Reforming the Payment System for Outpatient Physical Therapy Services

The APTA has been working on a plan to reform payment for outpatient physical therapy services to enhance quality of care, recognize and promote clinical judgment and communicate the value of physical therapy services. To achieve these goals, the APTA has developed a proposed payment model for outpatient services.  The alternative payment system (APS) is now known as the physical therapy classification and payment system (PTCPS). The Senior Director of Payment and Practice Management at the APTA, Carmen Elliott, MS, recently joined PT Talker to share details about PTCPS.

The PTCPS will move physical therapy from a procedure based payment system to a per session payment system. The new payment system is based on two concepts. One is the severity of a patient’s condition at the start of care. The second is the intensity of the physical therapy service provided. The current proposal has 3 levels of evaluation and 9 levels of intervention codes to use for patient classification.

Learn more about the timeline for PTCPS and how it will impact your practice by listening to the full podcast now.

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Advocating for Physical Therapy

Uncertainty remains a part of today’s health care climate. Today’s guest is doing his part to make sure physical therapy remains top of mind for members of his community and nationwide. Dr. Michael Nula is a Physical Therapist and Owner of Elite Physical Therapy in Rhode Island. Elite Physical Therapy was voted “Best Physical Therapy Practice” in the country by Advance Magazine in 2009.

Instead of waiting for change to happen, Nula became an advocate for physical therapy. He worked with the APTA to arrange a visit from Senator Sheldon Whitehouse to his clinic earlier in the year. He shared his views on the importance of direct access and the current Medicare issues and how they impact physical therapy and rehabilitation services.  Listen to the full podcast now to learn more and how you can get involved now to have a positive impact on the future of health care.

 

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New HEP Compliance Tool for Physical Therapy Patients

Patients sometimes need a friendly reminder to do their prescribed home exercises and a gentle nudge to change their behavior.  Today’s expert offers a solution to help patients make exercise a part of their daily routine.  James Lomuscio is the co-founder of DropKicker, a HEP compliance tool for physical therapy patients

The DropKicker system allows physical therapists to monitor their patients HEP compliance, send feedback via text, and reconnect with former patients to schedule tune-up visits. For the patient, DropKicker is a low barrier way to connect with their physical therapist and a friendly reminder system.

The application is currently in Beta Testing.  If you’re interested in being a part of their Beta Testing, visit their site.  Listen to the full podcast to learn more. now.

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Optimistic Outlook for Private Practice Physical Therapy

One of the biggest trends in healthcare is the consolidation for care. Hospital and physician-owned physical therapy practices are on the rise. To discuss how the market is changing and how you can combat these changes is Tannus Quatre, PT, of Vantage Clinical Solutions. He consults and advises physical therapists who own their own physical therapy clinics across the country and shares his outlook for physical therapy with PT Talker.

As the market changes, consumers are responsible for more of their cost of care.  As their out of pocket costs rise, consumers are also becoming savvy. Quatre sees a private practitioner as a pure form of healthcare. A way to provide care the way it was intended to be provided. In essence offering consumers the best care they can get at a cost they can afford.

The fact consumers are paying more attention provides physical therapists with an opportunity to educate consumers and drive business to their clinic. He also believes that physical therapists need to work together at a national and local level to build awareness in the market to help consumers fully understand that they have a choice on where they go for care.  Learn more about his outlook for private practice physical therapy by listening to the full podcast now.

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