What Do We Really Get Paid? Benchmarking Price for Outpatient Physical Therapy Services, The Milliman Data Project Part 1
FREE to PPS Members! In response to members repeatedly asking, “what should I be getting paid?”; Private Practice Section purchased over a million dates of service in claims data from Milliman actuarial firm in 2014, intending to provide better answers to this question. Furthermore, Milliman was engaged to analyze commercial insurance and Medicare data, developing a cost per unit benchmarks for physical therapy services. Data for E and M codes, chiropractic, radiology, and orthopedic services were also obtained for pricing comparison, and point of reference for bundled payment arrangements. PPS now has this data by state showing the average price “allowed” by the commercial insurance carriers with breakdowns by percentile and per member per month (PMPM) cost for the 97000 series of codes is also provided.
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CEU Approval and Certification - PPS
As a Component of the American Physical Therapy, Private Practice Section online courses are accepted by the following physical therapy licensure boards, as allowed by the type of course requirements in state regulations: AL, AZ, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, MI, MN, MS, MO, MT, NE, NH, NY, NC, ND, OK, OR, PR, RI, SD, TN, UT, VT, VA, WA, WV, WI, WY.
The Private Practice Section is accredited by the California Physical Therapy Association (Provider # CPTAAP-12) and the Texas Physical Therapy Association (Provider # 2008027TX). Thus, Private Practice Section course credits are accepted in California and Texas.
PPS online courses are NOT approved in AK, AR, LA, MD, NV, NM, NJ, OH and PA.
PPS issues CEUs/CCUs based on the following definitions: 1 CEU = 10 contact hours/10 CCUs. .1 CEU = 1 contact hour/1 CCU. 1 contact hour/1 CCU = 60 minutes of structured educational activity.
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- Non Member$155.00(until 12/31/2030)
- Member$120.00(until 12/31/2030)
- Private Practice$0.00(until 12/31/2030)