PRIVATE PRACTICE - Strategic Contracting Series - Module 5 – Negotiation in Action: From Making the Ask to Walking Away

This two-part module walks you through the full arc of payer negotiation—from confidently making your case to knowing when and how to walk away.

Part 1: "Negotiation Nuts & Bolts: Focus on the tactical communication skills and step-by-step process physical therapists can use to conduct payer negotiations more confidently. Topics will include:

• Framing the ask

• Leveraging network adequacy, cost/visit data, and patient access 

• Real-world PT examples

Part 2: "How to Confidently Walk Away– Going Out of Network": COMING SOON! Learn how to terminate insurance contracts and explore the options, benefits, and challenges of providing out-of-network care.


Explore all modules in the Contracting for Smart PTs series

Gabe Freyaldenhoven

PT, DPT

River Valley Therapy and Sports Medicine

Gabe opened River Valley Therapy & Sports Medicine in September of 2001. He earned his Bachelors of Science in Health Science in 1996 and his Master of Science in Physical Therapy in 1998 from the University of Central Arkansas. He completed his Doctorate in Physical Therapy in 2010 through the EIM Institute of Health Professions. Gabe has attended many courses such as the McKenzie Method, Paris Techniques in Spinal Rehab, MedX Spinal Rehab and numerous orthopedic classes with an emphasis on knee, hand, and shoulder rehabilitation. He achieved his certification in Manual Therapy in 2015 as well.

Gabe has lectured on topics pertaining to physical therapy at the University of Central Arkansas, Arkansas State University, as well as worked with students at Russellville High School. Gabe is a member of the American Physical Therapy Association, Arkansas Physical Therapy Association, and RehabNet of Arkansas, where he is currently President of the Board of Directors. He also serves as team physical therapist for the Pottsville High School football team and during basketball tournaments, and provides physical therapists for the Hector Wildcats.

Rick Katz,PT, DPT, MS

VP of Operations & Payer Contracting

Spine and Sport Physical Therapy

Berni Willis

Executive Director

Mid American Rehabilitation Network

Berni Willis, based in Clarksville, OH, US, is currently a Executive Director at Mid American Rehabilitation Network. Berni Willis brings experience from previous roles at Ohio Physical Therapy Association, OptimistPT, Mid American Rehab (previously OPTN) and Comprehensive Physical Therapy Center. With a robust skill set that includes Management, CPT, Revenue Cycle Management, Practice Management, Healthcare Management and more.

Kelly Sanders

PT, DPT

Movement for Life

Kelly serves as the president of Movement for Life, an employee-owned company that operates outpatient clinics in Arizona, California, North Carolina, and Virginia. She started her career as a certified athletic trainer. She entered PT school at the University of Southern California while also working in their outreach program as a high school athletic trainer. Kelly has also had the opportunity to be active in the APTA Private Practice Section, currently serving on the Board of Directors with past membership on the Editorial Board, as well as payment policy, value-based care, telehealth, and COVID-19 task forces and committees.

Rick Gawenda

PT

Gawenda Seminars and Consulting

RICK GAWENDA, PT, is a licensed physical therapist with over 30 years of experience and currently serves as the founder and President of Gawenda Seminars & Consulting, Inc. He graduated with a Bachelor of Science degree in Physical Therapy from Wayne State University in Detroit, Michigan, in 1991.

He has provided valuable education and consulting to hospitals, private practices, skilled nursing facilities, and rehabilitation agencies in the areas of CPT coding, ICD-10 coding, billing, documentation compliance, revenue enhancement, practice management, and denial management as they relate to outpatient therapy services. Mr. Gawenda has presented nationally since 2004 and has provided over 1000 on-site seminars and webinars.

In addition, Mr. Gawenda is retained by attorneys to serve as an expert in regard to legal or physical therapy state board issues regarding documentation, billing, supervision, and utilization of support personnel and compliance with insurance rules and regulations as well as physical therapy state board requirements.

Mr. Gawenda is a member of the American Physical Therapy Association (APTA) and Michigan Physical Therapy Association (MPTA). Mr. Gawenda is a Past President of the Section on Health Policy & Administration of the APTA. He is the current Chair of the APTA Private Practice Payment Policy

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”.

Jim Stroker, PT, DPT, MA

Chief Executive Officer

Medical Billing Center

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On-Demand Video Module 5 - Part 1: "Negotiation Nuts & Bolts
Recorded 07/08/2025  |  47 minutes
Recorded 07/08/2025  |  47 minutes Focus on the tactical communication skills and step-by-step process physical therapists can use to conduct payer negotiations more confidently. Topics will include: • Framing the ask • Leveraging network adequacy, cost/visit data, and patient access • Real-world PT examples
On Demand Video Module 5 – Part 2: "How to Confidently Walk Away– Going Out of Network"
Select the "View On-Demand Recording" button to begin.  |  45 minutes
Select the "View On-Demand Recording" button to begin.  |  45 minutes COMING SOON! Learn how to terminate insurance contracts and explore the options, benefits, and challenges of providing out-of-network care.
Evaluation
10 Questions
10 Questions After viewing Module 5, please take a few minutes to complete the course evaluation in the Learning Center. Your feedback really makes a difference—everything we do to improve our educational content depends on what you share with us. We’d love to hear your thoughts, so please don’t skip it! Thank you. APTA Private Practice