Course Description

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.

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.

Sharita Jennings, JD 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 Code:


Completion Instructions

  • Review the pre-recorded session and compile questions for the live Q and A session.
  • Following the Q and A, complete the assessment with a 70% or higher score.
  • Submit your evaluation feedback.
  • Print your certificate.

Course level


Delivery method



Heather Smith, PT, MPH; Kara Gainer, JD; Jeramy D. Kuhn, PT

Learning objectives

  1. Explain Medicare’s proposed changes to the PAC payment systems and how it may impact physical therapist services.
  2. Demonstrate understanding of changes coming to PAC assessment tools and awareness of coming changes.
  3. Identify opportunities for becoming involved in CJR and SHFFT models and assess CJR or SHFFT collaborator value for the physical therapist/physical therapist practice.
  4. 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.


Veterans Administration (VA)

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1Shift to Value-Based Payment.mp4
Type:E-Learning Course
Credit Categories
Domains:Value-Based Payment Models, reporting, Kara Gainer, value based, alternative, payment, models, quality, Heather Smith

The following credits are available upon completion of these activities.

Total credits:  0.1
Key Dates
Enrollment:Prior to  06/29/2022