An alliance of rural healthcare organizations working together to provide customized value and services that will meet the individual needs of its members.
Billing Using SPM vs Medicare’s 8-Minute Rule
From
Dec 9 2025 12:00 pm
until Dec 9 2025 1:00 pm
At Webinar
Via Webinar Only - Recording of session available to those that cannot attend the live session.
Description
Many practices believe the Centers for Medicare and Medicaid Services (CMS) creates the CPT codes and defines how much time must be provided of a time-based CPT code to bill that code to an insurer. In reality, it’s the American Medical Association (AMA) that creates and owns the CPT codes. In this session, you will learn the difference between substantial portion methodology and Medicare’s “8 minute rule” and how each one impacts the number of units that you can bill.
Key Learning Objectives:
- Define substantial portion methodology (SPM) of a time-based CPT code
- Describe CMS’ “8-minute rule”
- Understand how to bill the correct number of time-based units using SPM or the 8-minute rule
Who Should Attend: Billing, Business Office, Coders
Instructor: Rick Gawenda, Gawenda Consulting
Continuing Education: Clock Hours: 1.0
This workshop is designed to meet the continuing education requirements for the MN Board of Nursing. It is the responsibility of the attendee to determine whether these activities meet the current criteria for continuing education.
All registrants will receive course information, connection details, & any materials prior to the session. All registrants will receive the webinar recording following the event.
Registration Fees:
Medi-Sota Members: $25/person
Non-Medi-Sota Members: $125/person
Cancellations must be made no later than 15 business days prior to the course. The full course fee will be charged if cancellation is made in less than 15 business days. Full refunds will be given for all classes cancelled by Medi-Sota. Registration is transferable to another person.