This webinar will present information on the 2018 Medicare fee schedule, highlighting the changes that will most impact private practices. We will also review the myriad of payment policies, reporting requirements and administrative processes necessary for the OP Therapy practice to understand and implement in order to be an efficient, effective and compliant Medicare Part B provider

"The more things change the more they stay the same", this phrase very well describes the environment that administrators and clinicians find themselves in 2018 when considering payment policy, regulation and compliance pertaining to the delivery of physical therapy services in all OP setting's. Change is a constant when it comes to the important elements involved in payment policy and regulations in all OP practice environments. Yet, the underlying definitions and requirements of benefits as applied by both federal and commercial payers basically remain the same. To avoid costly audits, repeated requests for “more information” and delayed payment from payers, it is important to assure that compliance with policies and regulations in regards to payment are up to date and a reflection of the most current interpretation and implementation strategies. This one hour webinar includes topics related to changes in the 2018 Medicare Fee Schedule and its impact on the most frequently used codes by physical therapists including evaluations, therapeutic exercise and manual therapy techniques. We will discuss payment policy, documentation and compliance issues. Examples of best practice in reporting codes to reflect current practice are used and there will be 30 minutes for questions and the opportunity to understand the impact on your private practices bottom line.

Meet the Presenters

Helene Fearon, PT: Helene Fearon has more than 25 years of experience consulting in the area of physical therapy coding, billing, documentation and compliance. Her experience includes 12 years as a partner in Fearon & Levine, a national consulting firm focusing on practice management and payment policy in the outpatient rehabilitation setting. She is co-owner of Fearon Physical Therapy and President of Physical Therapy Provider Network (PTPN) of Arizona. Helene shares her expertise through consulting in the areas of reporting of clinical services through the lens of the diagnosis, evaluations and interventions as well as fiscal management and health policy development as it relates to rehabilitation services. Since 1993, she has been intimately involved in the process of developing, and revising CPT code nomenclature primarily used in the description of services provided by healthcare professionals in the area of physical medicine and rehabilitation. In this role she frequently is called upon for her expertise in development of payment policy and training materials utilizing these CPT codes.

Helene served 8 years on the AMA’s CPT editorial panel and was the APTA appointee to the CPT process for 24 years and represented physical therapists in AMA CPT discussions. She also served as a governor appointee to the State of Arizona’s Board of Physical Therapy Licensure for 8 years, and served as president of this regulatory board from 2003 - 2007. The APTA named Ms. Fearon a Fellow of the APTA in June 2012.

Janet Shelley PT, DPT: Janet M Shelley PT, DPT is the CEO of Medical Billing Center (MBC). MBC specializes in billing for outpatient therapy. Janet founded MBC in 2001 following the sale of a large regional private practice. While in private practice, Janet participated in oversight and management of independent therapy offices, hospital joint ventures and facility management contracts. These varied experiences lend to the innate understanding of the challenges and opportunities before facilities and private practices. She is past President of the South Carolina Chapter, APTA and participates on both state and national payment policy committees. Janet is the current Chairperson of the PPS Payment Policy Committee.

Course Code:




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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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Private Practice Section

12018 Fee Schedule Update-edit.mp4
Type:E-Learning Course
Learning Time:1h  30m
Domains:payment, PFS, fee schedule, Medicare