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Home Health
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Audio: 2011 Source Audio Conference: Skilled Nursing Facilities How to Comply with Medicare 2012 Changes (Recorded)
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Presenters: Sheila Lambowitz; Ellen R. Strunk, PT, MS, GCS


$99 Member | $169 Nonmember

0.2 CEUs (2 contact hours) will be awarded upon successful completion of a multiple choice test.
Course Level:
Basic to Intermediate
Date Recorded:

September 13, 2011

Date Published:

September 2011

Delivery Method:

  Audio Conference

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.

Course Completion Requirements


Course Information | Objectives | Presenter Bios | CEU Information | Course Completion Requirements | Technical Requirements
Course Information

On October 1, 2011, the Centers for Medicare and Medicaid Services (CMS) will implement new rules that will have a significant impact on physical therapy in skilled nursing facilities (SNFs). The fiscal year 2012 SNF Prospective Payment System (SNF PPS) final rule contains new requirements for physical therapists on how to document and provide group therapy in the SNF setting as well as the introduction of a new patient assessment called the Change of Therapy (COT) Other Medicare Required Assessments (OMRAs). In addition, the final rule contains new policies regarding student therapists' supervision, clarifications for End of Therapy (EOT) OMRAs, and elimination of distinctions between 5-day and 7-day facilities.

CMS Director of Institutional Post-Acute Care Sheila Lambowitz, along with SNF expert Ellen Strunk, will provide critical information about Medicare's new SNF coverage policies and will provide practical information to PTs and PTAs on how these new policies will affect everyday clinical practice. During a Q & A session following the presentations, participants may ask questions directly to the experts.

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

  1. Identify new policies regarding payment rate changes for SNFs in FY 2012.
  2. Cite new policies regarding the required level of supervision for therapy students and how to document student services.
  3. Determine when it is necessary to complete the COT OMRA.
  4. Distinguish between the EOT-OMRA and the EOT-Resumption OMRA and when these assessments should be completed.
  5. Explain the implications of these new coverage policies on the practice of physical therapy.
  6. Determine what changes need to take place within your SNF to comply with the new coverage policies.
  7. Cite Medicare's policy on group, concurrent therapy, and individual therapy in the SNF setting.

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Presenter Bio (s)

Sheila Lambowitz is a nationally recognized expert in nursing facility RUG-III prospective payment systems. She has more than 25 years of experience in Medicare and Medicaid post acute care health policy. Her current responsibilities include developing payment and coverage policies related to the SNF PPS; SNF consolidated billing programs and inpatient rehabilitation facilities (IRFs). She is a member of the work groups designing an SNF Value-Based Purchasing model and an Integrated Post-Acute payment demonstration. She also directs the SNF Staff Time and Resource Intensity and Verification project (STRIVE) that has been charged with collecting the data needed to update the RUG-III payment methodology used in the Medicare prospective payment system (SNF PPS). As Chair of the SNF Open Door Forum (ODF), she works with providers, trade associations, and other stakeholders to communicate timely information on CMS activities. Prior work included the design and administration of the Ohio Medicaid RUG-III PPS system, and the development of Medicare medical review programs for home health, SNF, swing beds and hospice for a fiscal intermediary.


Ellen R. Strunk, PT, MS, GCS, received her master's degree in physical therapy from the University of Alabama at Birmingham. Since that time, she has worked in various roles & settings as both clinician & manager/director: hospital; transitional care; Director of rehab for a hospital home health agency; Clinical Consultant, Director of a HH staffing division, and Director of Governmental Affairs for a company providing rehab services in long term care, home health & outpatient settings. Presently, Strunk is owner of Rehab Resources & Consulting, Inc., a company providing continuing education and consulting services for post-acute care settings. She specializes in helping customers understand the CMS prospective payment systems in skilled nursing facilities and home health settings, and especially how to deliver medically necessary therapy services in these settings. Her experience includes utilizing medical record reviews and data systems to help both inpatient and outpatient therapy providers meet regulatory guidelines. Strunk earned her APTA Board Certification in Geriatric Physical Therapy in 1999. Strunk is a member of the American Physical Therapy Association, where she serves as Director on the APTA Section on Geriatrics (SOG) Board, and is a member of the APTA Home Health Section & the APTA Health Policy & Administration Sections. She serves in the dual role of Treasurer and Chairperson of the Practice & Reimbursement Committee for the Alabama Physical Therapy Association.

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CEU Information

On successful completion of the examination, 0.2 CEUs (2 contact hours) 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: 15S0232
  • 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
  • Pennsylvania: Denied

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 live audio conference and review the handouts, 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.


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Technical Requirements
Computer System Requirements.
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$169.00 $99.00