Payment and Policy: What is Important and What is Noise?
Presented by Ellen R. Strunk, PT, MS, GCS, CEEAA, CHC
TBA Contact Hours, MT category A
Full Course information can be found by scrolling down below.
If you are registering a member, and you find the selection does not give you member pricing, please log in with the email we have on file for you. This will recognize you as a member. If that doesn't work, feel free to call or email and we will find the problem and fix!
Provisions include a light continental breakfast including coffee, lunch at the business meeting.
Best Western Premier Helena Great Northern Hotel. Please request MAPTA room block by calling 406-457-5500
April 26, 2019 2019, 6pm. Helena
Business meeting and elections will be held at noon on Saturday, April 27, 2019 at the CE site. Lunch is included for those registered for the course. Please RSVP if you are not registered (you may register online). Please send agenda items to the office or President Jay Shaver by April 6, 2019. Final agenda will be posted by April 17, 2019.
MAPTA reserves the right to refuse/cancel an event registration. If MAPTA refuses a registration, registrants will be offered a full refund.
Registration Cancellation by Participant:
- Cancellations will be accepted in writing via fax, email, or mail.
- A $25.00 administration fee will be withheld when cancellation occurs up to ten days prior to the start of the event; 50% refund if cancelled 2-10 days prior; 25% refund if cancelled 0-1 day prior.
10% Discount for 3 or more APTA Member PTs/PTAs from one clinic. Fees for all persons must be made with one payment. No exceptions. Credit will not be provided at a later date. Combining discounts (ie Lifetime AND Group) is not applicable. If you need to take advantage of this, call us for a group code to pay online, or mail in your check with participant names.
Students may take any classroom course for only $99. Courses in which we need to limit numbers or labs do not apply. If you need to take advantage of this, call us for a group code to pay online, or mail in your check with participant names.
Lifetime members may take any non-limited seating, MAPTA sponsored CE at 50% discount. Combining discounts (ie Lifetime AND Group) is not applicable. If you need to take advantage of this, call us for a group code to pay online, or mail in your check with participant names.
7:00 - 8:00am Professional Issues Forum
8:00am - 12noon Course with break
12noon - 2:00pm MAPTA Business meeting and luncheon
2:00pm - TBA
About the course:
Therapy services in every setting continue to be highly scrutinized by Medicare, Recovery Auditors and even private payers. The regulations and guidelines for therapy services are complex and difficult to interpret. Moreover, the interpretations of how to apply the regulations vary. Over the past two years, the Centers for Medicare and Medicaid Services has overhauled the payment method for almost every setting in which PTs and PTAs work. Understanding these changes and how they impact a therapist’s expectations and responsibilities in the workplace are critical to success.
This course will assist the participant in navigating and applying the rules and regulations. The participant will also learn about recent changes affecting therapists in all settings: the Merit‐based Incentive Payment System (MIPS), changes to the skilled nursing facility and home health agency’s prospective payment system, maintenance therapy, value based models, and medical reviews. The course will also inform participants of how quality of care is becoming a bigger driver of payment across the spectrum, and of course how documentation of services relates to all of this.
Physical therapists, physical therapist assistants, billing personnel
- Identify the most recent changes to therapy services payment and how business practices might be impacted
- Discuss the most recent policy and payment landscape including fee schedules, Tricare, the therapy cap exceptions process, health care reform, and quality‐based payment systems for therapy services in all settings.
- Interpret the role that quality measurement has in physical therapy services.
- Apply the most current documentation regulations and how to implement them in daily practice.
About the Speaker
Ellen R. Strunk, PT, MS, GCS, CEEAA, CHC has worked in various roles and settings as both clinician and manager/director. Presently, Ellen is owner of Rehab Resources & Consulting, Inc. RRC specializes in helping customers understand the CMS prospective payment systems in the skilled nursing facility and home health setting, as well as outpatient therapy billing for all provider types. Ms. Strunk’s experience includes utilizing medical record reviews and data systems to help both inpatient and outpatient therapy providers meet regulatory guidelines. She has worked with clients on a variety of Medicare/Medicaid payment and certification matters, including substantial overpayment assessments and facilitation of Corporate Integrity Agreements. Ms. Strunk lectures nationally on the topics of regulatory compliance in the post‐acute care space and coding/billing/documentation to meet medical necessity guidelines and payer regulations, as well as pharmacology for rehabilitation professionals, clinically appropriate exercise for older adults, and the importance of functional outcomes to value‐based payment.
Ellen is a member of the American Physical Therapy Association, the APTA Academy of Geriatric Physical Therapy, the APTA Home Health Section and the APTA Health Policy & Administration Sections. She serves on a state level as the Practice & Reimbursement Chair for the Alabama Physical Therapy Association. She is a member of the American Health Care Association (AHCA), the National Association of Rehab Agencies and Providers (NARA), and the National Association for the Support of Long Term Care (NASL).