Reach a Higher Peak

Join 13,000+ attendees from 30+ countries in Denver, Colorado, for APTA's Combined Sections Meeting (CSM) 2020. Experience 350+ specialty-specific sessions, 50+ preconference programs, and over 1,000 poster presentations.

Boost Your Business Competence with PPS Programming at CSM!

 

Tuesday

PreConference Course: PP-2491 - Getting Paid for Physical Therapist Services: Documentation, CPT Coding, Billing, and Payment

Date: Tuesday, February 11, 2020
Time: 8:00 AM - 5:00 PM

Register Here | Full Details

Speaker Rick Gawenda, PT

Description:
Physical therapist services continue to be on the audit radar for various Medicare and private insurance carriers' medical review entities for documentation, coding, and billing issues. This session will explain the necessary components of documentation for the initial evaluation, reevaluation, progress reports, daily notes, discharge reports, and the Medicare Part B certification and recertification process that will help participants document the key points in supporting medical necessity and the skilled nature of outpatient services. The session will show participants the correct use of CPT codes for modalities and interventions used by physical therapists and physical therapist assistants in all outpatient settings. Presenters will describe the National Correct Coding Initiative (NCCI) edits, the application of modifier 59, and how one discipline's billing can cause another discipline's billing to require modifier 59. The seminar will discuss Medicare's "8-minute rule," define "substantial" per the American Medical Association, and provide billing scenarios to ensure therapists bill correctly to all insurance carriers. Finally, participants will be told the 2020 therapy threshold dollar amount, appropriate use of the KX modifier, when to and when not to issue an ABN, and the new PTA and OTA modifiers.

 

Wednesday

PreConference Course: PP-1523 - Eight Free, Easy Online Tools to Supercharge Social Media Posts: The Lab

Date: Wednesday, February 12, 2020
Time: 8:00 AM - 5:00 PM

Register Here | Full Details

Speaker Heather Chavin, MA

Description:
What should I post? When? How often? How can I make my posts more engaging? In the world of social media, do you find yourself either "winging it" or, worse, burying your head in the sand? Why not take an evidence-based approach and let the data point the way? Even those with only basic skills can use data to identify popular topics, write effective headlines and determine which posts are performing best so you can publish more on the topic or use them for paid social. We'll build a social media marketing plan with topics based on search engine data. You will learn how to easily make engaging graphics with text overlay using free tools and royalty-free graphics. You will then publish them optimized for your specific social media outlet – and automated to post at specified times. Keep yourself and/or your team on track by using free online software to track metrics, send automatic task reminders and reports so you can keep an eye on goals and performance of any delegated task. Bring your laptop for this interactive course. You will have posted to your social media accounts by the end of the course.

 

PreConference Course: PP-1678 - Kickstarting Your Private Practice: A Day of Interactive Consulting

Date: Wednesday, February 12, 2020
Time: 8:00 AM - 5:00 PM

Register Here | Full Details

Speakers Robert Worth, PT, DPT, ATC/L, MS; Lynn Steffes, PT, DPT; Paul Welk, PT, JD

Description:
This session is aimed at helping new practitioners gain the foundational knowledge and skills needed to start a private practice or take their existing private practice to the next level of success. The presenters invite private practitioners to engage in evidence-based practice management decisions while developing individualized action plans. Guided by a team of experts, attendees will evaluate their practice to identify their greatest strengths, areas needing attention, and opportunities for growth. Prework will be required so that participants can hit the ground running.

 
 

Thursday - February 13, 2020

PP-2501 - Optimizing Job Satisfaction for All: It's a 2-Way Street

Date: Thursday, February 13, 2020
Time: 8:00 AM - 10:00 AM

Full Details

Speaker Brian Gallagher, PT

Description:
It's been said in business that you are only as good as the people you surround yourself with. Even though there might be some true to this statement, it's not completely accurate. The same is true for the term "job satisfaction" which is typically thought of as an employee-only concern often thought of as dictated the manager/owner. This also is a falsehood thrusted into the business world as if all business owners have landed here from another planet and now all of a sudden they are greedy, self-righteous, numbers-driven people who fail to understand the plight of their employees. Today's labor pool has been shown to have a more difficult time understanding and sharing in the reality of what job satisfaction means to an owner, and owners are struggling more than ever before to connect with their employees for optimal job satisfaction. In this session, the speakers will discuss specific cause-and-effect relationships between the 2 positions and how they can both achieve their personal and professional goals working under the same roof. Role play demonstrations will be used to put forth proven successful strategies from both the employer and employee points of view.

 

HP-1512 - Scheduling, CPT Coding, Billing, and Productivity: How They All Interrelate for Outpatient Therapy

Date: Thursday, February 13, 2020
Time: 11:00 AM - 1:00 PM

Full Details

Speaker Rick Gawenda, PT

Description:
How you schedule your patients, the insurance your patient has, the type of condition the patient has that requires physical therapy, and the ability to use or not use support personnel all have an impact on the CPT codes you can bill for that patient visit, the number of units you can bill in a day, and, ultimately, your productivity and the financial success of your organization. In this session, attendees will learn various ways they can schedule their patients; including double booking and overlapping regardless of the insurance carrier; how to use support personnel, if allowed, to provide interventions under the direction and supervision of the physical therapist; how to bill correctly based on the time spent with the patient providing skilled physical therapy interventions; and how this impacts productivity and, ultimately, the financial success of the organization. The speakers will discuss metrics PTs should be tracking on a weekly or monthly basis in their organization to ensure its financial success and explain how more units per visit may not always mean more money per visit.

 

PP-1484 - Change the Way You Think About Physical Therapy! Alternative Models of Care

Date: Thursday, February 13, 2020
Time: 11:00 AM - 1:00 PM

Full Details

Speaker Patrice Hazan, PT, DPT, MA

Description:
The medical model of physical therapy is transforming from reactive to proactive with an emphasis on health promotion and prevention. Private practice owners are in a unique position to move this pendulum forward. This paradigm shift improves long-term patient outcomes and provides business opportunities and diversification. Join in this open discussion and learn from other PTs how they have successfully moved into the health promotion and prevention arena. Discover how a wellness revolution can include alternative models of delivery for physical therapy treatment that create long-term solutions that will have a profound impact on improving the health of our nation. Attendees will leave with an understanding how health promotion and prevention fit into the context of PTs as "movement system experts" as well as how to create and include wellness intervention within our current medical system. Because the APTA position regarding health promotion and prevention includes both collaboration and direct PT intervention, the speakers will expand upon both areas. Attendees will realize the abundance of resources available to health care providers from the various national health associations and community organizations.

 

PP-2139 - How to Slash Drop-Offs to Improve Your Bottom Line: 3 Strategies

Date: Thursday, February 13, 2020
Time: 11:00 AM - 1:00 PM

Full Details

Speakers Susan Clinton, PT, DScPT; Heather Chavin, MA

Description:
In this presentation, speakers will use concepts from health and psychological research to identify specific behaviors PTs can incorporate to more deeply engage patients and clients in their home programs and facilitate higher rates for completed plans of care. A completed plan of care means fewer cancellations, a lower vacancy rate, and greater patient satisfaction for word-of-mouth advertising for your clinic and for the profession. Attendees will experiment with recommendations in brief small-group activities, discussions, and interactive quizzing software. Presenters will provide checklists to support individual implementation and explore resources for training staff so therapists can formulate a plan for full practice implementation. A selection of tools, including mobile phone apps, will be offered as well as recommendations for metrics to track to measure success, including benchmarks. Bring your mobile device to participate! You will change how you establish, modify, and track a home program based on verbal, nonverbal, and behavioral information from your patients and clients. You will have a process to educate and train staff to do the same. Attendees will identify key metrics to track and be able to compare them to industry benchmarks. Digital and analogue tools to facilitate tracking will be recommended.

 

PD-3001 - Running a Profitable, Patient-Centered, Pediatric Private Practice

Date: Thursday, February 13, 2020
Time: 3:00 PM - 5:00 PM

Full Details

Speaker Lisa Mackell, PT

Description:
Today, it is more complicated for any therapy practice owner to be successful. Pediatric practice owners find it incredibly difficult to be profitable and, worse, they feel guilty thinking about profit when it comes to service to children. As pediatric practitioners, we have our patients and their families as our top priority. However, many fail to realize that if we don't put our business and its survival as a top focus, we won't be there to provide service to those children. This session will explain how to increase the profitability and success of pediatric businesses so that they can thrive and maximize excellent clinical care to their pediatric clients. This session will review key metrics that owners should track to know their business performance and warn them of downtrends before it is too late. Attendees will hear about basic insurance and contract terms and keys to successful negotiations for increased rates for pediatric services. Methods will be explored to maximize staff recruiting and retention in an area where salaries and benefits are typically a challenge. Profitability is not a bad word; in fact, it is a must to ensure that high-quality care is available for the pediatric population.

 

PP-2048 - Telehealth: How to Leverage for More Than Just Treatment

Date: Thursday, February 13, 2020
Time: 3:00 PM - 5:00 PM

Full Details

Speaker Mark Milligan, PT, DPT

Description:
Technology is rapidly expanding to all areas of patient care. Health care and health care delivery are being transformed by telehealth. Telehealth is the use of electronic communication to remotely provide health care information and services. It has been shown to increase access to care, improve patient care outcomes, reduce costs, better utilize health care resources, and be highly satisfying to patients and health care consumers. In this session, attendees will gain a basic understanding of telehealth, including the different models of technology, options for use in practice, practice issues addressed by telehealth, options for types of platforms, and general rules and regulations. This session will enable clinicians to understand and immediately integrate telehealth into clinical practice in multiple ways to ensure the best fit for their customer and patient population. The speakers will highlight the interface between technology and practice and explore the many ways telehealth can improve practice and patient experience.

 

Friday - February 14, 2020

PP-2969 - If You Think It's Broken, FICS It: A Relationship-Centered Process for Transforming Your Culture

Date: Friday, February 14, 2020
Time: 8:00 AM - 10:00 AM

Full Details

Speaker John Woolf, PT, ATC, MS

Description:
Physical therapy business owners are facing unprecedented changes in a rapidly evolving health care business environment. External threats such as rapid consolidation and internal challenges such as talent retention and new technology implementation are straining business owners who do not have a culture that is aligned and resilient. Too often, business leaders feel like they are "dragging employees" into the needed changes. As a general rule, and for deep neurological reasons, people are change averse. Yet growing companies rely upon successful implementation of new systems to enhance operations to achieve organizational goals. A relationship-centered culture provides a foundation for leaders to rapidly achieve organizational goals. With proper systems, business leaders can measure the degree to which the organization is ready for change. Relationship-centered processes are built upon core values that ensure psychological safety, that everyone is keeping pace with the changes, and rapid identification of barriers requiring prompt intervention. They save time, energy, and money. Successful communication is among the many variables that define success. The presenters will introduce feedback informed communication strategies (FICS), simple yet effective tools that provide business leaders with objective measures from which to lead successful change.

 

PP-1870 - Redefining Hiring Mindset for Practice Owners

Date: Friday, February 14, 2020
Time: 11:00 AM - 1:00 PM

Full Details

Speaker Kim Rondina, PT, DPT

Description:
This session will address the top 3 challenges for practice owners, reimbursement, recruiting, and retention, all of which influence our business operations, branding, and vitality. The evolving identity of candidates and the attributes they embody require owners to evolve their hiring practices. Great opportunities exist in for those who have an open mindset and can see that the future of private practice will be defined by our own professionals rather than external factors. How we adapt and find solutions is a critical element for success. Common attributes of the newer generation can fall into 2 categories, purpose and environment. Deriving strategies not only with your hiring practices but with creating a dynamic culture that encourages the loyalty and stability your business needs from therapist providers is essential. The speakers will define 10 attributes and how to integrate your vision with the current and future therapist workforce. Guided individual reflective practices and small peer discussions will further engage your creativity to define the next chapter in your business—one in which your therapists become a driving element for a thriving future.

 

PP-2573 - Telehealth and Private Practice: A Perfect Match

Date: Friday, February 14, 2020
Time: 11:00 AM - 1:00 PM

Full Details

Speaker(s) Sarah Gallagher, PT, DPT; Sara Oxborough, PT; Alan Lee, PT, DPT, PhD

Description:
Telehealth is on the frontier of changing our health care system. As the Federal government expands its ability to improve access to health care using telehealth for veterans and Medicare beneficiaries, the private health care sector is following suit. Telerehabilitation (telerehab) provides a means to overcome patient barriers to attending physical therapy appointments, such as arranging transportation and time for commuting, especially in regions where traffic or inclement weather is prevalent. Telerehab also allows the patient to be best matched with the therapist who is most qualified, rather than selecting the therapist who is the most conveniently located. Implementation of telerehab into private practice can assist patients in accessing high-quality care while assisting practice owners in growing their business with clients they may not otherwise be able to reach. The speakers will use case studies to demonstrate how telerehab has been implemented in 2 different private practice models. This session will include information on legislation, regulations, technology requirements, compliance, associated costs, and reimbursement in order to guide stakeholders in potential ways to implement telerehab into private practice with various patient populations. The presenters also will discuss the current state of evidence, including health care cost savings, patient outcomes, and experience utilizing telerehab.

 

PP-2721 - Whose Rule Rules?

Date: Friday, February 14, 2020
Time: 3:00 PM - 5:00 PM

Full Details

Speaker Robbie Leonard, PT, DPT

Description:
Have you ever heard someone say, "It's a rule"? Have you asked the question, "Whose rule?" Therapists who practice in outpatient therapy have a multitude of regulations and rules to follow. It is difficult to determine many times who set the rules. Is it a state law, a federal regulation, a payer policy, or a facility policy? In this session, speakers will untangle the web of rules and provide a framework for therapists and therapy practice owners to answer their own question regarding whose rule rules. The presenters will demonstrate how to answer the most commonly misunderstood Medicare regulations and provide a framework for where to find answers to your Medicare questions. Attendees will learn how to use this framework to answer questions such as "How do I bill for dry needling?" and "Will I get paid for dry needling?"

 

Saturday - February 15, 2020

AC-2863 - Lost in Translation: Interprofessional Collaborative Practice Across the Continuum of Care

Date: Friday, February 14, 2020
Time: 8:00 AM - 10:00 AM

Full Details

Speaker(s) Amy Joyce Nordon-Craft, PT, DSc, Kimberly Anne Beran-Shepler, PT, DPT, Shelene Maynette Thomas, PT, Matt Gallagher, PT, DPT, MBA, Suzanne Brandenburg, MD and Charles Davis, RN

Description:
The 6 characteristics of an optimal interprofessional collaborative learning environment include: patient-centeredness, a continuum of learning, reliable communications, team-based care, shared accountability, and evidence-based practice centered on interprofessional care. Successful clinicians readily integrate these characteristics into practice and use interprofessional strategies to optimize patient care. Clinical instructors may inadvertently exclude students from best practices because clinical assessment tools do not include goals related to interprofessional practice. Interprofessional collaborative practice (IPCP) contributes to optimal patient care, reduces health system errors, and has the potential to reduce health care cost. Health professions programs are charged with developing competent IPCP health care providers. Learners need to develop strategies for effective team communication, understand team members' roles and responsibilities, apply the values and ethics of high-quality care, and contribute to ongoing quality improvement. While educational institutions easily create didactic curricula around these concepts, they struggle to find clinical environments that support IPCP. As clinical educators, we are integral in helping students understand and value IPCP. An interprofessional panel including representatives from various health professions across the continuum of care will engage attendees in robust discussions about IPCP. Break-out sessions will allow therapists to discuss personal challenges and benefits with implementing IPCP.

 

PP-1875 - How to Use Milliman to Analyze Your Private Practice and Market for Alternative Payment Models

Date: Friday, February 14, 2020
Time: 8:00 AM - 10:00 AM

Full Details

Speaker(s) Holly L. Johnson, PT, DPT, Richard Samuel Katz, PT, DPT and Kelly Marie Sanders, PT, DPT, ATC

Description:
The PPS Milliman Study is a powerful tool for analyzing and marketing your PT practice with new PPS Key Practice Indicators (KPIs). After gaining understanding of this one-of-a-kind actuarial study, learn how to apply KPIs to see how your practice stands up to these industry benchmarks. Learn how to make necessary changes to improve your practice and then market to your customers to participate successfully in alternative payment models for value-based care.

 

OR-2165 - Consumer-Centric Activity Trackers and Telehealth's Vital Role in Value-Based Physical Therapy Care (APTA FiRST Council)

Date: Friday, February 14, 2020
Time: 11:00 AM - 1:00 PM

Full Details

Speaker(s) Alan Chong W Lee, PT, DPT, PhD, Trevor Russell and Joseph Smith, MD, PhD, FACC

Description:
In society, consumers are embracing activity trackers and wearable digital devices across most aspects of their lives and increasingly expect their health care to be supported by it. Key telehealth advances are impacting healthcare with disruptive innovations connecting the clinic to the community with diagnostics and remote monitoring. However, patients and providers struggle with new innovations especially if devices are not easy and intuitive to use and do not meet a clear need with strong evidence. Physical therapists, as integral members of the health care team, must be prepared to maximize telehealth and wearable technologies impacting clinical practice, research, and education, and to participate in optimizing these technologies for clinicians and patients/clients. This session will discuss the value of the present use and the future vision for telehealth and activity trackers to guide clinicians, consumers, and their families to achieve the best personalized physical rehabilitative services in the digital age.

 

PP-1674 - The Physical Therapist's Role Within a Health System: So Many Answers, Not Enough Questions (Yet)

Date: Friday, February 14, 2020
Time: 11:00 AM - 1:00 PM

Full Details

Speaker(s) Thomas R. Denninger, PT, DPT, Derek James Clewley, PT, DPT, PhD and Mark Harrison Shepherd, PT, DPT

Description:
This session will demonstrate how PTs can redefine musculoskeletal health care by looking more broadly at patient characteristics that are emerging from recent research to more efficiently and effectively navigate patients through the health care system. The speakers will explore the multiple entry points within a health system that a patient could and should encounter a physical therapist early, and when physical therapist services may not be the most appropriate care pathway. Attendees will learn to triage care based on predictive factors such as nonmusculoskeletal signs and symptoms, elevated psychosocial markers, poor patient expectations, and other markers of poor prognosis within physical therapy. PTs who can integrate these findings into clinical decision making will be best equipped to deliver value-based strategies for managing musculoskeletal disorders and reduce the risk of unnecessary overuse of health care services by treating upwards of 70% of early care seekers with no further services required beyond PT, and also directing individuals who are unlikely to respond to the next logical level of care. In this model, there are tremendous cost savings, improved time to care, and decreased iatrogenic harm just by putting the manual therapist as an entry point and not a destination in the health care continuum.

 

HP-2338 - Appeal Letter Workshop: Tools for Effective Appeals

Date: Friday, February 14, 2020
Time: 3:00 PM - 5:00 PM

Full Details

Speaker(s) Jaclyn Kay Warshauer, PT, Mary L. Saylor, PT, MPT and Rebecca Setaro

Description:
Do you struggle with interpreting denials? Do you often wonder if your appeal argument is compelling? If so, this session is for you! Medicare and managed care efforts to prevent improper payments have resulted in increased medical reviews. When a denial occurs, it's necessary to understand the specific reason for the denial in order to formulate an appropriate appeal strategy. An effective appeal strategy often includes input from billing and medical records in addition to rehab. In this session, the speakers will discuss the roles of the various team members in gathering and interpreting the denial information. In addition, they will highlight elements to include in an effective appeal letter and share common appeal letter pitfalls to avoid. Tools provided will include appeal templates and a comprehensive Medicare citations list.

 

PP-1549 - Professional Burnout: Why Is It Increasing and What Can We Do about It?

Date: Friday, February 14, 2020
Time: 3:00 PM - 5:00 PM

Full Details

Speaker(s) PP-1549 Professional Burnout: Why Is It Increasing and What Can We Do about It? Derek James Clewley, PT, DPT, PhD, Paul Ernest Mintken, PT, DPT, Amy Wallace McDevitt, PT, DPT and Thomas R. Denninger, PT, DPT

Description:
The dark side of a self-sacrificing helping profession like physical therapy is professional burnout. Burnout is described as the consequence of severe stress and high ideals, which are akin to physical therapy practice. Symptoms of burnout include exhaustion, feelings of emptiness, inability to cope, loss of motivation, and reduced performance among others. A number of factors have been purported to be related to physical therapist burnout. While these factors are similar to physician burnout, many are unique to the physical therapy profession. This session will cover the background related to burnout in the physical therapy profession, as well as the societal impact burnout has on the optimal care of patients with musculoskeletal disorders. More importantly, this session will focus on providing individual and systems level strategies to inhibit increasing rates of burnout. Unpacking the sources and associated consequences of burnout are necessary in order to gain a better appreciation of the problem. Developing strategies that provide an antidote to ward off the toxic nature of burnout are vital; and an essential prerequisite to optimal care delivery. Some of these strategies are at the individual level (i.e., resilience training), while other strategies take aim at systems level changes.

 

Please join us at CSM for an evening of drinks, hors d'oeuvres, and networking with experienced Private Practice Section members. Learn how members started their practice and how the Private Practice Section can help you.

Friday, February 14, 2020
6:30 - 8:30 PM
Hyatt Regency, 650 15th St, Denver, CO
Capitol Ballroom 1 & 2

Admission is FREE and attendees will have the opportunity to win a Private Practice Section Membership.