Medicare has numerous regulations that govern coverage and payment for outpatient physical therapy services. With the increased scrutiny by Medicare of physical therapy services, it is important for physical therapists to ensure they comply with these requirements. Find out important information about payment and coverage rules that apply to outpatient physical therapy services under Medicare in 2015, and where to go to stay current with the fast-changing rules. During the Q & A session following the presentation, you may ask your questions directly to the experts.
At the conclusion of this course, participants will be able to:
Identify therapy cap amounts, therapy cap exceptions process status, and 2015 fee schedule payment amounts.
Describe how you can adapt your practice to comply with the therapy cap and exceptions process.
Identify the required documentation for the medical record and how to avoid manual medical reviews.
List time frames for plan of care certification/recertification and progress reports.
Cite 2015 PQRS measures, reporting requirements and timeframes.
Cite Functional Limitation Reporting requirements and timeframes.
Rick Katz, PT, DPT has a Bachelor of Science degree from California State University, Northridge (CSUN) in 1979 and obtained his Physical Therapy certification from a combined program at CSUN and UCLA in 1980. He went on to receive a Master’s Degree in Exercise Science from CSUN in 1985 and his DPT from E.I.M. Institute in 2013. He is currently a faculty member at CSUN. He currently serves as the Chairperson for the CPTA’s Payment Policy Committee, member of the Finance Committee and is a past CPTA Board of Directors member. He chairs the APTA Private Practice Section’s ACO task force. He is the recipient of the CPTA’s James McKillip Leadership Award and the Charles Magistro Service Award. Rick is the President of Adient Physical Therapy which owns and operates PT facilities in 4 western states. Rick enjoys the combination of patient care, management and teaching along with his volunteer work with the APTA.
Dennis Langton, PT received his B.S. degree in Health Education and Physical Therapy in 1973 from the University of Utah. His post graduate studies include a wide variety of advanced clinical courses in the areas of Manual Therapy, Sports Medicine, Neurology, Craniomandibular Disorders, and Work Rehabilitation. Mr. Langton has presented over 30 post graduate research papers and taught over 100 post-graduate professional courses, both nationally and internationally, in the areas of orthopedics, manual therapy, orthotics and prevention education. He is presently a consultant in head, neck, and facial pain to the Clinical Research Foundation, and an Associate Clinical Professor at the University of Southern California. Mr. Langton is co-author of a functional anatomy text on the head, neck and temporomandibular joint and contributing author on two textbooks on evaluation and treatment of CMD. He is an active member of the American Physical Therapy Association and the Orthopedic, Private Practice, Aquatics, Geriatrics, Women's Health and Health Policy and Administration sections and is a Trustee of APTA-PAC. He currently serves on the Chapter Board of the California Physical Therapy Association (CPTA) and is Finance Officer and liaison to the CPTA Payment Policy Committee.
Tameka Island, MPA is the Executive Associate, Professional Affairs with the California Physical Therapy Association. She has served members of CPTA for over ten years. Tameka received her Bachelor’s of Science degree in Human Development from the University of California, Davis and completed her Masters of Public Policy and Administration in 2011. Tameka currently serves as staff adviser to the CPTA’s Payment Policy Committee, Quality Practice Committee, Government Affairs Committee, and Ethics Committee. She has published PT Intervention articles on payment policy, federal and state regulatory policy changes and risk management strategy for physical therapists throughout California. She is frequently invited to speak on topics such as claims billing, documentation, defensible documentation, ethics/law and various practice issues.
12:00 – 1:30PM Presentation
1:30 – 2:00PM Q&A
2.0 contact hours or 0.2 CEUs (approval pending)
PTs, PTAs, Students and other Allied Health Professionals
Registration received by April 14, 2015
$25 APTA PT members
All cancellation requests must be received in writing – no exceptions. A full refund, less 20% service fee, if cancellation is received by April 14. No refunds after April 14, 2015.