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APTA PA 2023 Reimbursement and Regulation Seminar - Monroeville, PA
Thursday, March 30, 2023, 8:45 AM - 4:30 PM EDT
Category: Events

Register today for an APTA PA 2023 Reimbursement and Regulation Updates course! This course will take place at:

CCAC - Community College of Allegheny County | 595 Beatty Road | Monroeville, PA  19063

Click here to register.
About the Course

The primary focus of this seminar is to provide an update on outpatient physical therapy services provided in various settings: hospitals, private practice, CORFs, rehab agencies, and skilled nursing facilities.

Physical therapists, physical therapist assistants, PT facility managers, PT compliance officers, and PT payment/reimbursement personnel employed by/consulting with PT facilities interested in remaining up to date with changes in payment and compliance with payer and regulatory requirements in the delivery of physical therapy services are invited to register.

Registration Fees

APTA PA Member/Staff of APTA PA Member*: $145
Non-APTA PA Member: $275

*APTA PA staff members must include their employer's APTA number in qualifying for discounted pricing. The APTA PA Office will cross-reference all attendees to ensure the correct registration type has been selected. If a non-member selects the member price, he or she will receive an invoice for the balance.

Course Agenda 
(Important: Time frames are subject to change to allow the inclusion of issues that develop closer to the Updates.)

8:00 a.m.-8:30 a.m. - Breakfast and check-in

8:30 a.m.– 10:15 a.m. – Commercial payer updates

  • Payment Committee introduction
  • Updates on Major payors: Highmark, UPMC, IBX/Capital, Aetna, Cigna, UHC, Humana, Anthem and the third party claims management companies working with them
  • PA AUTO and PA Workers Compensation Update
  • PA MEDICAID Update

10:15 a.m.–10:30 a.m. - Beverage Break

10:30 a.m.–12:00 p.m. – Commercial Payers (continued)

  • Issues affecting Commercial plans
    • Network Authorization Updates
    • PA Copying Fees – Alert on changes coming in policy (HIPAA update)
    • Commercial plans and the PTA Differential
    • Medicare Advantage (MA)programs
  • Update on Credentialling and Locum Tenens – Federal and Commercial
  • Advocacy at the Commercial level
  • State legislative update
  • Q & A/Discussion

12:00 p.m.– 1:00 p.m.: Lunch/Roundtable Discussions by Practice Setting

Enjoy lunch, but we encourage you to discuss topics of interest… What are your biggest payment headaches? Are you joining or disengaging from commercial or worker’s comp networks? Are you using an EMR that’s working well for you? What innovative methods are you using to address the commercial payor network authorization requirements while easing the administrative burden?   Join colleagues to discuss issues important to you!

1:00 – 2:15 Federal Payer, CMS, and National Payment issues

  • Documentation and compliance - reminders
  • PHE update, Telehealth Update, PTA Supervision under Medicare update
  • Brief Federal rules updates:  HH, SNF, IRF, Hospital OP/Ambulatory Surgical Center (ASC), Inpatient, DMEPOS.
  • Physician Fee Schedule Update
    • Payment cuts/conversion factor
    • KX and $3,000 thresholds
    • CPT Code updates
    • Remote Therapeutic monitoring (RTM)
    • MIPS/MVP and what is coming in the Quality Payment Program (QPP)

2:15 p.m.–2:30 p.m. - Break

2:30 p.m. – 4:00 p.m. – Federal Payer, CMS, and National Payment Issues (continued)

  • Other Federal issues
    • General CMS: maintenance, ABN, enrollment, Preauthorization rule change, NCCI, sequestration
    • Novitas update
    • Tricare/VA Updates
    • Updates on Information Blocking, No Surprise Act (Good Faith Estimates)
    • CMS Targeted Probe and Educate (TPE) and Update on Audits and Appeals
    • Federal Advocacy

 4:00 p.m. – 4:30 p.m.

  • Q and A 
About the Speakers: (click the links for bios)
Other Dates and Locations:

March 28, 2023
Pennsylvania Institute of Technology (max 50 attendees/NOT ADA accessible – full stairs access)
800 Manchester Ave.
Media, PA 19063

April 3, 2023
Central Penn College
600 Valley Rd.
Summerdale, PA 17093

Contact: APTA PA Office | [email protected] | 412-871-3406