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Audio: Medicare Enrollment & Revalidation: What PTs Should Know Before Applying (Recorded)
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Presenters: Mary Daulong, PT, CHC, Leah Garner and Gayle Lee, JD

$99 Member | $169 Nonmember
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:
Date Recorded:
October 2012
Date Published:
November 2012
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 Information | Objectives | Presenter Bios | CEU Information | Course Completion Requirements | Technical Requirements
Course Information

Medicare has made many changes to its enrollment process in recent years that impact physical therapists and other providers. Enrolling as a physical therapist in private practice or as a rehabilitation agency, or revalidating your enrollment, can seem like a very daunting process. Delays in enrollment prevent physical therapists from submitting claims and getting paid. Identify new Medicare enrollment requirements and figure out how to avoid enrollment pitfalls and ensure your enrollment application is submitted correctly the first time!

Experts Mary Daulong, Leah Gardner, and Gayle Lee walk you through the enrollment and revalidation process from start to finish. This course is designed to help you determine whether you should enroll as a physical therapist in private practice or as a rehabilitation agency; provide information regarding NPIs, revalidation, and site visits; and assist you with the enrollment process. During the Q&A session following the presentation you may ask your questions directly to the experts.

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Upon completion of this audio conference, you will be able to:
  1. Describe Medicare’s revalidation rules.

  2. Explain steps to take when your enrollment application is delayed.

  3. Identify common errors on enrollment applications.

  4. Distinguish when to enroll as a physical therapist in private practice or as a rehabilitation agency; and identify which enrollment applications to complete.

  5. Evaluate whether the physical therapists on staff need to obtain an NPI and enroll as a providers.

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Presenter Bio (s)

Mary Daulong, PT, CHC, CHP, Owner of Business & Clinical Management Services, Inc., is a physical therapist and is also certified in Healthcare Compliance by the Health Care Compliance Certification Board and the HIPAA Academy. Her consulting company, Business & Clinical Management Services, Inc. was established in 1985 and for the past dozen years has been, for the past dozen years, 100% dedicated to working with rehab professionals in the areas of federal and state compliance, practice and business office operations, provider enrollment and credentialing, payment policy, billing, coding, documentation, and policy and procedure manual production.

Daulong is chair of the TPTA’s Payment Policy Committee, a member of the Private Practice Payment Policy Committee, and the representative for physical therapy and occupational therapy for Jurisdiction 4 on its Provider Outreach Education Advisory Board. She recently was appointed to Novitas Solutions’ JH Transition Consulting Team.

Daulong has been a featured speaker at national, state, and section annual conferences and is one of the contributing authors to “Compliance Corner” for the Private Practice Section’s Impact magazine.

Leah Garner, administrator of provider enrollment and credentialing for Business & Clinical Management Services, Inc, holds a degree in office administration and has been engaged in physical therapy management for nearly 20 years. She joined the company in 1993 and was the office manager of its private practice. In 2007, Garner accepted the position of business administrator, focusing on client support services and credentialing. She is responsible for the exponential growth of the company’s provider enrollment services from solely Medicare enrollment to nationwide credentialing and enrollment services for all payer classifications.

Gayle R. Lee, JD, has more than 15 years of experience working on health care issues that affect the rehabilitation industry. Lee is the senior director of health finance and quality for the American Physical Therapy Association. As the department's federal payment policy expert, Lee is primarily responsible for issues involving Medicare, Medicaid, HIPAA, and TRICARE. She specifically works on regulations that affect physical therapists practicing in skilled nursing facilities, home health agencies, rehabilitation hospitals/units, comprehensive outpatient rehabilitation facilities, rehabilitation agencies, and private practice settings. She also has worked at the American Rehabilitation Association, where she was assistant counsel and policy coordinator.

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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:

  • California Physical Therapy Association: CPTA2014-2015
  • Ohio State Board of Physical Therapy: 14S1743
  • Oklahoma Board of Medical Licensure & Supervision: 2 Category B Hours
  • Texas Physical Therapy Association: 1609016TX
  • Nevada Board of Physical Therapy Examiners: Denied
  • 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

In order to successfully complete this course, you must do the following:
  • Access the course to download and read the precourse articles.
  • Listen to the recorded live audio conference and Q&A session.
  • Once you have listened to the audio conference, return to the "My Course" page in the APTA Learning Center to take the posttest and claim CEUs.
  • 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