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CD-ROM: Hear It From the Source: Understanding and Evaluating Managed Care Contracts and Fees: The Dos and Don'ts
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Editor(s): John "Jack" Bennett, JD | Erik van Doorne, PT, DPT

Price:

$89 Member | $159 Nonmember (fee subject to change-plus shipping & handling)

CEU:
0.2 CEUs (2.0 contact hours/CCUs) will be awarded upon successful completion of a multiple choice test. You must complete the online posttest with at least 70% accuracy in order to claim CEU credit.
Course Level:
Basic to Intermediate
Publication Date:
May 13,2010
Delivery Method:

  Audio CD-ROM. The Audio CD-ROM will contain the original audio conference recording and handout.

APTA's audio conference recordings bring the experts to you! Earn Continuing Education Units (CEUs) while listening at your own pace to recorded live audio conferences. These CD-ROMs contain the audio conference recording and handouts for the course.

View Course Completion Requirements.


AV-64VP

Overview | Objectives | Presenters Bios | CEU Information |Course Completion Requirements|Technical Requirements
Overview (Original Audio Conference Description)

One of the most common problems in dealing with third-party payers is what to do when a payer implements a policy that has an adverse impact on payment for physical therapists' services. Physical therapists and business office managers must be able to determine if the terms of a contract with a payer are sufficient to meet the needs of the business. This presentation will discuss third party contracts, what to look for before you sign contracts, and what specific language means for your business. This presentation will also review what is negotiable and what is not in a contract and how to avoid signing bad contracts. In a time of decreasing reimbursement signing the right contracts is vital to the survival of private practices and maybe to the physical therapy profession in general. Finally, this program will alert you to legal restrictions on what you and your fellow physical therapists jointly may do in response to payer initiatives and what your professional association may do.

Note: Although this presentation may provide information concerning legal issues, such information is not intended to be legal advice or to be a substitute for your own lawyer's counsel, and the presentation does not create an attorney-client relationship. Nothing that you may say to the presenters will be confidential, nor will it be protected by the attorney-client privilege.

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Objectives

Upon completion of the audio conference, you will be able to:

  1. Understand the essential elements of outpatient physical therapy contract analysis and contract negotiation.
  2. Identify what is negotiable in a provider contract and what is not.
  3. Identify the boundaries and limits of negotiating and discussing fees with insurance companies.
  4. Understand the implications of signing below cost contracts to their practice and to the PT profession.
  5. Interpret important aspects of contract language.
  6. Assess your current contracts and future contracts for pertinent language.
  7. Recognize responses to payer initiatives that are legally problematic, ones that are permissible, and ones that should be undertaken only with a lawyer's counsel.

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Presenter(s) Bios
  John "Jack" Bennett, JD, has been APTA's general counsel since 1994. Prior to joining APTA he was an attorney with the New York-based law firm Cahill Gordon and Reindel. He is a graduate of Yale Law School.
  Erik van Doorne, PT, DPT, is senior director of private payment policy and advocacy at APTA. Before joining APTA, Erik was the owner of a private practice in Wilmington, Delaware, specializing in conservative spinal management and manual therapy. He received his doctor of physical therapy degree from Simmons College in Boston and has experience in payment policy, contract and payer negotiations, coding, billing, and practice management.

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CEU Information

On successful completion of the examination, 0.2 CEUs (2.0 contact hours/CCUs) and a certificate of completion will be awarded. The American Physical Therapy Association has been approved as an Authorized Provider by the International Association for Continuing Education and Training (IACET), 1760 Old Meadow Road, Suite 500, McLean, VA 22102. Provider (#380).

Many state agencies recognize APTA as a recognized or approved provider for continuing education. The following state agencies have granted prior approval for this continuing education offering:

  • Ohio State Board of Physical Therapy:  Pending
  • Oklahoma Board of Medical Licensure & Supervision: 2 Category B Hours
  • Texas Physical Therapy Association: 1609016TX
  • Nevada Board of Physical Therapy Examiners: 0.2 Units
  • California Physical Therapy Association: CPTA2014-2015

Please note: Licensees should verify with their state licensing board for acceptance of continuing education units by reviewing the relevant state practice act and/or administrative code.

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Course Completion Requirements
After you listen to the recorded audio conference and review the handout on the CD-ROM, you will return to the My Courses page on the Learning Center to take the online posttest and print your CEU certificate. You must complete the online posttest with at least 70% accuracy in order to claim CEU credit.
Technical Requirements

CD-ROM

Platform: 
Microsoft Windows XP Pentium-class PC (300 MHz or higher recommended), 128 MB RAM, 8x CD-ROM drive or better, Microsoft Windows Media Player 8.0 (or higher), Microsoft Internet Explorer 6.0 (or higher), Acrobat Reader 5.0 or higher. Please note: CD-ROMS do not work on Mac's!

Downloads:
To obtain the most recent version of the Microsoft programs go to, www.microsoft.com, click on Downloads. To obtain adobe reader go to, www.adobe.com click on "get Adobe reader."

 

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$159.00 $89.00