The live Q and A will be delivered on December 10, 2019 - 1:00-2:00 p.m.(ET). The pre-recorded content is available now for review purposes. Please plan on doing that prior to attending the live portion as this content will NOT be shown at that time.

Course Overview

This session will provide an overview of Medicare and other federal payer reimbursement and coverage policies that physical therapy providers need to know in order to comply with all relevant rules and regulations in 2020. Presenters will discuss policies finalized in the 2020 Medicare Physician Fee Schedule Rule regarding the Quality Payment Program (Merit-based Incentive Payment System and Advanced Alternative Payment Models), PTA modifier policy, coding, and more; provide an update on Department of Defense TRICARE rules; review the new Veterans Community Care Program; and offer insight into APTA’s current federal advocacy efforts on administrative burden, telehealth, and more.

Meet our Presenters

Kara Gainer joined APTA in 2017 and provides leadership and strategic direction to the regulatory affairs team on key programs, initiatives, and policy development in the federal regulatory space. She has extensive knowledge and experience working on policies related to Medicare, Medicaid, health care reform, and provider billing and reimbursement. Prior to joining APTA, Kara was a health care consultant with Drinker Biddle & Reath, where she developed and executed comprehensive public policy strategies for her clients that integrated legislative, regulatory, and communications efforts. She also served as attorney advisor for the US Department of Health and Human Services Office of Medicare Hearings and Appeals, and clerked with the US Senate Sergeant at Arms. Kara received her bachelor’s degree in psychology from the University of Montana and law degree from the University of Montana, School of Law, and is a member of the District of Columbia Bar.

Heather Smith, PT, MPH, currently serves as director of quality for APTA. In her current role, Heather coordinates quality initiatives for the association and develops and implements key member resources related to quality. Two areas of focus in her work include the physician quality reporting system (PQRS) and the functional limitation reporting (FLR) requirements for therapist services under Medicare. She also serves as staff lead on the Physical Therapy Outcomes Registry. Heather previously worked for New York Presbyterian Hospital and University of Pennsylvania Health System, where she served in quality improvement. Her transition into quality was facilitated in part by the acquisition of her master’s degree in public health from Drexel University. Previous to her role in quality improvement, she was a practicing clinician for more than 10 years, with the majority of her focus on orthopedics in the outpatient setting.

Course Code:

LMS-1006

APTACategory

Category1

cert_CA approval

CPTA2018-19

cert_Insert Up To

No

cert_No IACET

No

cert_NV credit value

0

cert_NY approval

Yes

cert_OH hours

0

cert_PA Gen hours

0

cert_Transcript stmt

No

cert_TX approval

1909019TX

Completion Instructions

Review content, complete the assessment with at least a 70% score, download and save certificate

Course level

Intermediate

Date published

06/25/2019

Date recorded

11/15/2019

Delivery method

In-person

Instructor(s)

Kara Gainer, JD; Heather Smith, PT

Brought to you by

APTA

#Lessons:
1LMS-1006_Federal End of Year Webinar.mp4
2Assessment
Overview
Type:E-Learning Course
Credits:0.1
Credit Categories
Domains:Kara Gainer, Medicare, Heather Smith, MIPS
Enrollment
Price:$60.00
Available discounts:
  • Non Member
    $60.00
    (until 12/31/2030)
  • Member
    $0.00
    (until 12/31/2030)
* Prices in US Dollar