How often have your patients been denied coverage for medically necessary physical therapy services? Patients frequently do not know the extent of their rights to appeal denials and can be vulnerable to unreasonable limits on their care imposed by payers. As their advocate, it commonly falls to physical therapists or back office staff to push back against coverage denials. As utilization management groups like AIM spread, learn the rights you have to advocate for your patients to get the care they need, and for you to be paid for providing that care.


Presenters:

  • Craig Johnson, PT, MBA, Moderator
  • Robert Hall, JD, MPAff, PPS Senior Consultant
  • Bill Lewis, PT, DPT
  • Gwen Simons, PT, JD
  • Marcia Spoto, PT, DPT

7 PM EST

Craig Johnson

Welcome, Overview of Webinar Goals and Brief Introductions

7:05 PM

Bill Lewis

Utilization Management Trends

7:15 PM

Bob Hall

Avenues for advocacy - highlight new materials,

Note allied patient advocacy organizations,

7:25 PM

Gwen Simons

Internal appeals and external review laws – federal and state

Case Study/Experience with Internal Appeals and External Review

8:00 PM –

Sections Supporting Members

Marcia Spotto

AOPT Task Force

Bob Hall

PPS SPAN

8:15 PM

Craig Johnson

Course Code:

LMS - E425

APTACategory

Category1

cert_CA approval

cert_Insert Up To

No

cert_No IACET

No

cert_NY approval

Yes

Completion Instructions

Please watch the course recording in it's entirety.

Course level

Multiple

Date Opened

03/22/2021

Date recorded

03/22/2021

Date reviewed

03/26/2021

Delivery method

Webinar

Learning objectives

7 PM EST

Craig Johnson

Welcome, Overview of Webinar Goals and Brief Introductions


7:05 PM

Bill Lewis

Utilization Management Trends


7:15 PM

Bob Hall

Avenues for advocacy - highlight new materials,

Note allied patient advocacy organizations,


7:25 PM

Gwen Simons

Internal appeals and external review laws – federal and state

Case Study/Experience with Internal Appeals and External Review


8:00 PM –

Sections Supporting Members

Marcia Spotto

AOPT Task Force

Bob Hall

PPS SPAN


8:15 PM

Craig Johnson

Partner(s)

Academy of Oncologic Physical Therapy

Brought to you by

Private Practice Section

#Lessons:
1GMT20210322-230036_Recording_1920x1080.mp4
Overview
Type:E-Learning Course
Learning Time:1h  30m
Domains:Craig Johnson, payment denials, Payment, Bill Lewis
Enrollment