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Webinar on Health Plan Contracting: A Guide For Rehabilitation Providers
As rehabilitation providers strive to establish relationships with quality payors, understanding key issues in health plan contracting is of increased importance. This webinar will review the basic concepts of preparing for and negotiating payor contracts. Additionally, the webinar will review a number of specific contractual provisions and provide considerations for rehabilitation providers in negotiating more favorable terms of payor contracts.
Date: Wednesday, December 17, 2014
Time: 1:00 - 2:15pm Eastern Time
CEUS: 1 contact hour
Space is limited, Register Now: http://iweb.apta.org/Conference/RegistrationProcessOverview.aspx?id=538. Free to SC chapter PT and PTA members. $50.00 for all others.
About the Speaker:
- Recognize the steps necessary to be well prepared for negotiating a payor contract.
- Recognize key considerations for the negotiation process and how to improve the rehabilitation provider's likelihood of achieving its negotiating goals.
- Demonstrate a general understanding of a number of key contract provisions in rehabilitation provider payor contracts and certain options to consider in negotiating a more provider friendly contract.
Paul Welk, PT, JD is an attorney at Tucker Arensberg, P.C. in Pittsburgh, Pennsylvania where he is chair of the firm's Health Law Group. He focuses his legal practice in the areas of business and health care law and in this capacity frequently represents rehabilitation providers and professional organizations. Paul is a lobbyist and legal counsel for the Pennsylvania Physical Therapy Association and provides legal services to the APTA and a number of its chapters on a variety of issues. He served as Chair of the APTA Committee on Risk Management and Member Benefits and is the founding author of The Legal Impact, a regular column in the APTA Private Practice Section's Impact Magazine. Paul lectures regularly at professional association events, colleges, and universities. He is also a member of the Duquesne University School of Physical Therapy Advisory Board.
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Nominations open for 2015 APTA Honors and Awards Program
Each year, APTA honors outstanding member achievements in the areas of education, practice and service, publications, research, academic excellence, the Catherine Worthingham Fellows of APTA, the Mary McMillan Lecture and the John H.P. Maley Lecture. Award recipients are recognized in June during a ceremony and reception at the NEXT Conference and Exposition, and this recognition includes highlighting the recipients' component affiliations. Play a significant role in helping your colleagues receive acknowledgement for their achievements by nominating the person or persons you feel are most deserving of an APTA award as well as promoting the awards program in your member communications. The 2015 call for nominations is now open and will close Dec. 1. Visit the Honors and Awards webpage for details about each award, including submission requirements. Nominations must be submitted electronically.
In addition, for the first time, the video of the 2014 Honors and Awards Ceremony is available for viewing on the APTA website. Components' members are identified throughout the ceremony as each recipient's chapter and section memberships are announced.
Call for nominations
Are you interested in becoming more involved in SCAPTA? Would you like to gain leadership experience in the physical therapy field? SCAPTA is in the process of accepting nominations for the 2015-2016 term. There are multiple positions available, and the deadline to accept nominations is April 10, 2015. If you are interested in learning more about which positions are available, or if you someone who would make a great candidate for a position, please contact a member of the SCAPTA Nominating Committee via the following emails:
Physical therapy for peripheral neuropathy, balance
St. George News
Having a fall can be a scary and traumatic event and, in many cases, falls can lead to serious injury and possibly death. At times, a previous fall can cause people to avoid regular activity simply out of fear.
Most often when thinking about balance or dizziness issues we think of the vestibular system, or inner ear, but in many instances there are other factors at work leading us to feel unsteady on our feet, such as peripheral neuropathy.
Physical therapy is not just rehabilitation; it also prevents injuries
Jerry Moczerniuk, P.T., D.P.T., writes:
In my practice I frequently see patients whose injuries may have been preventable with proper stretching, exercise regimen, environmental modifications, body mechanics and postural correction. In healthcare, injury prevention has become a hot topic. Prevention of injuries does not only enhance the quality of life of individuals, but it also saves healthcare dollars. Overuse injuries, postural injuries, work-related ergonomics injuries, injuries from falls, and to some extent sports injuries may all be preventable with proper techniques and guidance. There exists a strong body of evidence supporting preventative interventions in many situations.
Study: Common knee surgery may boost arthritis risk
HealthDay News via U.S. News & World Report
A common type of knee surgery may increase the chances of arthritis, a new study suggests.
The procedure repairs tears in the meniscus, a piece of cartilage that acts as a shock absorber. There are two in each knee, and they stabilize the knee joint. Meniscal tears are one of the most common knee injuries, and surgery is often performed to reduce pain and improve joint function, the researchers said.
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Obstructive sleep apnea associated with impaired exercise capacity
The Medical News
A new study shows that obstructive sleep apnea is associated with impaired exercise capacity, which is an indicator of increased cardiovascular risk. Results show that the predicted peak oxygen uptake, a measure of aerobic physical fitness, was significantly lower in people with moderate to severe obstructive sleep apnea than in controls.
Study finds significant metabolic energy improvements for older runners over older walkers
PT in Motion
A small study of adults in their late 60s has found that regular running can reduce the metabolic "cost" of walking in ways that a regular walking regimen can't, and may actually result in walking metabolic energy rates that are comparable to those found in young sedentary adults.
The impact of power prosthetic failures on amputees
Medical News Today
Powered lower limb prosthetics hold promise for improving the mobility of amputees, but errors in the technology may also cause some users to stumble or fall. New research examines exactly what happens when these technologies fail, with the goal of developing a new generation of more robust powered prostheses.
Missed last week's issue? See which articles your colleagues read most.
Wall Street is bullish on 2015 Obamacare enrollment
Kaiser Health News
A group of Wall Street analysts recently predicted that enrollment in health law insurance plans will be higher than the 9 million projected by the Obama administration because insurers are aggressively courting new customers and more small businesses are likely to send workers to the online exchanges in 2015.
Humana resumes MPPR policy
PT in Motion
After a nine-month delay, the Humana health insurance corporation has restarted a multiple procedure payment reduction policy that applies to Medicare Advantage and commercial insurance plans.
On Oct. 29 Humana reinstated the MPPR policy on the initial claims adjudication for non-facility providers. The policy will be applied to facility settings in late January.
CMS extension could spell trouble for meaningful use program
By Scott E. Rupp
The Centers for Medicare & Medicaid Services has extended the meaningful use attestation period by another month to Dec. 31 of this year. The deadline had been Nov. 30. The extension is for eligible hospitals and critical access hospitals to attest to meaningful use for the 2014 Medicare EHR program reporting period. No reason for the extension was given, though many in the industry believe it's a sign of possible trouble for the program, and a way for the federal organization to mitigate trouble brewing for health systems.
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