Mountain District Members,
Greetings! Mountain district leadership is pleased to announce a couple events coming up for informational and networking opportunities. First we would like to invite you to join us for our 2nd Annual Research and Poster Presentations held in conjunction with Emory & Henry College School of Health Sciences. This year the event will count as Type 1 CEU’s (pending approval). This event is FREE to attend. Yes you can receive 3 Type 1 CEU’s completely FREE! We also will be holding a district meeting in conjunction with the event. So we hope you will join us on Tuesday June 12th from 5PM to 9PM.
Secondly, we are planning our next district meeting to include a trip to the Barter Theatre. This would be a family friendly event in order to get enough attendees for the group discounted rate. We would like your input regarding which play interests you. Our choice will be between the plays “Sister Act” (you may be familiar with the movie starring Whoopie Goldberg) and “The Lemonade Stand”. The Lemonade Stand is a comedy and according to the Barter’s description, is centered around a middle aged man recently fired who starts a Lemonade stand and the college girl next door wants to join his upstart business as an intern. We hope you will join us for this twist on our normal district meeting dynamic.
Nominations for Chapter and District leadership positions are being taken between May 3 and June 17, 2018. If you have someone in mind to nominate for office, please do so! Self-nominations are permitted and welcome, so don’t be shy!
The following positions are open:
- PTA Caucus Rep
- PTA Caucus Rep Alternate
- Central Nominating Committee
- Northern Nominating Committee Member
- Tidewater Nominating Committee Member
- Blue Ridge Director
- Blue Ridge Secretary
- Central Director
- Central Treasurer
- Mountain Director
- Mountain Secretary
- Northern Director
- Northern Treasurer
- Tidewater Director
- Tidewater Treasurer
- Valley Director
- Valley Secretary
The Communications team is actively seeking 1 more member to join our amazing team! The position is "Social Media Advertising Management". Volunteer responsibilities include:
- Create posts unique to each social media source (currently Facebook and Twitter) for paid advertisements of courses and jobs. Posts will include: Text, hyperlinks, graphics, images
- Boost paid advertisement posts
- Interaction with followers on Social Media related to the events
Those interested in this position should write to firstname.lastname@example.org.
Thanks for your interest,
Heather Byrne for the Communications Team
The VPTA is happy to introduce our members to a great new benefit called CEU Locker.
CEU Locker provides an easy and convenient method for tracking your CEU requirements in our state, searching for approved courses that meet state requirements, and being assured that the courses you are taking provide quality content for our specialty.
VPTA will be providing the easy-to-recognize official seal for all approved courses. As a CEU Holder, you only need to look for this seal when searching for your courses to be assured that they have been vetted and approved and that they meet state requirements. After you have completed an approved course, simply type the CEU Locker number into your online dashboard; the course information instantly will be archived for safekeeping.
As an additional benefit to your practice, our website will begin featuring a robust, searchable listing of approved courses that meet state requirements.
Usage of the CEU Locker service is an exclusive benefit of your VPTA membership. Thank you for being a member, and please let us know how much you like using CEU Locker!
By now, most physical therapists (PTs) have heard the news: the final 2018 Medicare Physician Fee Schedule (PFS) released in early November by the US Centers for Medicare and Medicaid Services (CMS) included some significant variations from the PFS proposed in July. Instead of finalizing CPT code values that were the same as—and occasionally larger than—current values, CMS opted to offer up a more complicated combination of cuts and increases that could affect PTs in different ways, depending on their case-mix and billing patterns.
So Here are APTA's top 4 suggestions.
- Know the design process for the fee schedule. It's important to understand what led to the changes to provide context, a slight sense of relief, and a reminder of why payment needs to move toward value-based models and away from fee-for-service.
The PFS now set to debut January 1, 2018, is the CMS response to an American Medical Association (AMA) committee's recommendation on potentially "misvalued" codes associated with a wide range of professions, not just physical therapy. When the process began in early 2016, many predicted that the final outcome would be deep cuts to nearly all valuations—as much as 10% or more overall. APTA and its members fought hard to substantiate the validity of the current valuations, and even the need for increases in some areas. The end result was a significant improvement from where things were headed at the start of the process.
That's not to say it's been an entirely satisfying process from start to finish. This recent PT in Motion News story goes into more detail about the sometimes-frustrating journey from points A to B.
2. Understand what's being changed. Just about everything that happens at CMS is complicated, and the process that led to the new CPT code valuations is no exception. Still, a working knowledge of how CPT codes are valued is helpful in understanding why the PFS contains such a mix of positives and negatives.
One important thing to understand is that code valuation is actually a stew of 3 separate elements, known as relative value units (RVUs). These are estimations of the labor, expense, and possible professional liability involved in performing any given treatment or evaluation task associated with a CPT code. The 3 types of RVUs are known as "work," "practice expense" (PE), and "professional liability." The coding valuation differences between the proposed and final PFS were due to changes to the PE RVUs only.
This wasn't part of the proposed rule. While the AMA Relative Value Scale Update Committee Health Care Professions Advisory Committee did recommend changes to PE RVUs, CMS initially opted to not adopt those suggestions. When the final rule was released 3 months later, CMS—without seeking input from APTA or any other stakeholders—did an about-face and adopted the changes to PE RVUs.
So what? The answer is twofold: first, the tweaks to PE RVUs mean it's difficult to make many sweeping generalizations about how the new PFS will affect individual practices and clinics; second, it's worth noting that individual work RVUs either remained unchanged or increased.
A more detailed explanation of how the codes were affected is available in an APTA fact sheet on the 2018 PFS (listed under "APTA Summaries and Fact Sheets"). For a more complete explanation of RVUs and the differences between the 3 types, check out this APTA podcast on the CPT valuation process.
3. Get a sense of how you might be affected. A sense of history and understanding of detail are all well and good, but the bottom line is your bottom line.
Here's the complication with the 2018 PFS: because of the wide variation in upward and downward adjustments, it's hard to make statements about how PTs in general will be affected. CMS estimates the overall impact at a 1%-2% reduction, but a lot depends on the types of patients a PT or clinic typically sees and what interventions are commonly used. Some providers could see increases.
In an effort to clear up some of the uncertainty, APTA offers a calculator than can help you see how your typical case-mix would fare in the new PFS. The calculator, offered in Microsoft Excel, allows you to enter different codes to see what changes to expect, given your Medicare service area.
4. Keep learning. There's much more to understand about the PFS—not just in terms of the details of how the new rule will work, but in terms of APTA's work to safeguard CPT codes throughout the misvalued codes review process.
One great way to learn more about what to expect is coming up in December, when the association hosts a free webinar on Medicare changes for 2018 on December 6 from 1:00 pm to 2:00 pm ET. The webinar will be presented in a "flipped" format, meaning that when you register, you'll be provided with a prerecorded presentation to listen to in advance. That way, more of the actual session can be devoted to live interaction with the presenters. Be sure to sign up—and listen up—soon.
Another opportunity is available December 13, when APTA hosts an "Insider Intel" phone-in session that will cover many of the same topics, albeit in a pared-down 30-minute session, from 2:00 pm to 2:30 pm ET. Instructions for signing up for this session are on APTA's Insider Intel webpage.
To view the news story, please see: http://www.apta.org/PTinMotion/News/2017/11/21/PFSTipsNovember2017/