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The Shift to Value-Based Payment: What You Need to Know Now
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Payment reform is underway and as Medicare shifts away from fee-for-service to value-based payment, physical therapists need to know how this will impact their practice and what to do.
Learning Objectives:
- Explain Medicare’s proposed changes to the PAC payment systems and how it may impact physical therapist services.
- Demonstrate understanding of changes coming to PAC assessment tools and awareness of coming changes.
- Identify opportunities for becoming involved in CJR and SHFFT models and assess CJR or SHFFT collaborator value for the physical therapist/physical therapist practice.
- Demonstrate understanding of the new requirements for long-term care facilities and interpret how to speak the language of compliance, as skilled nursing facilities and nursing facilities do.
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Kara Gainer
JD
Kara is the director of regulatory affairs at APTA. She joined APTA in 2017 and provider 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, she was a health care consultant with Drinker Biddle and Reath, where she developed and executed comprehensive public policy strategies for her clients that integrated legislative, regulatory, and communications efforts. She also served as an attorney advisor for the US Department of Health and Human Services Office of Medicare Hearings and Appeals, and she clerked with the US Senate Sergeant at Arms. She 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.
![Speaker image](https://26cdb5413441aad92e67-dd0de706a0e770a8d3e0b9e541fd6bb8.ssl.cf2.rackcdn.com/aptatherapists_c5b46f891442585bb70395501398c051.jpg)
Heather Smith
PT, MPH
Heather 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.
![Speaker image](https://26cdb5413441aad92e67-dd0de706a0e770a8d3e0b9e541fd6bb8.ssl.cf2.rackcdn.com/aptatherapists_047ccbeaf9c1f4550966cbba372201a6.jpg)
Sharita Jennings
JD
Sharita is Senior Regulatory Specialist at American Physical Therapy Association, where she specializes in Medicaid billing and compliance, Medicare compliance, and health care innovation. Sharita's past experience also includes health care reform, prescription drug benefits, and fraud waste and abuse prevention strategy.
Course Instructions
- Click on the Contents tab to watch the course recording.
- 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.
- 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.
- 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.
Need Assistance?
For assistance logging in, accessing activities, claiming credit, or for other questions or concerns, please e-mail learningcenter@apta.org.
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