PRIVATE PRACTICE - How-To Series Chapter 8: Payer Contracting for Physical Therapy

Recorded On: 06/01/2023

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This course was recorded in June 2023.

Level: Multiple Levels 

This webinar is complementary to the “The How-To Manual” of the APTA Private Practice. This webinar focuses on Chapter 8: Payer Contracting for Physical Therapy. Save & Bundle by purchasing all 13 chapters of the How-To Series here!

Reading, understanding, and negotiating insurance contracts is not a class that is taught in PT school, nor is it something that most PTs feel comfortable with.  Many of us don’t know the details of the insurance contracts or the payment policies that we are obligated to in our practices.  Is it possible to negotiate a contract?  Are there things other than the fee schedule that should be negotiated?  What factors create a favorable situation for negotiations?  These questions and more will be answered in this course.  We will discuss how to understand the contracts.  We will explore key items in the contract that should be evaluated.  We will discuss opportunities for re-negotiating and when to potentially terminate a contract.  We will discuss how to evaluate a new insurance contract that is presented to the practice.  We will discuss the key questions you should be asking your insurance contracting team if you work in a large business model.  You will leave this course with a game plan for your practice.

Upon completion of this course, you will be able to:

-articulate the key components to evaluate when considering a new insurance contract

-identify problematic language when evaluating an insurance contract

-articulate key questions to ask when determining to terminate or sign a new agreement


Robbie B. Leonard

PT, DPT, CHC

Robbie Leonard, PT, DPT, CHC has extensive clinical and administrative experience in rehabilitation.  She has provided continuing education seminars nationwide in the areas of Medicare, compliance, billing and coding, and administration.  She has certifications in Lean Healthcare and Healthcare Compliance.  She has taught in the academic setting for the Physical Therapy Programs at MUSC and Western Carolina University.  Robbie has owned a private practice and has served as the VP of Administration for a multi-state private practice with over 30 clinics.  Robbie serves as the Chief Learning Officer for Medical Billing Center and is the Co-founder of 8150 Advisors.

Course Instructions

  1. Click on the Contents tab to watch the course recording.
  2. Click the Take Quiz button to complete the assessment. Learners will have 3 attempts to pass and must answer at least 70% of questions correctly.
  3. Click Fill Out Survey under the Evaluation listing to provide valuable course feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
  4. Click the View/Print Your Certificate button under the Certificate listing. You can view/print your certificate at any time by visiting the APTA Learning Center and clicking the CEU Certificate/Transcript link on the left-hand side of the page. 

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Chapter 8: Payer Contracting for Physical Therapy
Open to view video.  |  90 minutes
Open to view video.  |  90 minutes
Evaluation
15 Questions
15 Questions Completion of the evaluation is required if you wish to claim CEU credit for the course.
CEU Certificate
Up to 0.10 contact hours available  |  Certificate available
Up to 0.10 contact hours available  |  Certificate available