Certification as a specialist in womens health (WCS). Sarah also completed a Certification in Mechanical Diagnosis Therapy from the Mckenzie Institute in 2010. Most recently, Sarah completed a 200 hour Yoga Instructor Training Program, and is now a Registered Yoga Instructor. Sarah plans to integrate yoga into her rehabilitation programs, as well as teach small, personalized classes. Sarah is co-owner of Entropy Physiotherapy and Wellness in Chicago, IL and currently serves as Director of Financial Development for the Section on Womens Health. Sandra Hilton, PT, DPT Sandy graduated from Pacific University (Oregon) in 1988 with a Master of Science in Physical Therapy. Shereceived her Doctor of Physical Therapy from Des Moines University in 2013. Sandy has worked in multiple settings across the US with a neurologic and orthopedic emphasis combined with a focus in pelvic rehabilitation for pain and dysfunction. Sandy has taught classes for Health Professionals and Community Education in returning to function following back and pelvic pain, assisted with Myofascial Release education and co-taught Advanced Level Male Pelvic Floor Evaluation and Treatment. Sandy currently teaches internationally on a practical application of pain science, imagery, manual therapy and movement for pelvic healthconditions. She is theco-author of Why Pelvic Pain Hurts, 3 book chapters on pelvic pain and applied pain science, and the co-host of the Pain Science and Sensibility podcast. Sandys clinical interest is with chronic and pelvic pain disorders for men and women. Sandy is co-owner of Entropy Physiotherapy and Wellness in Chicago, IL and currently serves as Director of Programming for the Section on Womens Health. WHO SHOULD LISTEN: Physical therapists, physical therapist 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 A certificate of attendance will be available upon purchase of the webinar 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 listened to via a CD or Webinar Link of the live presentation that occurred on December 8, 2015. 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. CDs will be mailed the following business day by regular US mail. System Requirements Required To View Webinar Playback Link 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:  HYPERLINK "http://get.adobe.com/flashplayer" http://get.adobe.com/flashplayer 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:  HYPERLINK "http://web.telspan.com/systemcheck" http://web.telspan.com/systemcheck 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@gawendaseminars.com #(VWXY`~ ­ueYM8+hEMU5CJOJQJaJ(h$W2hv5B*CJ OJQJaJphhv5B*CJ phh:5B*CJ phhQ, hv5CJOJQJaJhv5CJOJQJaJ%h?jhvB*CJ,OJQJaJ,ph33.jh?jhvB*CJ,OJQJUaJ,ph33(h?jh{ g5B* CJOJQJaJph(hG]h{ g5B* CJOJQJaJph"h{ g5B* CJOJQJaJph+ *hh{ g5B* CJOJQJaJph WY~  ^ " q r  ] ^ t u Z [ dhgdEMUgdEMU$a$gdEMUp^pgdv$a$gdv   + 0 P \ ] ^ ^ p r t  P R Ӳr_rP@@PhrhEMU5CJOJQJaJhhEMUCJOJQJaJ%hq-hEMUB*CJOJQJaJph(hq-hEMU5B*CJOJQJaJphhVhEMUCJOJQJaJhEMUCJOJQJaJhEMUB*CJOJQJaJphT%h-hEMUB*CJOJQJaJphThEMU5B*OJQJphhEMU5OJQJh4ghEMU5OJQJhEMU5CJOJQJaJh`hEMUCJaJR S U {  i ڻګڛtbO9*hEMU5B*CJOJQJaJmH ph33sH $hAhEMUCJOJQJaJmH sH "hEMU5B*CJOJQJaJph33"hEMU5B*CJOJQJaJph6_(h hEMU5B*CJOJQJaJph6_hhEMU5CJOJQJaJh|fhEMU5CJOJQJaJh4ghEMU5CJOJQJaJhhEMUCJOJQJaJhEMU5CJOJQJaJhr/5CJOJQJaJhEMUCJOJQJaJ   +-, 1 & Fdd[$\$gd4 dd[$\$gd4gdv$a$gd:p^pgdEMUgdEMU *+,6VpyJKRSѽ}tjc_[W[W[W[WSOWSWOKO[h2 h4hUh6Ohvh: h~hvh6uhv5aJh6uhcAaJhv5B*CJ ph3fh:5B*CJ phhv5B*CJ aJ phTh6uhEMUaJ!hEMU5CJOJQJaJmH sH 'hAhEMU5CJOJQJaJmH sH *hEMU5B*CJOJQJaJmH ph33sH 0hAhEMU5B*CJOJQJaJmH ph33sH w  /1CDir;<=KMem{|~67HJżhvh*'hvaJh|hvH*aJh4h4aJh4 h4aJ h:aJ hvaJh'^ hvaJh6uhv5aJhv0J5aJh6uhv0J5aJh;hvaJh{ ghS h4h4h:21Ds~=7r & FXDYDgdv XDYDgdvgdv dd[$\$gd4 & Fdd[$\$gd4<-!/!@!E!F!G!2"Q"##+%4%%%% &&L&j&&&&ºº|ulf`lflfl hUaJ hvaJh6uhvaJ hUhXchUhS h5\ hXc5\hXc hXchXchXchXc5PJaJhXc5PJaJhXcPJaJhvPJaJh6uhvPJaJh6uhRa7PJaJhvhRa7 h4hv h:5aJh6uhv5aJ hcA5aJ%.!/!G!%%%'''p(q(v()))**++2+3+ 1$7$8$H$gdcAgdcAgdXcgdv&&F'k'''''S(o(p(q(v())))***+++2+3+9+:+>+ɿzl]UJU jhcA^JaJ hcA^JaJ hcA5CJ OJQJ^JaJ hp_hcA5CJ ^JaJ hmhcA5CJ ^JaJ hcACJOJQJ^JaJ hcA5CJOJQJ\^JaJhcA5CJaJhx8hcAaJ hcAaJh6uhcA5aJh6uhcAaJ h1hcAhcAhNhcA5aJh6uhv5aJh6uhvaJ hvaJ>+H+t+u+++++++++7,8,9,d,,,,---5-6-7-W-X-Y-}s^}S}FhGhcACJ ^JaJ h}hcA0JCJ(jeh}hcAB*CJUphc3hcAB*CJphc3jhcAB*CJUphc3hcA5CJ ^JaJhGhcA5CJ ^JaJhcACJ OJQJ^JaJ hGhcA^JaJ hHVhcA^JaJ hcA5CJ ^JaJ hmhcA5CJ ^JaJ  jhcA^JaJ hcA^JaJ hmhcA^JaJ 3+n++++++++ ,,8,9,c,d,,,,,Y-r--gdcA 1$7$8$H$gdcA & F1$7$8$H$gdcA & F1$7$8$H$gdcA 1$7$8$H$gdcA v1$7$8$H$gdcAY-q-r--------.C.D.t.u.v........*/2/P/p//÷zqjaULFLFL hcAaJh6uhcAaJhcAhcA5CJ aJ hcA5CJ aJ hcA5aJhcA5CJaJh`:hcACJaJh`:hcA0JjhcAUjhcAUhcA h}hcAh}hcACJ aJh}hcA5CJ \hJGhcA5^JaJhcA5^JaJhcA5CJ ^JaJhGhcA5CJ ^JaJ hGhcA5CJ ^JaJ--...)/*///gdv XDYDgdcAgdcA///(hX,hv5B*CJOJQJaJphh$%ZhcAaJ21h:pv/ =!"v#$% eDd=y,t EVN  C *AGSC Logob#9pgDn#9pgPNG  IHDR=y``cPLTEu@~񑙡 0`뙠pЩPʰ pHYs  IDATx]v#-;qٓ'EW 3y9ݦ("dt:@G#t:@G#t:@G#t:@G#'xOZՍ\޾}_fz AϏAIOsDg{9?%?;/Ep>&o@lVŽ"_οԸ# 'adNjB5kk~xs<.~䱮|y/;TQ #^yJ1Fh\>h% u1?7 #NF:8UI.}ZLԕj|+uJ?yd;5@phLZA4z~ZH]<$PS;鯄 <{+Cߌ>!.o ECv@C͞!WĄ}~zIwv%E ʭFSO\pBk/x5eǘQ*|lTRgazNLz.wHXҼsg@ sۍ^ӲSKGBjP)U]IҞnc<$y %Cϓ €yZGE\թ5\}!e_ z8n= Ń|!XWE`۝ &r&6 |9\cr2޶)( :!=B@ G5)|ߓ.bC`r*Ƨd왶n8}-(C%YՈ>PG{ۦL@j7U0=ap2A{E7X{jƱH5N큋h,X;0!XpTؙ&-]sa$zMKm 2 "-e#u݈ݛ=-xPWL}np^&<<X\<׃qOVH6Ayf/c$ZzDҠ/x]ӀӅ>Ũ)rž508aj9Sxp(%c]O|@S)m8{D:k%=y#MșY3!6b)[4UR>Ȃp=Ԥ^]ODp"CճiP%aZ=8!ˁ̨7gVw* Dݪ=ulz=@[HD\s ZUQsTyf])I@swIǦ'`+{*}XJEh qLͣ&/PpVvڳ&@F2P tՁI.K|h@~.VBg&LlJ F3~`"mbK2ՠ)S^~؃"8H:q܎[@i*TP%)⹯F܌99*AO #T4dzU`8){Kd>s؃^4 ?bQa&%9+9พeAady@ݷr \5I:=it { y}/߲֓xQ0lZT<OQ2Rzȧt==5=ӻq[ "?u퓃>-f}Eiu/,U҇v}Kx`S5>ỏؖ ] |ry$OT@\n)11NVx۪}󱮧t>5TmK:v \K-^-li%\J1iW`J2ύoB1]^55HW" ndNa7eq>sbbbǰL{7ObcdY0h4Gen*6qGr yRH`Ad ,IDݐOzqbY{G;|hbn~x=y%BQ1fUrkvL.? 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