The live Q and A wsd delivered on December 10, 2019 and the link to listen is available in the resources area along with the chat transcript. The pre-recorded content is also available for review.
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.
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