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Medicare Payment Reforms and the Continued Value of Physical Therapy Practice - An APTA Learning Center Online Course (ETD)
Devalll Student Center, Kilgore College
1100 Broadway
Kilgore, TX 75562
Thursday, November 21, 2019, 6:00 PM - 8:30 PM CDT
Category: District Meetings

The Centers for Medicare and Medicaid Services is implementing new Medicare Part A reimbursement methodologies for skilled nursing facilities and home health agencies, termed the Patient-Driven Payment Model (PDPM) and Patient-Driven Groupings Model (PDGM), respectively. While coverage of therapy services is not changing, it is important for PTs and PTAs to understand how these models are designed to better align payment with patient characteristics and needs. 2CCUs

At the conclusion of the course, participants will be able to:
1: To understand how PDPM and PDGM models are designed to better align payment with patient characteristics and needs.
2: Learn how Medicare will reimburse SNFs and HHAs for services delivered to Medicare beneficiaries and practical strategies for PTs and PTAs
3: To demonstrate their value (PTs and PTAs), both in these settings: SNFs and HHAs and across the continuum of care.

Kara Gainer, JD, is the Director of Regulatory Affairs with the American Physical Therapy Association. As Director of Regulatory Affairs for APTA, Kara leads, manages, and provides strategic direction to the regulatory affairs team on key programs and initiatives in the federal regulatory space that help to move forward the priorities of the Association for the advancement of the profession in the area of payment and public policy. She works to develop and advocate APTA’s position before federal agencies in order to have a positive effect on federal regulations, statutes and other governmental directives that affect the profession of physical therapy. She also is responsible for leading member initiatives and developing policies and programs that promote the practice of physical therapy. She has extensive knowledge and experience working on policies related to Medicare, Medicaid, health care reform, coding, and provider billing and reimbursement.

Jon Anderson, PT, is in the TPTA Payment Committee and a specialist in guiding payment related affairs of the Texas Physical Therapy Association. He acts as a resource to TPTA members regarding physical therapy payment and reimbursement issues to enhance relationships with third party payers through dialogue and education regarding the practice of physical therapy. He is the current Practice Committee Chair of the Texas Physical Therapy Association.

Julie Hardy, PT, MS, has many years’ experience working in the fields of home health care, acute care, and physical therapy education. She is currently using her skills to educate home health and hospice clinicians of all disciplines in her role as Clinical Education Consultant with Encompass Home Health and Hospice, one of the largest home health providers in the United States. She has been a presenter at the Combined Sections Meeting of the American Physical Therapy Association and has been published in the Home Health Section’s Quarterly Report, and the Academy of Geriatric Physical Therapy’s Geri-Notes.

Celia Apoderado-Carmona, PT, MPA-HCA, has been a clinician for over 26 years and has worked in various clinical settings and found her niche in skilled nursing facilities. She is passionate about geriatric care and currently serves as the Director of Rehabilitation Services with Veritas Management Group at The Center at Grande in Tyler, Texas. She graduated BSPT from the University of Santo Tomas in 1993 and from the University of Texas in Tyler in 2017 with a Master’s degree in Healthcare and Public Administration.

Matt Sivret, PT, CLT, CWS, is the Divisional Vice President, Clinical Operations for Kindred Rehab Services/RehabCare. He has held various positions with the company over the past 21+ years, including Rehab Manager, Area Rehab Director, and Education and Compliance Coordinator. He also has his Certification as a Wound Specialist (CWS) and Lymphedema Therapist (CLT).

6:00-6:30 - ETD Meeting
6:30-7:30 - Online Course
7:30-8:30 - Speakers followed by Q&A

All proceeds from non-member fees go to the TPTA-ETD scholarship fund.For more information contact: Amanda Storer, PTA at [email protected]

PT/PTA/Student Members $0
PT/PTA/Student Non-Members $10

You must login to your TPTA Member Account to receive member pricing. Do not create a new login. If you are unable to login to your member account, email [email protected] for assistance. 

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Contact: [email protected]