APTANJ Jersey Jargon by APTANJ

American Physical Therapy Association Of New Jersey

Fall 2013

y goal for the past 20 months has been to show the value of being a member of our association.

In This Issue... •

Fall Conference 2013

•

Meet Your New Executive Director

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APTA Membership

•

Legislative Updates

•

Special Olympics/ FunFitness

•

Practice Management: APTA Marketing Tools

•

Member News

•

Reimbursement New$

•

Summer Social Soiree

•

Membership Registration

Great programs! Great Speakers! EARN 4 CE Credits Register ONLINE www.aptanj.org. see page 2

Together with our Council of Directors, we’ve focused on building core professional services to support our efforts and our members. We added both a legal and marketing consultant to our team. We maintain a lobbyist and a Payer Relations Specialist. I am very pleased that, following a fourmonth-long effort, our search committee has selected Daniel Klim to serve as our new executive director and to lead the APTAnj. The mandate of our search committee was to find an individual who could act as a Chief Operating Officer for our association and establish our chapter as a model for APTA national. It is very obvious that we have set high goals and I am extremely confident that we will meet them. Dan is experienced in key areas of management that will be vital to our continued growth in professionalism, in membership and in organizational strength. He has demonstrated leadership in association management, membership development and non-dues revenue generation, all of which are important to continued growth. He is familiar with both the legislative and regulatory environment. With the support of our members, 2013 could be one of the most memorable years in our history. Your association introduced legislation (A4304) that will protect our profession and allow us the flexibility to

adapt to the ever-changing health care environment. We worked collaboratively with other health care providers to oppose the Acupuncture Board’s attempt to expand its scope of practice. We continue our governance review, with the goal of making the association more efficient and user friendly to our members. My colleagues who are reading this already understand their professional obligations and the value that your association brings to the profession. We hope to add additional value to being a member that not only supports our professional mission but the everyday lives of both our current members and future. Your association is well positioned to serve our profession as we move forward. Brian J. Mason, PT, DPT President@aptanj.org President

Not a member yet? Why not?

Look inside... ...to see what we can do

for you. Join.

Council of Directors (* Executive Committee)

The Jersey Jargon is a private publication of the American Physical Therapy Association of New Jersey and is published twice a year to provide members with timely and pertinent information concerning the practice of physical therapy. Certain articles and letters printed express the views of the author only and are not necessarily the policy of the Association. All materials submitted are subject to editorial review. All advertisements are accepted on the basis of conformance with the ethical standards of the American Physical Therapy Association. The Association has not verified the representations made in advertisements and should not be deemed to have endorsed any advertisers. All materials or ads should be submitted to the Jargon Editor in care of the aptanj office: American Physical Therapy Association Of New Jersey 1100 US Highway 130, Suite 3, Robbinsville, NJ 08691-1108

President * . . . . . . . . . . . . . . . . . . . . . . . . . Vice President * . . . . . . . . . . . . . . . . . . . . . Secretary *. . . . . . . . . . . . . . . . . . . . . . . . . Treasurer *. . . . . . . . . . . . . . . . . . . . . . . . . Chief Delegate . . . . . . . . . . . . . . . . . . . . . . Director of Communications . . . . . . . . . . . Director of Government Relations . . . . . . Director of Membership . . . . . . . . . . . . . . Director of Practice . . . . . . . . . . . . . . . . . . Director of Programming . . . . . . . . . . . . . . Director, Central District . . . . . . . . . . . . . . Director, Northern District . . . . . . . . . . . . Director, Southern District . . . . . . . . . . . .

Nominating Committee Email: nominate@aptanj.org Central District . . . . . . . . . . . . . . . . . . . . . Kathy Krotz, PT Northern District . . . . . . . . . . . . . . . . . . . . Kimberley Careccia, PT Southern District . . . . . . . . . . . . . . . . . . . . Ron Yerman, PT

Phone: (609) 208-0200 Fax: (609) 208-1000

Mission Statement

The American Physical Therapy Association of New Jersey promotes the integrity and excellence of physical therapists and physical therapist assistants through the coordination of advocacy, education, and resources to be responsive to and serve the membership and community.

www.aptanj.org Next Publication Deadline: December 31, 2013 Next Chapter Meeting Date: Saturday, April 26, 2014

Association Staff: Executive Director – Daniel Klim (609) 208-0200 ext. 101 dklim@aptanj.org

Goals A. Influence payers, legislators, and the public to recognize physical therapists as the practitioner of choice.

Meetings & Events Coordinator & Graphic Design - Lieve Monnens-Cash (609) 208-0200 ext. 100 studio@aptanj.org

8:30 AM

Brian Mason, PT Dana Cartin, PT Leslie Marcks, PT Jeffrey Snyder, PT Patricia Brick, PT Arthur Veilleux, PT Jeff Flyer, PT Jennifer Lazaro, PT Terry Andrus, PT Sangita Velma, PT Marc Suznovich, PT Heather Sleece Monaco, PT Paul Vidal, PT

B. Provide and expand educational resources to promote and support evidencebased practice. C. Promote professionalism through effective communication and advocacy.

Choice of 3 Educational Programs (4 CE credits each)

Collaborative Leadership in the 21st Century: Building an Exciting and Productive Workplace presented by Matthew R Hyland, PT, PhD, MPA, President of NYAPTA

Medical Fitness for the Pediatric Population

presented by Mary Jane Myslinski, PT, EdD, EdM, MA and Phyllis Guarrera-Bowlby, PT, EdD, PCS

Do the Right Thing: Ethics & Jurisprudence in Physical Therapy presented by Beth Sarfaty, PT

1:00 PM NETWORK 2:00 PM

LUNCH • EXHIBITS • Special Interest Groups Connect with Colleagues

CHAPTER MEMBERSHIP MEETING

with keynote speaker Paul Rockar, Jr., PT, DPT, MS, President of APTA

For registration and more information go to www.aptanj.org 2

Fall 2013

Focusing on New Jersey & You

t’s an honor to have been selected as the Executive Director of the American Physical Therapy Association of New Jersey (APTANJ). I’m looking forward to representing your profession and working to build this into one of the premier physical therapy organizations in the country.

scholars all right here in the confines of our little, peculiar-shaped piece of land. But most of all, we of the Garden State have heart and passion. These two traits are what distinguish our people from the others in the surrounding states.

Now, first and foremost, I’d like to introduce myself. I am a “Jersey Guy.”. I was born and raised here and I live just down the street (off of NJ Turnpike Exit 8) from the APTANJ office. My graduate and undergraduate degrees are from state-based colleges and I’ve been involved with several NJ-based non-profit organizations over the past decade. I met my “Jersey Girl” just outside of New Brunswick and I’ve taught my children the importance of growing a good tomato. And, I know that in New Jersey, even if you go north you’re still heading “down the shore”.

When I was interviewing for the position, I told the executive s e a r c h committee that PTs make New Jersey strong. It is your profession that impacts people’s daily lives and gets them going again. The heart and passion that you bring to your job every day on behalf of your patients are the same characteristics that I will put forth on your behalf each day.

I wholeheartedly believe in the unique spirit that resonates within our state’s people. There is a certain toughness that people in other states can neither understand nor contend with.We can shrug off bad jokes about NJ and highlight all of the great things our state has to offer. We have what other states don’t…a rich historical tradition highlighted by the turning point of the American Revolution. We have four seasons a year, miles and miles of sandy coastline, diners, and traffic circles. We’ve got some of the most amazing professionals: leaders, entrepreneurs, artists, songwriters, entertainers and

I have no interest in preserving the status quo or focusing on issues outside of New Jersey: there is a national organization that focuses their efforts on a federal agenda. My attention and efforts are with you, the dues-paying members in our state’s 21 counties. My promise to you is that the new APTANJ will provide you with information, education, and most importantly, value. We will demonstrate value for your membership investment by achieving positive results and benefits on your behalf.

APTANJ discussions on social media, attend our governmental, educational, social and networking events. And, most importantly, get your non-member PT colleagues involved…it’s their organization too. This is your profession and your professional association. If I want it to be the best, then why wouldn’t you? I encourage all of you to participate on some level. I’m excited to be your Executive Director and I look forward to working for and with you. Please feel free to give me a call, send me an email or stop by the Robbinsville (Mercer County) office to chat. I enjoy meeting new people and would love to hear all of your various perspectives on how to advance the mission of our APTANJ. I might even buy you a tomato pie! Lastly, I’m a big Springsteen fan. So, if you stop by the office, call on the phone or send an email, please let me know your favorite tune from The Boss and the legendary E Street Band. My favorite is a newer one called “Wrecking Ball” which I first heard at Giants Stadium in 2009. So “take your best shot, let me see what you got” and let’s make an impact together in this great state of ours. Dan Daniel Klim Executive Director

What I ask of you in return is that you read our information, engage in

Membership poll and other current news in the new APTANJ blog aptanj.wordpress.com

Fall 2013

APTANJ membership provides professional value

id all of the changes in Medicare documentation catch you by surprise? How about the changes to the State Practice Act bill … ? Would you like to be better informed? Joining the APTANJ is the best way to receive up-to-date information regularly and stay in the know on state and national issues. And that’s just the beginning: Membership opens the door to workshops that can help advance you professionally and provide the best care for your patients, compensate you fairly, inform you of regulatory changes and

even provide customizable marketing tools to promote your business. The chapter staff and fellow members work hard to allow our profession to grow, to maintain its strategic direction and to adapt to changes. For example, our APTANJ Council of Directors and our lobbyist recently provided comment on a proposed Acupuncture bill that could affect our profession. Our legal and payer relations professionals advise members regularly on legal and reimbursement issues.

meetings provide CEU credits and are great for networking. Meeting other physical therapists and physical therapist assistants at APTANJ events will help strengthen your role and take part in the future of physical therapy in New Jersey. There are many reasons to join APTANJ. Look for them... they appear randomly in shaded boxes throughout this issue! To join, visit www.APTANJ.org. Also find us on Facebook and Twitter (links on website).

The APTA Learning Center offers additional discounted and free CEU opportunities. District and chapter

Arthur Veilleux Director of Communications

October is National Physical Therapy Month This year, the focus of National Physical Therapy Month is on sports injury prevention across the lifespan. APTA has posted valuable online Public Relations tools and resources that can help you plan an event for your organization, including an event planning guide, consumer handouts on various topics, and more. Go to www.apta.org/NPTM. Take advantage of these materials to help promote your organization.

Continuing Professional Education Fall 2013 Autism Spectrum Disorder Speaker Series (A six part dinner speaker series) Tuesday evenings: September 24, 2013 — October 29, 2013 Audience: PT, OT, Speech and Language Professionals Session topics and continuing education credit information is available at: www.stockton.edu/continuingstudies Understanding Autism: Using the DIR/Floortime Approach to Children with Autism Spectrum Disorder Saturday, October 5 and Sunday, October 6, 2013 Instructors: Kathleen Pilarz, PhD and Mary Kientz, OTD, OTR Continuing Education credit information is available at: www.stockton.edu/csconferences Current Trends in Examination and Treatment of the Foot and Ankle Saturday, November 2, 2013 Instructor: Stuart W. Honick, DPM, PT, FACFAS Approved: NJBPTE for 6.5 CEs; course approval #1084-2012 Fall Prevention: Fall Risk Assessment Tools & Intervention Strategies Saturday, December 7 and Sunday, December 8, 2013 Instructor: Enrico Dellagatta, PT, DPT, M.Ed Approved: NJBPTE 12.5 CEs; course approval #927-2012

Therapeutic Exercise for Special Populations Friday, December 13, 2013 Instructor: M. Alysia Mastrangelo, PT, PhD Approved: NJBPTE 12.5 CEs; course approval # 1176-2012/ AOTA: Approved for .80 CEUs Health and Wellness: Assessment and Planning Saturday, December 14, 2013 Instructor: M. Alysia M. Mastrangelo, PT, PhD Approved: NJBPTE: Approved for 6 CEs; course approval #1177-2012/ AOTA: Approved for .60 CEUs Ethics and Jurisprudence for New Jersey Physical Therapy Professionals Saturday, January 18, 2014 (snow date January 25, 2014) Instructor: Lee Ann Guenther, PT, MS, DPT Approved: NJBPTE 4.0 CEs; Approval #706-2012 Course satisfies requirement for 4 Ethics and Jurisprudence continuing education credits by the NJBPTE for the 2012-2014 licensure cycle.

Save the Date! Shoulder Disorders: Update on Evaluation and Management Friday, September 20, 2013 and Saturday, September 21, 2013 Introduction to Instrument Assisted Soft Tissue Mobilization: October 26, 2013 Certificate in Assistive Technology (CAT) Next cohort starts Fall 2013

SCHOOL OF GRADUATE AND CONTINUING STUDIES

FOR mORE INFORmATION AND TO REGISTER, vISIT www.STOCkTON.EDU/CONTINUINGSTUDIES OR CALL 609.652.4227. REGISTER EARLy!

Fall 2013

Legislative Updates

Legislation to Modernize PT Practice Act is Moving Forward

am proud to report that a bill that updates the statutes that govern the practice of physical therapy was introduced in both houses of the New Jersey legislature at the end of June. The legislation is designated as A4304 in the Assembly and S2923 in the Senate. Assemblyman Tom Giblin (D-Essex) and Senator Joseph Vitale (D-Middlesex) are the prime sponsors. The bills were referred to the Assembly Regulated Professions and the Senate Health, Human Services and Senior Citizens committees. This is important, as our sponsors are the chairs of these committees in their respective houses and have much discretion over when these bodies hear bills and how the hearings are conducted when they take place. The intent of the legislation is to bring the PT Practice Act in line with what you do as

physical therapists. It aims to protect your practice and bring it into compliance with the direction of national physical therapy practice. Over the summer, under the leadership of Director of Governmental Relations Jeff Flyer, members of the APTANJ Legislative Advisory Panel (LAP) and I will be meeting with legislators to secure their support and co-sponsorship of the legislation. We will also be meeting with other health care advocacy and professional organizations to answer questions and ensure a smooth process once the legislation enters the committee-hearing phase. Please note that the Senate is on an abbreviated schedule for the summer and early fall and the Assembly has not yet announced any meeting dates. Consequently, committee hearings on the bill are not likely to take place until after the November election.

Once we have a better idea regarding next steps for the legislation, we will be asking EACH OF YOU to make your voice heard and reach out to your senator and assembly members and encourage their support of this important initiative. I would very much like to thank the members of the Sunset Task Force, particularly its chair, Denny Krencicki, who worked for more than a year to craft the necessary changes to the PT Practice Act that will allow every PT and PTA in New Jersey to provide their patients with the very best care possible. Lynn Nowak APTAnj Lobbyist

Strength in Numbers? Examining the Rise of Healthcare "Super-Groups"

n recent years, an increasing number of licensed healthcare providers are combining their practices with other providers; be it acquiring or merging with other providers in the same specialty, selling to a hospital or other institutional delivery system, or joining larger, multi-specialty groups. According to a report released by the Congressional Research Service in January 2013, these moves are part of a broader trend toward consolidation in healthcare, with the overall number of mergers and acquisitions in the industry at the highest level in more than a decade. This consolidation movement has firmly taken root in physical therapy as well, where the number of solo and small practices is declining and the number of larger practices is increasing, with many groups spanning a number of counties or even entire states. After all, larger physical therapy practices, commonly referred to as â&#x20AC;&#x153;Super Groups,â&#x20AC;? have advantages such as increased leverage in negotiations with managed care companies,

Fall 2013

increased purchasing power to leverage in obtaining services and supplies, and greater access to capital to invest in infrastructure, including facilities, equipment, technology, and other patient-management tools.

and cost-efficient patient outcomes; and (2) capitalizing on the economies of scale relative to reducing administrative costs and developing ancillary revenue streams, thereby reducing the cost of providing quality care.

There are numerous Super Group models currently operating in New Jersey, ranging from full-scale equity mergers, where existing practices are consolidated to the fullest extent possible, to independent practice associations, where the participating licensed healthcare providers maintain their autonomy, but integrate financially or clinically in order to contract as a group. Regardless of ownership or structure, they share a common overall vision: to position themselves strategically as desirable business partners with insurance carriers, health systems, hospitals, and other healthcare delivery systems, such as accountable care organizations, by: (1) focusing on evidenced-based treatment protocols, resulting in the delivery of effective

So while being able to negotiate favorable reimbursement rates with third-party payers and other delivery systems is a fundamental goal of each of these Super Groups, it is merely one prong in a multi-faceted approach to increasing practice-profitability on a per provider basis. Indeed, in order to align with the realities of a rapidly-changing healthcare marketplace, the collective mantra underlying any negotiation aimed at increased reimbursement on a per service basis is reducing the overall cost on a per patient basis, as opposed to merely demanding higher reimbursement due to market share. Thus the goal of any Super Group should be to foster partnerships with payers and other healthcare delivery systems to help achieve better care Continued on page 10

APTANJ PTs/PTAs and 31 students contribute to successful FUNfitness for NJ 2013 Special Olympics Healthy Athletes Program

Fall 2013

ore than 250 athletes were winners this year for taking part in FUNfitness events at the Healthy Athletes Program of the New Jersey Special Olympics in early June at the College of New Jersey, Ewing.

Save the Date! National Games

They were assisted in part by APTANJ members: 13 PT/PTAs, 31 students and five family members or friends who helped to provide the FunFitness screenings

Mercer County, NJ

5, 00 0a thl

ete s

This program screens the athlete in the areas of flexibility, strength, balance and endurance. Based on the findings, each athlete receives education from a physical therapist in correct techniques to work on specific areas of need. Each athlete receives an individualized scorecard with written and illustrated directions for exercises and an exercise band to take with them.

ds ar w p nu ee

Special thanks to Special Olympics FUNfitness Clinical Directors: MaryLou Jani, PT, Meghan Dilley, PT, and Ellen Anderson, PT, for coordinating APTANJ’s participation in this event and for putting together the photos and information for this story.

to he lp

to tee r se v olu n

Ple a

“This was one of the busiest weekends ever, with more than 250 athletes participating in FUNfitness,” said MaryLou Jani, PT. “I want to thank all of our wonderful volunteers, without whom we could not have provided this invaluable service. Special thanks go to the PT students from UMDNJ (now Rutgers) and Stockton for their enthusiasm and professionalism working with the athletes.”

FUNfitness

sc r

The weather forced cancellation of the opening ceremonies Friday evening, but all sports competitions were held and completed Saturday and Sunday.

Special Olympics

Healthy Athletes the College of New Jersey June 16-20, 2014 Shifts: 2-8 PM each day

for more info go to www.aptanj.org  get involved or call (609) 208 0200 American Physical Therapy Association Of New Jersey

Volunteer at the National Games in 2014!

In 2014, New Jersey will host the USA National Games in Mercer County, from June 13 to 21. If you have not yet experienced the thrill of Special Olympics Sports and the Healthy Athlete Program, that will be your chance to participate! The USA National games will host 3,500 athletes who will participate in 14 Olympic-style sports. There will be approximately 1,000 coaches, 8,000 volunteers and 50,000 family and friends in attendance. Healthy Athletes will be a highlight of the games and is open for each athlete to participate in. We will be recruiting volunteers for six-hour shifts, from 2 p.m. to 8 p.m. from June 16 through June 20, 2014. Please plan your vacation time to volunteer for a shift during that week. Stay tuned as more information comes your way! Specific information pertaining to FunFitness is already available on the APTANJ website. Special Olympics/Healthy Athletes are now looking for volunteer coaches all year round! For more information or to become a Young Athlete Program coach contact Andrea Moore, Young Athlete Program Manager at avm@sonj.org or (609) 896-8000 ext 265. Download Healthy Athletes program information leaflet from the FUNfitness page on www.aptanj.org►connect►volunteer opportunities or look online on www.sonj.org.

Fall 2013

Communicating Your Brand

Leverage APTA to build your own brand T

here are many good reasons to build a brand.

In this column we’ll discuss one good method to build a brand. It’s called “leveraging.” Associate your organization with another better-known organization or symbol of credibility to share in its good will. Good Housekeeping I f yo u ’ re fa m i l i a r w i t h t h e G o o d Housekeeping Seal of Approval, you will understand the value that affiliation can bestow on a product or business. The Good Housekeeping Seal means that a product has been tested and validated to perform consistently at a high standard. It adds credibility and assures value. APTA’s halo The APTA brand can serve physical therapists in the same way. By identifying yourself or your practice as a member of the APTA you communicate that you are part of a larger organization that offers a halo of benefits and advantages over non-members. If you establish this identification, you can be seen in your community as being part of

that larger organization when the national APTA runs TV, radio or print advertising in New Jersey. APTA also provides templates of ad materials to members who wish to customize them with their own logo and use them locally. Degrees of association You can choose to what degree you want to display the APTA brand in proportion to your own. We show two such examples using the AVOW Communications logo as a placeholder for your own. In one example, the APTA logo is used in a 25% proportion to the AVOW logo. In the other, only a text reference to APTA is used. The examples depict letterhead but similar treatments can be rendered for ads, brochures and even broadcast messages. Don’t forget your “About Us” page Don’t forget to include your APTA membership and what it means on your website’s About Us page. There are many advantages to being an APTA member. Leveraging its brand to build your own reputation locally is just one of them. Bill Carlos President, AVOW Communications

Three NJ members receive APTA recognition in Utah

Congratulations! ... to three of our fellow members who received recognition at the national APTA Conference in Utah in June. The three award winners were: Barbara Behrens, PTA, BA, MS, on her fulfilling the eligibility requirements for the American Physical Therapy Association's Physical Therapist Assistant (PTA) Recognition of Advanced Proficiency. In announcing the award, Stephanie Sadowski, APTA's Honors and Awards Program Specialist, noted that these eligibility requirements demonstrate a progression toward advanced knowledge and skill in a chosen area of work. Barbara is a professor and the founding program coordinator of the PTA program at Mercer County Community College. She has been recognized nationally for her teaching expertise and was the recipient of the FA Davis Award for Outstanding Physical Therapist Assistant Educator. She is actively involved in the profession of physical therapy as an instructor, presenter, former state representative to the National Assembly of Physical Therapist Assistants of the American Physical Therapy Association and author. Her books, Physical Agents: Theory & Practice 2nd ed. and Laboratory Manual for Physical Agents 2nd edition both published in 2006 have received widespread acceptance among the majority of Physical Therapist Assistant Programs across the United States and have been translated into several other languages. Barbara received a Certificate of Advanced Proficiency, a lapel pin, and recognition in PT in Motion and on APTA's PTA web page. She was also recognized during APTA's Honors and Awards Ceremony on Thursday, June 27 at APTA Conference and Exposition in Salt Lake City, Utah. Toki Tahara, SPT, and Jessica Therlonge, SPT, each received the Minority Scholarship Award, which is part of the Physical Therapist Education Program.

Fall 2013

ne-year delay in ACA employer mandate The Internal Revenue Service has issued guidance on its one-year delay in the requirement that certain businesses with 50 or more full-time employees (FTEs) provide minimum essential health coverage or pay a penalty under the Patient Protection and Affordable Care Act (ACA). The Obama Administration explained that it took this action to allow large employers a grace period to bring their programs into compliance and to streamline the reporting process. According to the U.S. Department of Treasury, employers should be advised that other compliance efforts must continue. According to the Department, the one-year delay in the employer mandate “has no effect on the effective date or application of other ACA provisions.” If you have any questions regarding this delay or other aspects of the ACA, do not hesitate to contact us. As we reported in the last issue, the new “Ask the Payer Relations Specialist” online system is active: all you need to do is login to www. APTANJ.org, go to the Practice & Advocacy tab on the homepage and select “Ask the Payer Relations Specialist” in the drop-down menu. Speaking about the “Ask the Payer Relations Specialist” We are starting to receive a significant number of requests dealing with various insurance issues. One request was for a copy of the PIP Insurance Prompt Payment rules. The PT Practice that sent in this request is experiencing significant payment delays in receiving reimbursement for its services. We were able to receive a copy of N.J. Department of Banking and Insurance’s PIP rules for the prompt investigation and settlement of claims. These rules can be found at NJAC 11:2-17.7 and we will post them on our APTANJ website as well. We also received a request regarding Aetna’s recent communication announcing their new updated policy on multiple procedure

Fall 2013

reductions, which will become effective on October 1. We have reached out to our Aetna contacts regarding this new policy. We want them to explain how they can enact this policy when they seem to be the lowest payer of PT benefits in New Jersey. We have also reached out to APTA national and learned that they have a meeting with Aetna scheduled as well, so stay tuned for further information. Should I Stay Or Should I Go! Playing off of The Clash song of “Should I Stay Or Should I Go,” we receive a number of requests about whether to stay in a payer’s network or drop out. Since this is a business decision that each practice owner needs to make based on a number of factors, we do not provide specific advice on this subject. It is important to review your contracts periodically to determine if continuing in a payer’s network is in your best interest. The primary question is, can you remain profitable with the contract? We constantly look for information that may be of assistance to a PT owner in making these decisions. We recently came across information on APTA national’s website regarding a managed care toolkit which may be of assistance. If this is a question you continue to struggle with you may want to review and use this as a guide, it can be found at www.apta.org/Payment/ PrivateInsurance/ Counting Down to the October 1 Open Enrollment While the employer mandate for 50-plus companies has been delayed for one year, the countdown continues for the October 1 start of open enrollment for the new Health Insurance Marketplace. New Jersey residents will be able to get information of what insurance options will be available, see if they qualify for a subsidy, apply for coverage and enroll in a health insurance plan. Coverage starts as soon as January 1, 2014. If you have patients that have lost their insurance or are without coverage, you may want to share this information with them. This is the link to the most recent bulletin distributed by the Centers for Medicare & Medicaid Services. http://content-dc2.govdeliver y.com/ accounts/USCMSHIM/bulletins/8492c2 Dennis F. Marco Payer Relations Specialist

More Member News (check www.aptanj.org for regular Member News updates)

NJBIZ NAMES JAG Physical Therapy A 2013 "Healthcare Hero Congratulations to John Gallucci, APTANJ member and president of JAG Physical Therapy of West Orange for being selected "Rehabilitation Center of the Year" at the seventh annual Healthcare Heroes awards ceremony in June. The award was one of 11 honors presented at The Palace at Somerset Park, in the Somerset section of Franklin Township. Healthcare Heroes is an event put on by NJBIZ magazine. The winners were selected by a panel of five judges after nominations were sent to NJBIZ. Each of the categories had up to eight finalists. JAG was selected out of a field of four contestants, which included: • MedWell Spine, OsteoArthritis & Neuropathy • ProCare Physical Therapy, P.A. • The Rehab Center at Daughters of Israel

Why Join APTANJ? Ooops! Those new changes in the practice act take you by surprise? Stay in the know. Join and not just hear about change, take part in the shaping of change.

Join.

A New Jersey DPT Student Goes To Washington DC ... So Can You!

y name is Thomas Janicky, I am a first year DPT student from the University of Medicine and Dentistry in Newark. My motivation to attend the Federal Advocacy Forum this year has stemmed from a series of positive experiences at professional meetings. Attending National Student Conclave in Arlington Virginia this year had opened new doors for me that allowed me to truly see the importance of being involved and being an advocate for the profession. I have known that I wanted to become a physical therapist since I was in high school, so needless to say, physical therapy is my passion and when you’re passionate about something you will do everything you can to stand up and fight for it. The Federal Advocacy Forum is an opportunity for PTs, PTAs and students of physical therapy to become directly involved in the law-making processes that take place on Capitol Hill and have a direct influence on the laws that govern physical therapy practice. The decision to attend the forum was sparked by my desire to be involved and more importantly to stand up and advocate for my profession and the best quality care for my future patients.

The second topic involved the Medicare Access to Rehabilitation Services Act. We were looking to repeal the cap on outpatient rehabilitation services. The Balanced Budget Act of 1997, created an annual financial limit on physical therapy. This action was not based on data, qualityof-care concerns, or clinical judgment. Its sole purpose was to save resources needed to balance the federal budget. Since its inception, Congress has acted on multiple occasions to prevent the implementation of the therapy cap by means of “exceptions processes” for patients that demonstrate medically necessary need for care beyond the financial limit. In 2012 Congress directed CMS to implement a review process for therapy services that exceed $3,700 and to implement a more extensive exceptions process, which are set to expire December 2013. We asked our Senators and Representatives for co-sponsorships to permanently repeal the therapy cap, which has a direct effect on patient access to therapy services and limits patient access to sustainable quality care.

At the forum there were three main topics at hand: The first was in regard to the sustainable growth rate (SGR) and the impact that it has on physician fee schedule reductions under Medicare part B. Since the inception of the SGR and the therapy cap in 1997, the outstanding costs to permanently repeal the bill has lead to annual extensions, which has only provided a temporary fix to the problem. Also, the multiple procedural payment reduction (MPPR), as apart of the American Taxpayer Relief Act of 2012, was increased from 20% in private practice to 25% in facilities to 50% in all outpatient settings, which resulted in a 7% cut for outpatient therapy reimbursement, coupled with the 7% from the previous year’s MPPR reduction. These cuts have a direct effect on physical therapy practice and affect patient access to care. We took to the Hill to ask our Senators and Representatives to reform the SGR and to urge Congress to delay the 50% MPPR reduction until an alternate payment system can be implemented, with an anticipated start date of January 2015.

From left to right: Karen West, (NJ student from other state), Paul Vidal, Mattew Mesibov, Pam Muscara, Thomas Janicky, Ilena Kipnis, Constance McAvaddy

Finally, our third topic was to include physical therapy in the Physical Therapist Workforce and Patient Access Act of 2013 (PTW), a piece of legislation that would authorize physical therapists to participate in the National Health Service Corps (NHSC) Loan Repayment Program. Adding physical therapy to the PTW would ensure that patients receive access to physical therapy services to meet the needs

of underserved areas (23 in NJ). In addition to providing care to underserved areas, this would also alleviate the demands on other primary care providers, maximizing care to the entire population in underserved communities. This piece of legislation would both alleviate the accumulating student debt faced after graduation and simultaneously meet the needs of the everincreasing demands for physical therapy in underserved areas throughout the country. We urged our representatives to co-sponsor this bill, as it would have a direct effect on serving populations that truly need our rehab services. My experience at the Federal Advocacy Forum was beneficial for both my personal and professional development. The forum has allowed me to find my voice and confidence to stand up for what I know will benefit my future patients. The forum has allowed me to further develop my leadership skills and has prepared me for opportunities to address issues involving physical therapy practice. The Federal Advocacy Forum was an opportunity for me to act on my passion for physical therapy and truly have an impact on ensuring adequate patient access to rehab services. It is important to note that it is never too early to start advocating on behalf of the profession. Even as a student you can have a huge impact on the future of physical therapy practice and the more of us who stand together, the greater the message we can send. I would like to thank everyone at the APTA and APTANJ for allowing me to have this eye-opening experience and providing me with a new-found confidence and an even greater desire to advocate for physical therapy. I cannot wait for next year’s Federal Advocacy Forum. For a YouTube blog about my experience, go to: http://www.youtube.com/watch?v=HXk_ SXXSV2A Thomas Janicky UMDNJ/Rutgers DPT Class of 2015

Fall 2013

Examining the Rise of Healthcare "Super-Groups" Continued from page 5

for patients while at the same time reducing the overall costs of care. To that end, physical therapy is uniquely situated to capitalize on this efficiency-driven model.

groups can share fee information for joint negotiations without running afoul of the Sherman Antitrust Act, 15 U.S.C. § 1.

Accordingly, the most prominent legal issue to be addressed when forming a Super Group is ensuring that the group is sufficiently integrated to be considered a single legal As a threshold matter, it is important to entity under the Sherman Act. After all, if the define the basic operational model that many group is seen as actually a loose confederation Super Groups have chosen to use as a starting of competitors joining together to fix prices point. There is a continuum of integration or to boycott certain payers, this would be models available to physical therapists an antitrust violation. Indeed, the United wishing to collaborate together: States Supreme Court and federal courts have consistently Less Integrated Network Affiliations/Professional Associations reiterated that licensed Provider Joint Ventures healthcare Independent Provider Associations (”IPAs”) provider s are capable of Management Service Organizations (”MSOs”) unlawful priceGROUP PRACTICE WITHOUT WALLS fixing and market More Integrated Fully-Integrated Group Practices allocation and that it is an appropriate use of the Sherman Act to stop Of the foregoing consolidation models, the such conduct. so-called Group Practice Without Walls For example, in Arizona v. Maricopa County (“GPPW”) may be the most advantageous Medical Society, 457 U.S. 332 (1982), the to small, privately owned physical therapy United States Supreme Court condemned practices wishing to collaborate together. In agreements among competing physicians a nutshell, a GPWW means that the groups regarding the fees they would charge health themselves are integrated enough to be insurers for their services, holding this considered a single legal practice entity, while constituted per se unlawful horizontal price at the same time retaining a certain amount fixing. And the Federal Trade Commission of autonomy at the individual practice (“FTC”), the agency charged with enforcing and/or office level. The primary features the Sherman Act, recently reiterated that of a GPWW are as follows: centralized the health-care sector remains a primary management/administration; centralized target for enforcement, stating in a March billing under a single billing number (NPI/ 2009 report, that, “the agency will work EIN); centralized payer/vendor contracting; to stop anticompetitive agreements among and centralized employee benefits. That said, physicians, and . . . will stop attempts individual therapists and/or offices may to manipulate prices through unlawful retain autonomy over: treatment, billing, unilateral or collective action.” collections, staffing, and equipment. So while each practice/office will be run as a Notably, however, a single entity is incapable separate cost-center under the umbrella of of conspiring with itself under the Sherman the overall group, that autonomy will be Act. And most of the guidance available counterbalanced by the legal requirement indicates that in order to be considered a that each Super Group itself be sufficiently “single entity,” as opposed to a group of “integrated.” independent physical therapists conspiring to fix prices, a Super Group must be Unfortunately, the traditional GPWW model financially and/or clinically integrated. has been criticized in the past as representing There are many “examples” of what satisfies nothing more than a loose confederation of these requirements, but there simply is separate practices, lacking the foundational no definitive level of practice integration characteristics of a truly integrated group. that will pass muster under the Sherman This is significant, because only integrated GROUP PRACTICES WITHOUT WALLS “PLUS”?

Fall 2013

Act. Instead, there are a series of “pluses” and “minuses” that must be evaluated in determining whether Super Group actually functions as a single entity. For example, an “eat-what-you-kill” compensation system and failure to share expenses are significant minuses, but probably not determinative in and of themselves. On the other hand, centralizing administrative and business functions into a centralized location is an enormous plus. Other indicators of sufficient integration of formerly separate practices into a single group are: (i) the Super Group’s governing body is vested with control over strategic, financial, and operational planning, capital spending, and budgetary matters, incurring debt, significant company events, appointment and removal of committee members and officers, and contracting activities; (ii) revenue and losses are shared, at least in part on a centralized basis; (iii) risk sharing among the stakeholders in the Super Group; (iv) clinical integration, which is designed to improve patient outcomes and to generate clinical efficiencies; and (iv) the Super Group’s duration is substantial and provisions are added making it difficult for parties to terminate the arrangement. T H E I N T E G R AT I O N P RO C E S S : FORMING A SUPER GROUP The first step in forming a Super Group is to determine the type of corporate entity that will comply with state laws governing the practice of physical therapy. In the State of New Jersey, the options will include professional corporations and professional limited liability companies. Both of these options will also typically require shares or company units in the Super Group to be held either by licensed physical therapists in their individual capacity or by other duly-authorized professional entities owned entirely by licensed physical therapists. And while both professional corporations and professional limited liability companies allow for “pass-through” taxation, the preferred entity type is usually the professional limited liability company due to flexibility created by not having to comply with typical corporate formalities. Once the entity type has been selected, the next step is to determine what the ownership and/or eligibility credentials will be for the Super Group. As noted above, the only hard and fast legal rule with respect to eligibility is that all “owners” of the Super Group Continued on page 12

TIME FOR A CHANGE? Thinking about selling your practice? IVYREHAB is a fast growing entrepreneurial firm with 31 locations in NJ, NY, and CT. Our patients benefit from our unique local partnership approach to providing state of the art care and we are now actively looking for additional quality partners in New Jersey. If you believe this may be the right time to consider teaming up with a patient focused firm who is small enough to recognize your value as a clinician and business partner, yet large enough to help you face the challenges confronting our industry; please contact me to discuss the mutual advantages of partnering with us, or for a free valuation of your practice. Ed Gallagher Vice President, Business Development egallagher@ivyrehab.com mobile: 201 522-9147

Examining the Rise of Healthcare "Super-Groups" Continued from page 11

must comply with the corporate ownership requirements set forth under state law for clinical entities. So, in most cases, the entirety of the group’s shares or company units must be held by licensed physical therapists or physical therapist-owned corporations, partnerships, and limited liability companies. Aside from this requirement, the other considerations that must be fleshed out are: initial capital contributions from members to cover start-up costs; residual contributions once the group is up and running to cover the centralized management/administration of the group; clinical credentials for individual members and compliance-related issues (malpractice and audit/overpayment history). If a limited liability company is selected, management and/or administration of the group are typically flexible, so long as certain state-mandated minimums are met. For example, a group may choose to be “member-

managed,” meaning that actual votes of all parties with equity are taken on just about every decision, or “manager-managed,” meaning that the day-to-day affairs of the group are governed by a Board of Managers. Additionally, the limited liability company model allows for flexibility with respect to setting up separate costs centers or “divisions” within the group so as to maintain a certain level autonomy at the individual office level, while centralizing administrative tasks to facilitate operations. In terms of accounting and financial reporting, it is critical to understand that because all reimbursement claims are being submitted under the group’s billing

number, all revenues will first and foremost be characterized as group revenues. A small portion or percentage of these revenues will be first allocated to the group to cover the cost of all centralized functions, with the remainder allocated back to each cost center or practice location. Of course, the financial viability of the Super Group model is largely dependent upon this pro rata allocation of revenue to the Super Group itself being significantly exceeded by the increased revenues produced by more favorable payer contracts as well as the decreased costs associated with more favorable vendor arrangements. And to ensure that there are no adverse tax consequences for any associated financial transaction, including how to separate between group assets and assets allocated to each cost center or practice location, good accountants are a must. CONCLUSION Practically speaking, any physical therapist or practice considering joining a Super Group must understand some of the cultural characteristics in play. For example, the first and most glaring hurdle is the shock of losing complete autonomy over one’s practice. Indeed, no matter how beneficial or reasonable integration appears to the outside observer, individual physical therapists in private practice are used to practicing either alone or in very small groups. Moving towards a more “collective” model takes time to get used to. Additionally, the more physical therapists under the umbrella of a single group, the more shared liabilities and risk management become a concern. So participating physical therapists need to understand this dynamic and be prepared to address it in their operation model and systems. All of these cultural concerns, however, can be effectively managed and/or addressed, so long as all parties involved keep them in mind. Vincent Buttaci, Esq & John Leardi, Esq Vincent N. Buttaci and John W. Leardi are the Founding Members of the law firm of BUTTACI & LEARDI, LLC. Their transactional practice is devoted primarily to complex healthcare mergers and acquisitions. Mr. Buttaci is also General Counsel to the APTAnj. For more information about Mr. Buttaci, Mr. Leardi, or their firm, please visit www. buttacilaw.com.

Why Join APTANJ? Many people work at a job, earn their pay and go home. That is enough. If you want more than a job, live your career. Join the APTANJ and the thousands like you who take a deeper meaning form their work.

Join.

Fall 2013

~FREE networking event ~

13 August 2013 - A good time was had by all... Look out for future social and Network with friends and colleagues networking events in your neighborhood!

Thank you to our sponsors Buttaci & Leardi, LLC and Mints Insurance

at the APTAnj Summer Social SoireeAPTANJ President, Brian Mason PT, APTANJ Legal Counsel,Vincent Buttaci

13 August 2013

(Buttaci & Leardi, LLC), Frank Jones (Mints Insurance) and APTANJ Executive Director, Daniel Klim.

Also Thank You to the Hamilton Manor and Bill Carlos for the photographs.

HAMILTON MANOR ď&#x201A;Ť 6:00-9:00 PM 30 Route 156 Hamilton Township, NJ 08620 www.TheHamiltonManor.com

RSVP (609) 208-0200 ext 100 or inquiry@aptanj.org by Wednesday, 7 August 2013.

Fall 2013

2013 Membership Application Physical Therapist • Physical Therapist Assistant PT Post-Professional Student • Student PT or PTA

Yes

Last 4 digits of Social Security #

Name at Graduation or Under Which Previously a Member

2013 2013 Membership Membership Application Application Physical PhysicalTherapist Therapist••Physical PhysicalTherapist TherapistAssistant Assistant Middle Name Last Name PT PTPost-Professional Post-ProfessionalStudent Student••Student StudentPT PTor orPTA PTA

First Name

APPLICANT APPLICANT INFORMATION INFORMATION Preferred Mailing Address

Former Member? Former Member? Address

Yes Yes

Home

Office

Last Last44digits digitsof ofSocial SocialSecurity Security##

No No

Country Middle Last MiddleName Name Home Phone LastName Name

( ) Preferred Mailing Preferred MailingAddress Address Fax

( Home Home

Address Address ( ) City City E-mail

) State State

Yes

Chapter ChapterPreference Preference(If (Ifdifferent differentfrom frommailing mailingaddress, address,please pleaseexplain.) explain.) The following information is requested for demographic purposes only.

Gender Birth Year Male Female May Mayyour yourcontact contactinformation informationbe belisted listedin inthe theOnline Online Race/Ethnic Origin APTA APTAMembership MembershipDirectory? Directory?

Yes Yes

No No

Hispanic/Latino (5) White (Not of Hispanic Origin) (4) Other (6) DEMOGRAPHIC DEMOGRAPHIC INFORMATION INFORMATION Asian (2) Pacific Islander or Native Hawaiian (7)

The Thefollowing followinginformation informationisisrequested requestedfor fordemographic demographicpurposes purposesonly. only.

PAYMENT METHOD

Gender Birth Gender BirthYear Year Male Female Male Female Please check one method of payment. Race/Ethnic Race/EthnicOrigin Origin Check madeororpayable toofofAPTA in the American amount of $ ororAlaskan African American Black African American Black(Not (Not AmericanIndian Indian AlaskanNative Native(1) (1) Hispanic HispanicOrigin) Origin)(3) (3) Hispanic/Latino Hispanic/Latino(5) (5) Asian (2) Asian (2) charge $ to (Not my: Please White White (NotofofHispanic HispanicOrigin) Origin)(4) (4) Pacific PacificIslander Islanderor orNative NativeHawaiian Hawaiian(7) (7) Other Other(6) (6) American Express

Discover

PAYMENT PAYMENT METHOD METHOD

Geriatrics (P) Hand Rehabilitation (S) Health Policy & Admin (Y) Clinicalfor Electro & Wound Mgmt (K) Home Health (B) See membership qualifications and schedules. Seereverse reverse for membership qualifications anddues dues schedules. Education (C) Neurology (N) National Dues $$ National Dues Federal Physical Therapy (R) Oncology (T)

Chapter Dues Chapter Dues Total Corresponding Dues (See on reverse)

$$ $

Total Section Dues (Check join) Total Voluntary Contributions (Checkbelow belowtoto(See join)below) Total Section Dues

$$ $

Billing Zip

American AmericanExpress Express

Discover Discover

$100 $100

$250 $250

Other Other$$

Minority MinorityScholarship ScholarshipFund Fund Complete only if$125 using Easy $50 $100 Other $50 $100 $125 Other$Pay $ Plan.

EasyConfederation Pay Processing World for World Confederation for Fee Physical Physical Therapy(WCPT) (WCPT)Fund Fund Total Therapy $10 $25 $50 Other $10 $25 $50 Other$$

Other Other$$ Contribution Contribution Type(check (checkone): one): $ Type Personal Corporate Personal Corporate

PT-PAC PT-PACContribution ContributionDisclaimer: Disclaimer:Contributions Contributions totoPT-PAC PT-PACare arenot nottax taxdeductible deductibleas ascharitable charitable contributions. contributions.Contributions Contributionsare arevoluntary. voluntary. Your $ will Yourcontribution contribution willbe beused usedtotosupport support candidates candidatesfor forfederal federaloffice officewho whosupport support $ 15.00 physical issues. physicaltherapy therapy issues.The Theamount amountgiven given by bythe thecontributor, contributor,or orthe therefusal refusaltotogive, give,will will $ordisadvantage not notbenefit benefitor disadvantagethe theperson personbeing being solicited. solicited.

EASY PAY PAYMENT (Divide total by 4 to determine the amount of each payment.) GRAND GRANDTOTAL TOTAL

Signature Credit/Debit Credit/DebitCard Card## Billing BillingZip Zip

Choose the option that’s right for you. Cardholder’s Cardholder’sName Name PAY IN FULL One time payment. EASY PAY PLAN Pay my APTA dues in 4 payments over 6 months. Signature Signature AUTO RENEW PLAN Automatically renew my annual dues and voluntary contributions each year. Payment PaymentOptions Options--Select SelectOne One Note: Credit/debit payment method required to participate in the Easy Pay Choose the that’s right for ChoosePlan theoption option that’s right foryou. you. next page enrollmentform. form. or Auto Renew Plan. See reverse forfor enrollment

Orthopaedic (J) Pediatrics (H) Private Practice (E) Research (D) Sports Physical Therapy (F) Women’s Health (M)

Geriatrics Orthopaedic (J) Geriatrics(P) (P) PT–Political Action Orthopaedic (J) (PT-PAC) Committee Hand (S) HandRehabilitation Rehabilitation$25 (S) Pediatrics (H) $50 Pediatrics $100 (H) Health (Y) Private HealthPolicy Policy&&Admin Admin (Y)$ PrivatePractice Practice(E) (E) Other Home (D) HomeHealth Health(B) (B) Research (D) Contribution TypeResearch (check one): Neurology Sports Physical Neurology(N) (N) Sports PhysicalTherapy Therapy(F) (F) Personal Corporate Oncology Women’s Oncology(T) (T) Women’sHealth Health(M) (M) PT-PAC Contribution Disclaimer: Contributions to PT-PAC are not tax deductible as charitable $100 $125 Other $reverse) Total Corresponding Dues $$ Total$50 Corresponding Dues(See (Seeon on reverse) contributions. Contributions are voluntary. Your contribution will be used to support candidates Total $$ for federal office who support TotalVoluntary VoluntaryContributions Contributions(See (Seebelow) below) physical therapy issues. The amount given World Confederation for by the contributor, or the refusal to give, will Physical Therapy (WCPT) Fund PT–Political Action Committee PT–Political Action Committee (PT-PAC) not benefit or disadvantage the (PT-PAC) person being Foundation for Physical Therapy Foundation Physical $10 for$25 $50Therapy Other $ $25 $50 $100 $25 $50 $100 solicited.

Grand Total from Above

to tomy: my:

Date Date

Acute AcuteCare Care(I) (I) Foundation for Physical Aquatic Therapy (Q) AquaticPhysical Physical TherapyTherapy (Q) $50 $100&&Pulmonary $250 (L) Cardiovascular Cardiovascular Pulmonary (L)Other $ Clinical ClinicalElectro Electro&&Wound WoundMgmt Mgmt(K) (K) Education Education(C) (C) Federal Therapy (R) FederalPhysical Physical Therapy (R) Minority Scholarship Fund

GRAND TOTAL

Check payable Checkmade made payableto toAPTA APTAin inthe theamount amountof of$$ Expiration Date

Acute Care (I)

$50 $50

Credit/Debit Card # Please Pleasecheck checkone onemethod methodof ofpayment. payment.

PAY PAYIN INFULL FULLOne Onetime timepayment. payment.

As AsaaPhysical PhysicalTherapist, Therapist,PT PTPost-Professional Post-ProfessionalStudent, Student,or orStudent StudentPhysical PhysicalTherapist Therapist member, IIpledge comply member, pledgethat thatIIwill will complywith withthe theCode Codeof ofEthics Ethicsfor forthe thePhysical PhysicalTherapist Therapistof of MEMBERSHIP DUES the theAmerican AmericanPhysical PhysicalTherapy TherapyAssociation. Association. See reverse for membership qualifications and dues schedules. As AsaaPhysical PhysicalTherapist TherapistAssistant Assistantor orStudent StudentPhysical PhysicalTherapist TherapistAssistant Assistantmember, member, IIpledge IIwill for pledgethat that willcomply complywith withthe theStandards Standardsof ofEthical EthicalConduct Conduct forthe thePhysical Physical National Dues $ Therapist TherapistAssistant Assistantof ofthe theAmerican AmericanPhysical PhysicalTherapy TherapyAssociation. Association.

Aquatic Physical Therapy (Q) MEMBERSHIP DUES MEMBERSHIP DUES Cardiovascular & Pulmonary (L)

African American or Black (Not of American Indian or Alaskan Native (1) Send me Send mean anAPTA APTA MembershipCertificate. Certificate. Hispanic Origin) (3) Membership

Please check the Please checkSignature theappropriate appropriatepledge pledgeand andsign signin inthe thespace spaceprovided. provided. Applicant’s Date View Viewthe theCode/Standards Code/Standardsat atwww.apta.org/ethics. www.apta.org/ethics.

Chapter Dues Applicant’s Applicant’sSignature Signature Total Section Dues (Check below to join)

DEMOGRAPHIC INFORMATION

PaymentDate Options - Select One Expiration Expiration Date

Name Nameof ofyour yourentry-level entry-levelPT/PTA PT/PTAschool/institution school/institution

As a Physical Therapist Assistant or Student Physical Therapist Assistant member,

E-mail E-mail

Please Pleasecharge charge$$ Cardholder’s Name VISA MasterCard VISA MasterCard

PT/PTA—Please send a copy of your diploma.

I pledge that I will comply with the Standards of Ethical Conduct for the Physical ETHICS CODE/STANDARDS PLEDGE ETHICS CODE/STANDARDS PLEDGE Therapist Assistant of the American Physical Therapy Association.

Send )) me an APTA Membership Certificate. (( ))

MasterCard

Year:

the American Physical PT/PTA—Please PT/PTA—Pleasesend sendaacopy copyofofyour yourdiploma. diploma. Month: Year: Month: Year:Therapy Association.

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(( May your )) contact information be listed (( in the))Online APTA Membership Directory? Fax Cell Fax CellPhone Phone

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EDUCATION EDUCATION ETHICS CODE/STANDARDS PLEDGE

As a Physical Therapist, PT Post-Professional Student, or Student Physical Therapist

Zip Country Zip Countryplease explain.) Chapter Preference (If different from mailing address, Office Home OfficePhone Phone HomePhone Phone

((

THREE THREEEASY EASYWAYS WAYSTO TOJOIN! JOIN!Online: Online:www.apta.org/join www.apta.org/joinBy ByMail: Mail:Return Returncompleted completed Degreeto Doctorate BA/BS AA application Physical Therapy P.O. 75701, application toAmerican American PhysicalMA/MS TherapyAssociation; Association; P.O.Box BoxCertificate 75701,Baltimore, Baltimore, MD Phone: Call Services MD21275-5701 21275-5701By By Phone: CallMember Member Servicesat at800/999-2782, 800/999-2782, ext3395 3395 Graduation Date (or Expected Graduation/Completion Date) ext

Graduation (or Graduation/Completion Date) Graduation Date (orExpected Expected Graduation/Completion Date) member,Date I pledge that I will comply with the Code of Ethics for the Physical Therapist of

Office Office Cell Phone

(

4. have access to national + chapter resources!

Name of your entry-level PT/PTA school/institution

Please check the appropriate pledge and sign in the space provided. View the Code/Standards at www.apta.org/ethics. Degree Degree Doctorate MA/MS BA/BS AA Certificate Doctorate MA/MS BA/BS AA Certificate

Name Member Name atGraduation Graduationor orUnder UnderWhich WhichPreviously PreviouslyaaState Member City at Zip First Name First Name Office Phone

2. select New Jersey chapter

EDUCATION 3. pay national + chapter dues

APPLICANT INFORMATION Former Member?

THREE EASY WAYS TO JOIN! Online: www.apta.org/join By Mail: Return completed HOWPhysical CAN YOU JOINP.O.APTANJ? application to American Therapy Association; Box 75701, Baltimore, MD 21275-5701 By Member Services at 800/999-2782, ext 3395 1. Phone: join Call national APTA

Complete only ififusing Pay Complete only usingEasy EasySource PayPlan. Plan. Code: For Office Use Only Grand Grand Totalfrom fromAbove Above Type/Cat: ID#: Total Easy EasyPay PayProcessing ProcessingFee Fee Total Total EASY EASYPAY PAYPAYMENT PAYMENT

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Source SourceCode: Code:

ID#: ID#:

Type/Cat: Type/Cat:

$$ Paid Thru: $$15.00 15.00 $$ $$

Fall 2013

Paid PaidThru: Thru:

2013 NATIONAL DUES PT

PTA

295

2013 SECTION DUES

Student PT or PTA

190

PT Post-Professional Student

150

2013 CHAPTER DUES 140

Student PT or PTA $ 5

Alaska

Arizona

140

Chapter Alabama

PT $

PTA

PT Post-Professional Corresponding Dues Student (Optional) $ $ 5 65

Arkansas

115

California

245

156

100

120

Colorado

155

Connecticut

120

Delaware

110

Florida

185

135

125

150

Georgia

105

52.50

105

Hawaii

120

Idaho

Illinois

180

111

180

Indiana

120

Iowa

153

Kansas

Kentucky

105

Louisiana

125

Maine

Maryland

120

Massachusetts

120

120 100

Michigan

125

100

Minnesota

140

Mississippi

115

Missouri

110

Montana

100

Nebraska

Nevada

125

New Hampshire

New Jersey

145

New Mexico

100

New York

180

115

110

North Carolina

135

North Dakota

Ohio

170

Oklahoma

100

Oregon

115

Pennsylvania

160

120

Rhode Island

South Carolina

100

South Dakota

100

Tennessee

100

25 100

Texas

155

103

100

Utah

100

Vermont

Virginia

100

Washington

150

West Virginia

110

Wisconsin

156

Wyoming

Visit www.apta.org/tax for information on the deductibility of voluntary contributions. This page also identifies the portions of your national, chapter, and section dues that are not deductible as an ordinary and necessary business expense, to the extent that APTA and your chapter and/ or section(s) engage in lobbying on behalf of their members. Please note that $12 of your annual membership dues is applied toward a subscription to Physical Therapy (PTJ) and $10 toward a subscription to PT in Motion, both of which are inseparable from dues and disclosed as per USPS regulations. Contact APTA for nonmember rates.

Fall1111 2013 North Fairfax Street, Alexandria, VA 22314-1488

Student PT or PTA $ 9

PT Post-Professional Student $ 20

Federal Physical Therapy (R)

Geriatrics (P)

Hand Rehabilitation (S)

Health Policy & Administration (Y)

Home Health (B)

Neurology (N)

Oncology (T)

Orthopaedic (J)

Pediatrics (H)

Private Practice (E)

175

105

150

Research (D)

Sports Physical Therapy (F)

Women’s Health (M)

Section

Acute Care (I)

PTA

Aquatic Physical Therapy (Q)

Cardiovascular & Pulmonary (L) Clinical Electrophysiology & Wound Management (K) Education (C)

MEMBERSHIP QUALIFICATIONS All categories of membership are based on education, not on licensure. Both national and chapter memberships are required. You must belong to the chapter of the state in which you live, work, or attend school, or of an adjacent state if more active participation is possible. Membership is effective for 12 months. Corresponding dues entitle APTA members to participate in additional chapters. These dues are in addition to your 2013 chapter dues. Physical Therapist Applicant—To qualify, you must be a graduate of a CAPTE-accredited PT program. Exception: If educated abroad and living in the United States, submit a credentials evaluation OR a license from a U.S. jurisdiction that requires a credentials evaluation prior to licensure. Visit www.apta.org/eligibility for further details. Physical Therapist Assistant Applicant—To qualify, you must be a graduate of a CAPTEaccredited PTA program. Exception: If educated abroad and living in the United States, submit a credentials evaluation OR a license from a U.S. jurisdiction that requires a credentials evaluation prior to licensure. Visit www.apta.org/eligibility for further details. Student Applicant—To qualify, you must be enrolled in an entry-level PT or PTA program (full- or part-time) that is accredited, is seeking, or has been granted candidacy status by the Commission on Accreditation in Physical Therapy Education (CAPTE). Student membership includes online-only access to PTJ. PT Post-Professional Student Applicant—To qualify, you must submit verification that you are enrolled full-time in an advanced postprofessional program or APTA-credentialed residency or fellowship program, know your anticipated completion date, and meet all of the qualifications for Physical Therapist membership (see above). Transition DPT students are not eligible for PT Post-Professional student membership. Submit verification of enroll-

ment form with application. Download form at www.apta.org/svf.

ENROLLMENT FORM Designate Optional Payment Plan Below — Select One Sign and return this completed form with your application. EASY PAY PLAN I authorize APTA to charge my credit/debit card in 4 payments over 6 months for the total amount of membership dues, contributions, and a $15 annual processing fee. I understand that if I fail to meet my payment obligation to APTA, my membership will be terminated. Learn more at www.apta.org/easypay.

OR AUTO RENEW PLAN I authorize APTA to continue to charge my credit/debit card

for my full dues (and voluntary contributions) from year to year until such time I notify APTA by telephone at 800/999-2782, ext 3395 or 703/706-3395, or in writing at autorenew@apta.org or APTA, Attn: Member Services Department, 1111 North Fairfax Street, Alexandria, VA 22314 to cancel the automatic renewal. I understand that my membership will be renewed annually by charging my credit/debit card my full dues at the current rate in effect at renewal (along with voluntary contributions). Learn more at www.apta.org/autorenew.

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