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Official Publication of the Texas Physical Therapy Association

Join us in

San Antonio TPTA 2018 Annual Conference

OFFICERS: Michael Connors, PT, DPT, OCS, President Michael Geelhoed, PT, DPT, MTC, OCS, Vice-President Lois Stickley, PT, PhD, Speaker of the Assembly Jennifer Frerich, PT, DPT, OCS, Secretary Robert Sandoval, PT, PhD, Treasurer



Capitol Area: Central: Coastal Bend: East Texas: Greater El Paso: Heart of Texas: Midwest: North Texas: Panhandle: Permian Basin: South Plains: Southeastern:

Nominating Committee: Bylaws Committee: Ethics Committee: Government Affairs Committee: Membership Committee: Practice Committee: Public Relations Committee: Payment Policy Committee:

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Ronna Keagle, PT, DPT, OCS Robert Sandoval, PT, PhD Aaron Cantu, PT, DPT Polly Bowers-Maness, PTA Kirby Smith, PT, DPT Kristi Trammell, PT, DPT Regina Hartnett, PT (Co-Chair) Seth Watson, PT, DPT, Cert. DN, CSCS Spencer Church, PT, DPT (Co-Chair) Misty Miller, PT, DPT (Co-Chair) Mikala Reznik, PT, DPT Brad Allen, PT, ScD, COMT Gail Zitterkopf, PT, DPT, CLT, CKTP

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Venita Lovelace-Chandler, PT, PhD, PCS Martha Sneary, PT, DPT, MSCPM Robert Sandoval, PT, PhD Dana Tew, PT, DPT, FAAOMPT, OCS Marcos Lopez, PT, DPT, OCS Jon Anderson, PT Colette Pientok, PT, DPT, OCS William "Bill" Lewis, PT, DPT


PT Synergy is published for Texas Physical Therapy Association 900 Congress Avenue, Suite L110 Austin, TX 78701 512.477.1818 EDITOR IN CHIEF Craig Tounget, CAE Executive Director MANAGING EDITOR

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From the Executive Committee Coming Soon! What's new at TPTA


Focus on Member Benefits


TPTA Annual Conference 2018

2018 Call for Nominations

CCAP Program Updates

Lindsey Green Communications Manager PT SYNERGY is published quarterly by the Texas Physical Therapy Association.


TPTA's New Offices

IN EVERY ISSUE 4 Member Updates 5 Executive Director's Report 9PoP Quiz page 3

Summer 2018

MEMBER UPDATES Congratulations APTA Award Winners

In Memorium

APTA's National Awards Program has announced the full 2018 list of award recipients for their outstanding contributions to the physical therapy profession. The honorees include newly named Catherine Worthingham Fellows as well as recipients of the Lucy Blair Service Award. APTA also has announced recipients for 2 new award categories for Societal Impact and Humanitarian efforts.

Beverly Jean Mashburn, PT passed away on March 7, 2018. She was a beloved program director, professor, mentor, and friend to those that knew her. She established the Austin Community College Physical Therapist Assistant Program in 1983 and went on to be a driving force in PTA education through the Texas Alliance of PTA Educators. Beverly retired in 2002 and continued to support the PT community through her wisdom and guidance.


Texas award recipients include the following: Christine P. Baker, PT, EdD, recipient of the Catherine Worthingham Fellows of APTA

The following TPTA leadership positions are Mary Elizabeth Parker, PT, PhD, recipient of the Societal open and will be on the election ballot for 2018. Please see the TPTA website for the Impact Award requirements and duties of these positions Linda John, PT, recipient of the Federal Government and to submit an interest form. The deadline for submitting you interest form is July 6th. Affairs Leadership Award Please see page 10 of this newsletter for more Recipients will be recognized at the Honors and Awards information. Ceremony on Thursday, June 28, during the 2018 NEXT Conference and Exposition in Orlando, Florida, with a reception to follow. The winner of the Mary McMillan Lecture Award (lecture to be delivered in 2019) also will be announced. Family, friends, colleagues, and conference attendees are encouraged to attend this important event to support and honor these members’ achievements and contributions to the profession. Summer 2018

Secretary Speaker of the Assembly Nominating Committee (2 positions) Delegate at Large (5 positions)

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s you will see throughout this issue of Synergy plans are well underway for Annual Conference October 25th-27th in San Antonio. I hope you will all make plans to attend. There will be numerous educational offerings, great networking opportunities and an exciting exhibit hall. And San Antonio is always a fun place to visit. TPTA is dealing with a number of issues on behalf of our membership. The Payment Committee has been heavily involved in working with insurance companies on a variety of reimbursement issues that seem to be affecting PT practices throughout the state. If you are experiencing issues with the insurers you are working with, please send us a brief summary of the problem. We are seeking to gather as much information/ ammunition as we possibly can in order to convey to the insurers, the regulators and legislators the true extent of the problem. Please send your issues to me at We also continue to work with a group of PTs in the Central Texas area who are experiencing difficulties in dealing with a Managed Care Organization and a Pilot Project that HHSC has allowed that is affecting evaluations and treatment of children in some of the state-supported insurance programs. We continue to compile complaints and send them to HHSC in hopes that they will realize this pilot program is not serving the best interest of the children in those programs and in hopes that HHSC will not continue this pilot beyond its initial time frame and certainly not extend to other areas of the state. Again if you are seeing this problem in your practice, and have not already done so, please send me a summary of your issues at the above email address. The APTA House of Delegates meeting begins in

Orlando, FL on June 24th followed immediately by NEXT Conference and Exposition June 27th – 30th. We look forward to seeing a strong Texas contingent at both. You will also notice in this issue pictures of our new office space. We moved within the same building (the building manager’s decision, not ours), but the new space is bright, clean and comfortable. We are all settled in and have most of the boxes unpacked. Next time you are in Austin stop in to see us. It is also time for us to gear up for the upcoming legislative session. If you have had any communication with your State Representative or State Senator over the past year, please let us know about it. We are seeking to expand our network of “Key Contacts”, those who have, and will, contact their elected officials. We have a great new talking point that needs to be conveyed to all our elected officials. A recent study (article here) has shown that patients with low back pain are 89 percent less likely to receive an opioid prescription when a physical therapist is the first point of care. The Legislature is taking a serious look at the opioid epidemic and they are considering both the cause and preventative measures. We have a great opportunity to educate them, and the public, about the need for patients to have Direct Access to physical therapist so that patients begin the recovery process by getting treatment for the cause of their pain and not by getting medication to mask it. Thank you for what you do for your patients and for promoting the profession of physical therapy. With all of us working together we can continue to deliver our positive message of success and your ability to help the patients you serve.

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Summer 2018

from the EXECUTIVE COMMITTEE G reetings from the TPTA Executive Committee.

We are starting this column as a mechanism to disseminate information regarding happenings within our association to you, our valued members.

TPTA has flourished this past year under our Executive Director, Craig Tounget's leadership and we continue to look forward to great things for the remainder of this year and moving into 2019. We do want to take an opportunity to thank some of our dedicated volunteers for their service to the association and the profession. Martha Sneary completed her service as Chair of the Bylaws Committee. Martha was instrumental in helping to organize and modernize our association bylaws, as well as ensure our compliance with our bylaws with APTA. We would like to thank Martha for her service and dedication to the profession. We would also like to thank Kristi Trammell and Michele Voight, former chairs of the Annual Conference committee. Kristi and Michele’s dedication and service directly resulted in the successes we have had with our Annual Conference over the past few years. We greatly appreciate all of the time and energy that Kristi and Michele put into making our conference such a success. Thank you to Kristi and Michele for your leadership and service as Co-Chairs of the 2017 Summer 2018

Annual Conference Committee.

And a huge thank you to former Co-Chairs and members of the Education Subcommittee of the Annual Conference Committee, Steve Spivey, Lauren Szot, and Jennifer Hale. Steve, Lauren, and Jennifer’s efforts resulted in high quality educational offerings for our Annual Conference. Through their dedication and service, we witnessed a continual improvement in the quality and content of the education at Annual Conference. Thank you to Steve, Lauren and Jennifer for your leadership and service as Co-Chairs and Members of the Education Subcommittee of the Annual Conference Committee. As always, we are continually looking for members to step into volunteer positions within our association. If you have an interest in volunteering for a committee or association initiative, please contact the chapter office. Thank you for being a member of our association! Please feel free to contact any member of the EC at any time with any questions or concerns. Sincerely, Mike Connors – President Mike Geelhoed – Vice President Jennifer Frerich – Secretary Robert Sandoval – Treasurer Lois Stickley – Speaker of Assembly Gail Zitterkopf – EC Rep to District Chairs

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COMING SOON! T PTA has a number of new changes coming your way. A few you may have already seen, but a number of them have been in the works in the background.

TPTA has a new logo.

number. Be on the lookout in early July for an email with detailed instructions. TPTA will also have a new CCAP website this summer.

The CCAP website has also long needed an update in The new logo is already part of our Facebook page, and content and functionality. We are close to the new CCAP is all over this newsletter. We will continue to add the logo website, and stay tuned for emails and updates on the to our online presence in the coming months. TPTA site. TPTA will have a new website in July.

As part of the new website, all CCAP user information has been updated. Please see the TPTA website or the We have had tons of requests over the last couple years CCAP website for instructions on your new log-ins and to create a much cleaner and newer website. Once the passwords. new logo was adopted, it was only fitting to add it to a brand new online website. The new website will debut The TPTA Chapter office has moved. in July and should be much more streamlined and user friendly for members and the public. We hope the new While it's not far, the TPTA Chapter office in Austin has website will be a much needed update for everyone. moved to a new floor in the 900 Congress building. In late April, we relocated to the basement of the building. Once the new website is live, all member will need to reset It's a brand new clean, modern space, and is a perfect their password. Their username will still be their APTA place to continue the new "face" of TPTA.

FOCUS on Member Benefits APTA REHABILITATION REFERENCE CENTER The Rehabilitation Reference Center (RRC) provides current information and point-of-care resources in the fields of physical therapy, sports medicine, occupational, and speech therapy. It is designed to help clinicians provide the best plan of care for their patients, content is updated daily and focuses on systematic identification, evaluation, and consolidation of practice-changing information. The RRC includes information about the following:

Patient education: 1,500+ relevant patient education topics in both English & Spanish. The section includes an extensive list of topics, each with a brief summation of the issue, images, risk factors, symptoms, diagnosis, treatment, and prevention. Exercise images: 9,800+ exercise images in handout format which can be printed and sent home with patients with individualized instructions about how to carry out the exercise.

Health news: Breaking news, updated daily, from HealthDay News.

Practice resources: Key handbooks, reference information for 150+ research instruments, and guideline references from the National Guideline Clearinghouse.

Diseases & conditions: Nearly 800 clinical reviews of diseases and conditions including ICD-10-CM & G-Codes.

Folders: Create an account and login to your folders in order to store specific images and search results.

Drug information: Information from AHFS Drug Information Essentials on more than 11,700 drugs and their manufacturers.

To sign up click here. For a video tutorial, click here.

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Summer 2018


elcome to the vibrant and lively city of San Antonio!

The 2018 Texas Physical Therapy Association's 2018 Annual Conference will be held in San Antonio, October 25-27. Courses and the exhibit hall will be at the Henry B. Gonzalez Convention Center, which is conveniently nestled alongside San Antonio's popular Riverwalk. The host hotel, the Grand Hyatt San Antonio, is also nearby and has many luxurious amenities. The Riverwalk is a great location for all, with miles of river-side

Winter 2017 2018 Summer 2017


walkways, local restaurants, shopping, and entertainment all within walking distance from the convention center and host hotel.

The conference will span three days and will cover a wide range of relevant and current physical therapy topics. Available courses will be listed in the Attendee Prospectus in early July, and attendees will be able to earn up to 14 hours of CCU credits. Visit the TPTA website for additional information including registration rates and other updates.

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ual Conference Thursday, October 25 - SATURDAY, OCTOBER 27 EARLY BIRD REGISTRATION:- July 11 - august 3 regular registration - august 6 - September 30 Hotel accommodations are provided by the grand hyatt san antonio. click here to make reservations.


PoP Quiz - Questions

The National Defense Authorization Act of 2017, signed on December 12, included a provision adding PTAs (and OTAs) as authorized providers under TRICARE is not yet approved for implementation.


Medicaid crossover claims with the U5 modifier are now being processed without an appeal. True or False?

*Answers are on page 13

True or False? page 9

Winter 2017 2018 Summer

2018 TPTA Leadersh

The 2018 TPTA leadership interest form is now up on the TPTA website. Members are encouraged to Nominating Committee, and/or Delegate at Large positions which will be on the election ballot for 20 to Serve form if you are slated to be on the ballot. The deadline for submitting the interest form is Jul Secretary - 3 Year Term Eligible Member Physical Therapist, Retired Physical Therapist, Life Physical Therapist, Physical Therapist Assistant, Retired Physical Therapist Assistant, or Life Physical Therapist Assistant member of the Association for two years immediately preceding the election. The Secretary term of office shall be three years. Duties and Responsibilities • Meet with predecessor within thirty (30) days following the Assembly of the year of election for the purpose of transferring the Chapter files and orienting the office to duties, Chapter policies and activities. • Serve as liaison to Chapter committees and/or Districts as assigned by the Chapter President. Operational Duties and Responsibilities • Attend all Board of Directors Meetings, Executive Committee Meetings, and the Annual Conference. • Maintain the official records of the Chapter. • Minutes • Read the minutes of the previous meeting of the Board of Directors as requested by the President, incorporate corrections as indicated. • Supply information from the minutes and other records as requested. • Carry on all correspondence necessary for the business of the Office and any delegated by the President. • Submit a written report for each Board of Directors meeting. • Submit an annual report. • Is appointed Chairperson of the Committee to Approve the Minutes of the Assembly during the term of office.

Speaker of the Assembly - 3 Year Term Eligible Member Physical Therapist, Retired Physical Therapist, Life Physical Therapist, Physical Therapist Assistant, Retired Physical Therapist Assistant, or Life Physical Therapist Assistant member of the Association for two years immediately preceding the election. The Speaker of the Assembly term of office shall be three years. Duties and Responsibilities • Meet with predecessor within thirty (30) days following the Assembly of the year of election for the purpose of transferring the Chapter files and orienting the Officer to the duties. • Make an annual written report to the Chapter. • Submit quarterly reports to the Chapter Board of Directors. • Serve as liaison to Chapter committees and/or districts as assigned by the Chapter President. Operational Duties and Responsibilities • Attend all Board of Directors Meetings, Executive Committee Meetings, and the Annual Chapter Meeting. • Be familiar with principles of parliamentary procedure based on Robert's Rules of Order, Newly revised. • Become familiar with Chapter Bylaws and Standing Rules, Texas Chapter Reference Manual, and the policies of the Board of Directors. • Conduct a Reference Committee Meeting prior to the Assembly with the Parliamentarian and one other member when necessary. • Confer with the staff liaison to the Annual Conference Committee to schedule the business sessions. • Appoint Chief Teller and nine (9) Tellers.

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• • • • • • •

Appoint a committee to approve the minutes of the Assembly. Prepare House Rules and Agenda for the Assembly and following approval by the other house officers, submit them to the Chapter Office for inclusion in the Meeting Handbook at the Assembly and for preparations as a handout at the Assembly. Appoint Sergeant-at-Arms, Reader, and Timer to serve as House Officers during the Assembly. Additional Considerations for Speaker of the Assembly. Attendance at previous Assembly within the past five (5) years. Working knowledge of parliamentary procedure. Experience conducting meetings or in public speaking.

Nominating Committee - 3 Year Term (2 positions) Eligible Member Physical Therapist, Retired Physical Therapist, and Life Physical Therapist. The Nominating Committee Chair shall be elected each year by the committee members. Nominating Committee members shall consist of the five members elected at large and the term of office is three years. No member may serve consecutive terms. A member of the Nominating Committee may not serve another Chapter-elected position, except Delegate-at-large. Operational Duties and Responsibilities General Duties • Solicit nominations from each District. Acceptable methods include but are not limited to special mailings, district presentations, and notices in Synergy. • Provide Candidate Packets to nominees for office. This packet will contain, minimally: • A Consent to Serve/Biographical form; • Qualifications/Responsibilities of office; • Campaign guidelines; • Instructions concerning the elections • Establish and publish a deadline for the return of materials from candidates. • Verify candidates' membership status with Chapter staff. • Prepare candidate statements and ballot for Synergy. • Count ballots prior to Annual Conference. Duties of the Chair • Oversee nomination and election process. • Carry out or assigns general duties of the committee. • Submit Budget Proposals and Expense Vouchers to the Chapter office. • Prepare and submit Nominating Committee reports to Board of Directors Meetings and the Annual Report of the committee. Duties of Committee Members (include but are not limited to) • Secure nominations by seeking individuals throughout the state with leadership abilities. • Assist with election activities, including tabulation of votes. • Assist the Chair as needed.

Delegate at Large (5 positions) Eligible Member Only Physical Therapist members who have been Association members in any category of membership in good standing for two years immediately preceding election may serve as Chapter Delegates. Delegates are elected as per the Chapter Bylaws and shall serve a two-year term. Duties and Responsibilities • Attend all sessions of the House of Delegates and Texas Assembly

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hip Interest Form

complete the interest form if they are interested in the Secretary, Speaker of the Assembly, 018. The "interest form" does not replace the "Consent to Serve" form. You will receive a Consent ly 6th, and the leadership interest form can be found here. • • •

during the term for which they were elected. Present to the House of Delegates all matters as ordered by the Texas Assembly voting body of the Chapter and/or the Chapter Board of Directors. Vote on issues in accordance with instructions of input from the membership, chapter policies, and/or agreement discussion with other Texas Chapter delegates. Vote for nominees of the Association Board of Directors and the Association Nominating Committee according to any instructions given by input from the membership at the Assembly, Chapter Board of Directors and/or agreement discussion with other Texas Chapter Delegates.

Operational Duties and Responsibilities Prior to the House of Delegates • Complete all assignments. • Participate in delegate discussions at delegate meetings or via electronic bulletin board. • Obtain delegate materials from the APTA website: read and be familiar with all conference delegate materials including the APTA Delegate Handbook. • If unable to attend Conference, notify the Chief Delegate as soon as possible so that an alternate may be contacted and receive the appropriate delegate materials prior to the Conference. During the House of Delegates • Attend all Chapter Caucuses and pre-House of Delegates meetings.

• • •

• • • • • •

Attend meetings in professional, business attire. Provide Chief Delegate with location of lodging and other contact information. Obtain delegate credentials from Chief Delegate and/or register as a Texas Chapter Delegate (or alternate delegate) at designated time. If not in attendance at the designated time of delegate registration, that vote will be reassigned to a registered alternate delegate, when possible, or the vote will be assigned to another registered delegate at the discretion of the Chief Delegate. Discuss issues and candidates with other delegates in order to become better informed. Share information gained from discussions with other delegates with the Texas chapter delegation. Participate in discussion of issues and candidates with an open mind. Compromise on issues and candidates when indicated. Keep individual voting record on issues acted on in the House of Delegates and turn in to the Chief Delegate at the close of the House of Delegates. Evaluate the process for constructive change.

Following the House of Delegates • Keep non-delegate Chapter members attending Conference apprised of all Texas Chapter Delegation and House of Delegates activities. • Report to their District on the business transacted and the actions taken by the House of Delegates.

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Summer 2018

In April, the Texas Physical Therapy Association moved into a new office space. While we are still in the same building (900 Congress), we are now in the completely remodeled basement level. If you're in the area, come say hello and see the brand new space.

Winter 2017 2018 Summer 2017

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CCAP UPDATE With a new CCAP website in the works, we are looking to improve on the functionality and speed of the CCU application process. The new website will be launching in summer of 2018. The new site will have a fresh, modern design, and the general functionality will be greatly improved. Inputting applications should be more efficient and there will be more options for managing your account and applications. We're confident that the improved website and application process will also decrease application processing times. Currently CCAP applications are processed in 4-6 weeks, but the goal with the new website is to be at 2-4 weeks.



The look of the CCAP website hasn't changed yet, but many of the background processes are being updated on a daily basis. With these updates, come a few changes that members and sponsors will need to be aware of in the coming months. The most recent update changed how user logins are linked in the new program. As a result, all users will have new login information. Please see the TPTA's website ( or the existing CCAP website ( for instructions on how to access the system with your new login credentials. Once you're successfully logged into your account, please change your password to ensure your account is secure.

PoP Quiz - Answers

The change to regulation will be implemented through the notice and comment rule making process. The proposed rule has not yet been released; it is expected in the fall of 2018 or spring of 2019. A 60-day comment period will follow the release of the proposed rule, after which the Department of Defense will review the comments and draft and publish the final rule. Until the rule is finalized and published, TRICARE does not consider a PTA as an authorized provider, and the rule will not be retroactive. APTA will keep members informed of the timeline for this changeover to the TRICARE system.


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FALSE Please make sure that all non-processed Medicare Crossover claims have all been appealed to Medicaid with the U5 modifier. Texas (TMHP) Medicaid has informed providers that they will begin to review appealed claims on 6/4/18. With the volume of claims that they are reviewing, it is advisable to give Medicaid additional time for appeals to process.

Summer 2018

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