Gawenda Seminars & Consulting, Inc.

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Ypsilanti, MI
Gawenda Seminars & Consulting, Inc.

Compliance, Coding and Billing Expert for Physical Therapy, Speech Therapy and Occupational Therapy

08/29/2025

EBITDA stands for Earnings Before Interest, Taxes, Depreciation, and Amortization.

In simple terms, it’s a way to measure your practice’s profitability.

For owners, EBITDA is critical because when you go to sell your practice, the purchase price is based on your EBITDA, often multiplied by a factor (the “multiple”) depending on the size and strength of your business.

The higher your EBITDA, the more your practice may sell for. Buyers use multiples to determine purchase price:

• EBITDA of $100,000 → maybe a 1.5× multiple = $150,000 sale price
• EBITDA of $300,000 → maybe a 4× multiple = $1.2 million sale price
• EBITDA of $500,000 → maybe a 6× multiple = $3 million sale price

P.S. Now say EBITDA 5x fast and let me know how it goes. 😉

08/28/2025

One of the most confusing topics for outpatient physical and occupational therapists is group therapy. Did you know the definition of group therapy applies to all insurance carriers, not just Medicare?

Per the AMA, group therapy means treating two or more patients at the same time—not providing back-and-forth, intermittent one-on-one care. Since the AMA creates the CPT codes, all payers (Medicare, private insurance, workers' comp, etc.) follow this definition.

Want to dive deeper on all things Group Therapy? If you're a paid Gold, Platinum, or Diamond member, check out my Group Therapy FAQ on the website for all the details! ⬇️
https://loom.ly/XtmWvz8

08/27/2025

The Centers for Medicare and Medicaid Services has released the 2026 outpatient therapy threshold dollar amount.

Learn more about it here 🔗
https://loom.ly/BLekZjU

08/26/2025

Staying up to date with payer policy changes is key to protecting your practice and revenue. This week, we cover two important UnitedHealthcare (UHC) updates:

UHC revises their Outpatient Therapy Policy (Sept 2025) with updates to:
• Discharge criteria
• Speech therapy for individuals with limited English proficiency
• Requirements for dyslexia-related test results

UHC Community Plan publishes a list of CPT codes not reimbursable when billed by speech-language pathologists.

If your practice provides PT, OT, or SLP services, these changes could directly affect you.

🔗 Members can read the full articles here:
https://loom.ly/PMq31D0

08/25/2025

If you provide outpatient therapy for pediatric, adult, or geriatric patients, you know how challenging it is to keep up with the nonstop regulatory and payment changes from Medicare, Medicaid, Aetna, Blue Cross, United Healthcare, and others.

With a Platinum Membership at Gawenda Seminars & Consulting, you’ll gain:
🔹 Access to 1,000+ articles + weekly updates
🔹 Answers to 30+ topics with several of the most common questions
🔹 Live + recorded webinars on 2026 regulatory and payment changes

🔗 Learn more here
https://loom.ly/NTPqTqg

08/22/2025

If you’ve ever asked yourself this as a private practice owner, you’re not alone. Many outpatient therapy practices lose thousands of dollars each year — not because they aren’t busy, but because of avoidable mistakes:

• Incorrect or incomplete coding
• Missed billing opportunities
• Documentation that doesn’t support services
• Denials that never get appealed

These leaks add up fast and most owners don’t even realize how much they’re leaving on the table.

That’s where Gawenda Seminars & Consulting comes in. I have spent decades helping practices like yours tighten up coding, billing, and compliance so you can:

✅ Get paid what you’ve earned
✅ Reduce denials and lost revenue
✅ Keep more money in your practice

Don’t let small mistakes drain your bottom line. The right knowledge = more profit in your pocket.

08/21/2025

📅 Mark your calendars: September 10, 2025

Join us for a 2.5 hour live webinar: A Comprehensive Guide to Understanding the Physical Therapy Evaluation Codes

Here’s what you’ll learn:
✅ The 4 components of a PT evaluation
✅ How comorbidities and personal factors impact the history section
✅ How to count body structures, body functions, activity limitations, and participation restrictions
✅ Stable vs. evolving vs. unstable clinical presentations
✅ Low, moderate, and high complexity decision making
✅ The documentation required to support your chosen complexity level

This is one of the most comprehensive trainings on PT evaluation CPT codes you’ll attend—helping you not just understand them, but apply them with confidence.

🔗 Register here:
https://loom.ly/garP7Go

08/20/2025

Did you know I offer on-site seminars for PT, OT, and SLP teams? I’ll come to your clinic and provide a full-day training on the topics that matter most to your therapists and assistants - documentation, coding, billing, compliance, and more.

✅ Your whole team hears the same message
✅ CEUs included
✅ Customizable topics to fit your needs

If you’re interested in bringing this to your team, send me a message! Let’s make continuing education easier and more impactful.

08/18/2025

What keeps me up at night? 👀 Well, okay.. maybe not this but it is something that I wish more outpatient therapy practices didn’t have to worry about!

08/15/2025

Quick question for you…

How much time do you spend each week searching for answers to your documentation, coding, and billing questions?

And when you do, how often do you actually find a clear, reliable answer?

Imagine if you had instant access to those answers—no more wasted hours, no more frustration, just quick, accurate information at your fingertips.

That’s exactly what our website membership provides: a one-stop resource with expert-vetted FAQs, coding guidance, and billing insights that help you save time and keep more of your hard-earned revenue.

Faster answers to your toughest questions
More money staying in your practice
Less stress about compliance and reimbursement

Learn more here 🔗
https://loom.ly/NTPqTqg

08/13/2025

Can the services of an assistant be billed under the NPI of a therapist who is on vacation and/or out of the country? Surprisingly, people still get this wrong. Let’s talk about it!

08/12/2025

If your patient has an Aetna Medicare Advantage plan that doesn’t cover certain outpatient therapy services, can you charge them cash?

This week’s article breaks down:

• Whether you can charge cash for non-covered services
• Who can initiate a preservice OD notice of denial
• If “not medically necessary” means you can bill the patient
• Whether Aetna MA follows Medicare’s 8-minute rule

Members can access it here 🔗
https://loom.ly/-AacjIk

Address

PO Box 971862
Ypsilanti, MI
48198

Telephone

+17345317718

Website

https://www.gawendaseminars.com/

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