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MOTORPOINT OFFICIAL NEWSLETTER OF THE UTAH PHYSICAL THERAPY ASSOCIATION

PRESIDENT'S MESSAGE

Lance Dougher, DPT

Thank you all for attending a great Fall Conference. We noted a successful number of participants and high survey marks for the speakers. A “big thank you” goes out to our Vice President Kaiwi Chung-Hoon and Executive Director Katie Mansell for putting together the

WINTER ISSUE

2016

presenters and logistics to make the conference a huge success. Thanks to Lisa Milkavich for organizing and running the pediatric section of the conference. Also, thanks to the entire board and all the student volunteers for their help in making this conference a success.

IN THIS ISSUE:

Mark your calendar for the Spring Conference in beautiful St. George on March

3 4 2017 -

,

. We

will be looking forward to more great presentations and outdoor activities such as hiking, biking and golf. This time of year will be a great time to get out of the city. We are growing in

President's Message (pg.

Awards (pg.

1

)

networking with our Southern neighbors.

2

)

For a Fourth year in a row, Utah is listed number one in the PT in Motion Magazine for “Best

Eval Codes Update (pg. Pediatric SIG (pg.

numbers and cohesion as Physical Therapists in Utah and we are looking forward to

5

3

)

)

States in Which to Practice.”

Thanks to all the membership and previous board members

working together to assure our place in Utah’s health care landscape. While deciding whether to try and run for a position on our Association Board, I was attending a continuing education course in St. Louis when the presenter spoke about the identity crisis we have as Physical Therapists. She referenced a video the California Physical Therapy

UPTA Board Meeting Minutes & Agendas (click)

Association had produced as a lead into one of their conferences. It was a “Jay Walking” style interview with random people walking the streets in the L.A. area. The main question posed to them was, “what does a Physical Therapist do?” Although the answers were somewhat funny from the public, I wasn’t alarmed until the interview moved to Physical

SAVE THE DATES:

Therapists with the same question. I realized that Physical Therapy is a very broad term that means different things to different people. However, the simple fact that Physical Therapists couldn’t define what we do reinforced her point. We have an identity crisis with the public and within our profession. If the public doesn’t know what we do, why would they

Spring Conference March

3 4 2017 -

,

St. George, UT

come us? This made up my mind that I want to have a more active role in the State and National Association. I decided to educate myself by reading various articles on APTA.org to find the direction our National Organization is heading. I want to challenge each of you to read the “Movement

APTA Credentialed Clinical System White Paper.” I feel we are heading in the right direction. Although many questions

Instructor Program Henry White, PT

are still abounding, I am excited about our future. On December

1 2016 st

, APTA Head

Quarters will host a variety of industry leaders to try and define the “Movement System” more clearly. I will eagerly await the White Paper from this meeting. I look forward to the

PGA Section Professional

2013

Fall Conference October

6 7 2017 --

upcoming year to more clearly establish our profession.

Please be a part of our

,

Salt Lake City, UT Irene Davis, PT, PhD

#

4

OPT

PT campaign to tell the public who we are and what we can do.

Thank you all and Happy Holidays

Lance Dougher, DPT UPTA President


UPTA NEWSLETTER

WINTER ISSUE

2016

UTAH PHYSICAL THERAPY ASSOCIATION

Call for Award Nominations The Utah Physical Therapy Association has opened nominations for the following awards. These awards will be for

2016

and will

be given out at Spring Conference.

The Utah Physical Therapy

Physical Therapist & Physical Therapist Assistant of the Year

Association launched the

4

Opt

PT campaign at Fall

Conference. The goal of this campaign is to raise

Physical Therapist who has made outstanding contributions to the profession of physical therapy. This can include, but is not limited to, those who deliver excellent care, develop excellent

public awareness of the Please log on to www.uptaonline.org/awardnom to make a

benefits of Physical nomination. All nominations are due by January

Therapy. Please visit www.opt

4

pt.com and

4

share the opt

pt posts

2016

6 2016 ,

.

Award Winners

on Social Media. We were pleased to recognize the following individuals for We are also looking for

their contributions to Physical Therapy.

PT's or PTA's who would

4

like to provide Opt

PT

content directed towards the public.

2016

Lifetime

Achievement Award

Your name, and contact

Larry D. Fullmer, PT information is included on the content. For more information contact Darren Neely

2016

Friend of

- darren.neeley@imail.org

4

OPT

4

OPT

PT WEBSITE

PT FACEBOOK PAGE

Physical Therapy Pamela A. Hansen, M.D.


UTAH PHYSICAL THERAPY ASSOCIATION

UPTA NEWSLETTER

WINTER ISSUE

Important Update for ALL Physical Therapists

2016

New Evaluation Codes starting January

2017

CPT Helpful Information Links

In the updated physician fee schedule, final rule changes of November for Evaluations and Re-Evaluations, Codes

4 97161 97162 97163 97164

97001

and

97002

1

,

3 2016 ,

, the CPT codes

will be eliminated and replaced by

new codes.

Quick Guide to the

3

Levels of

Physical Therapy

20

Low complexity evaluation

Moderate complexity evaluation

High complexity evaluation

Re-evaluation of physical therapy plan of care

45

minutes

30

minutes

minutes

20

minutes.

It is imperative that these new codes are implemented for all billing starting January

Evaluation (.pdf)

1

st.

The APTA has published a fact sheet along with other resources which can be accessed at

Use this visual guide to become familiar with the

APTA.org/payment I have condensed the APTA’s

6

-page Fact Sheet to two pages and have included it for your

review. I have also highlighted critical notes.

new CPT evaluation codes.

Thank you. Gary Aston UPTA Director of Reimbursement

FACT SHEET: MEDICARE PHYSICIAN FEE SCHEDULE CALENDAR YEAR (CY)

Recorded Webinar:

November

Proposed Medicare

2017

Payment and

The

3 2016

2017

FINAL RULE

,

THERAPY CAPS

2017

1 980

therapy cap amount is $

,

. Under the exceptions process for the therapy cap,

1 980

physical therapists (PTs) can attach a KX modifier to claims for services that exceed $

Coding System

,

for

the year. By using the KX modifier, the PT attests that the services are medically necessary and

webinar.

3 700

meet Medicare requirements for payment. For certain claims that exceed $

FREE to APTA members.

,

annually,

Medicare is required to conduct a targeted manual medical review of the claim documentation. The current exceptions process expires December

31 2017 ,

. Congress will need to act by then

to either further extend the exceptions process or repeal the therapy caps altogether.

NEW THERAPY EVALUATION AND REEVALUATION CPT CODE DESCRIPTORS AND PRICING CMS adopts new CPT code descriptors for physical therapy evaluations and reevaluations, which

Compliance Matters: were created by the American Medical Association (AMA) CPT Code Editorial Panel. The new

New CPT

code descriptors, effective January

Evaluation Codes PT in Motion Magazine (September

2016

3 97001

1 2017 ,

, stratify physical therapy evaluations by

complexity, creating

new evaluation codes and

replace the old

and

descriptors are in Table

23

97002

1

new reevaluation code. The new descriptors

codes, which will be eliminated as of January

1 2017 ,

. The new

on the next page, which is extracted from the final rule.

) Despite the recommendation of AMA’s Relative Update Committee (AMA RUC), CMS prices the new evaluation codes as a group—using the same value for all All

3

3

codes—rather than individually.

new codes retain the longstanding Relative Value Unit (RVU) of

1 20 .

. CMS said it based its

decision, in part, on concerns about inherent incentives to up-code in a stratified payment

Statement by APTA President on

2016

Status of

Payment Reform –

9 15 16 /

/

system. CMS says it will collect and analyze utilization data on the new evaluation codes during

2017

for possible future changes in payment policy.

For the reevaluation code, CMS did adopt the recommendation of the AMA RUC to increase the

0 60 1997

RVU from

.

since

.

to

0 75 .

. CMS said this update recognizes changes in physical therapists’ practice


UPTA NEWSLETTER

WINTER ISSUE

UTAH PHYSICAL THERAPY ASSOCIATION

2016

New Board Members

We would like to welcome the new

2016 2017 -

UPTA

Board members!

Treasurer - Jon Rhodes, DPT Reimbursement - Gary Aston, PT Cont. Ed - Justin Carrier, DPT Research - Ulrike Mitchell, PT, PhD Nominations Katie Woolf, DPT PTA Rep - Drew Wilcox, PTA Delegate - Dan Mills, PT In the final rule, CMS recognizes that it will take significant time to educate PTs on how to properly use the new evaluation codes. In response to APTA’s comments that PTs should not

The following positions are up for election next fall:

be unduly penalized by Medicare administrative contractors during medical reviews while this education is under way, CMS will delay changes to the Medicare Benefits Policy Manual (MBPM) related to documentation instructions for physical therapy evaluations and

Vice President

reevaluations.

Secretary CMS reminds PTs, however, that they are expected to comply with the current MBPM

Public Relations Membership

instructions for evaluation and re-evaluations. Those instructions are in Table

22

below, extracted from the final rule.

Information Technology Legislative Chief Delegate

2

Delegates

Please send an email to Katie Woolf -

14

Katie.rich

@gmail.com

for more information.

OTHER PROVISIONS Revisions to Physician Self-Referral Laws. The final rule seeks to tighten up provisions of the physician self-referral (Stark) laws. Specifically, CMS institutes a policy to prohibit rental charges per unit of service when the lessor (e.g., physician) generates the payment from the lessee (e.g., hospital) through a referral to the lessee for a service to be provided in the rented office space or using the rented equipment. Thus, per-unit-of-service rental charges would be permissible only when the referral for the service to be provided in the rented office space or using the rented equipment did not come from the lessor. CMS acknowledged APTA’s comment on the proposed rule about the abusive use of the in-office-ancillaryservices exception that allows physicians to profit from physical therapy services but declined to make any substantial changes, saying they would be outside of this rulemaking.


UPTA NEWSLETTER

Summer ISSUE

UTAH PHYSICAL THERAPY ASSOCIATION

2016

So why the name change of our Pediatric Section? When and why did this happen?

PTA VOTE

In

2012

, APTA conducted a governance review that resulted in multiple

recommendations, including the reorganization of the sections into academies, councils, and communities. Since that time, a few of the sections have embraced this change including Neurology, Clinical Electrophysiology & Wound Management and the Geriatric section.

During the 2016 UPTA Annual Conference, UPTA Members were asked to vote on giving PTA's in Utah a full vote at the Chapter level.

The Pediatric section voted on this at CSM

2016

and passed by

member voting. Since the Pediatric Section of the APTA was first incorporated in

1974

it has provided leadership and innovation in pediatric physical therapy education, research, and practice. “We wish to take this opportunity to continue that leadership by making this name transition, which we think more clearly defines who we are to our other healthcare colleagues and to the children and families that we serve.” This was information sent to our members when it was being discussed in various mailings and email blasts. The proposed name change to

This was passed on October 28, 2016. We will now proceed with the formal change through APTA and in our Bylows.

Congratulations PTA's!

,

"Academy of Pediatric Physical Therapy" would give our organization a title that is recognized by our other health profession colleagues and would stand alone in the medical world. Using the term "academy" will align us with our colleagues in medicine who are represented by the American Academy of Pediatrics and the American Academy for Cerebral Palsy and Developmental Medicine. As mentioned in previous notices about this, changing the Section’s name does not affect the Section’s relationship with APTA; the Section will remain a component of APTA, as it has always been.

Watch for new products to purchase with the updated logo and academy name.

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