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Functional limitation reporting
We are one month into the mandatory functional limitation reporting for Medicare. Hopefully all therapists have systems and processes in place to make sure that they are complying with this new regulation; however, we have heard that there are still many therapists that are unaware of this rule. If you talk to your colleagues in other practices, make sure they are aware of the new rule.

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PTs help open the world of sports to people with disabilities
Advance for Physical Therapy & Rehab Medicine
Catherine Getchell of Elkins Park, Pa., is a committed cyclist who lives for long-distance events, club rides and weekly gatherings of her fellow cycling enthusiasts. For her, sports is more than just competition and a way to stay fit — it's her way of connecting and being involved. "Club sports and team sports afford people that socialization outside of work and their families," said Getchell, who has been blind since birth.
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APTA National Student Conclave
Registration is OPEN!
Oct. 24-26 — Louisville, Ky.

Dear PT and PTA Students:

Lock in your space at NSC, the only national conference developed exclusively for students like you.

Home of the Kentucky Derby, My Morning Jacket, Louisville Slugger, Muhammad Ali, mint juleps, and 90 percent of the nation's disco balls, Possibility City's historic and eclectic waterfront skyline offers lots to see and do.

NSC is your best opportunity to: Turn your dreams into possibilities. Your future begins at NSC.

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APTA debuts new member benefit: 'Insider Intel' call-ins
Based on high demand for information on emerging policy and payment topics, APTA staff members will host monthly "Insider Intel" Q&A call-ins dedicated to specific hot topics in policy and payment on the second Tuesday of every month from 2-3 p.m. Eastern. Participation is free for APTA members. Calls will be recorded and posted for those unable to participate live. The first Insider Intel Call-In on Aug. 13 discussed the topic of the Medicare therapy cap exceptions process. Please encourage your component members to take advantage of these opportunities to hear the latest information about the profession's most critical issues.
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A limit on consumer costs is delayed in health care law
The New York Times
In another setback for President Barack Obama's health care initiative, the administration has delayed until 2015 a significant consumer protection in the law that limits how much people may have to spend on their own health care.

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Gaming the system and other FLR no-nos
By Erica Cohen
We all know functional limitation reporting, or FLR, means more work for basically the same reward. And that can be a hard pill to swallow for many therapists who are already stretched thin as a result of increasing caseloads and increasingly stringent documentation requirements.

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Help! Medicare rejected my claim — now what?
By Erica Cohen
So, you submitted a claim lacking functional limitation reporting to Medicare after July 1. Uh-oh. By now, you've probably received a polite rejection letter telling you that Medicare will not be providing you with reimbursement for your services — and neither will the beneficiary.

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Risk Management Forum
Join SCAPTA and the North Carolina Physical Therapy Association in beautiful Asheville, N.C., for our collaborative Risk Management Forum!

WHAT: Risk Management Forum

WHEN: Friday, Oct. 11

WHERE: Mountain Area Health Education Center in Asheville, N.C.

WHO: Amy Wright, PT, Chief Clinical Officer, Optum Health
Ellen Strunk, PT, MS, GCS, CEEAA, Owner, Rehab Resources & Consulting, Inc.
Tammy Tucci, Senior Provider Relations Representative, Palmetto GBA


SCAPTA and the North Carolina Chapter of APTA have partnered to provide you with this one-day event that will include presentations by these three professionals regarding:
  • Payment integrity from the perspective of the commercial payer;
  • Minimizing risk of denials or delays in payment through knowledge of correct coding and documentation practices;
  • Current commercial payer audit initiatives;
  • Minimizing the risk of negative audit outcomes;
  • Claim Reviews on:
    • Comprehensive Error Rate Testing (CERT) Updates
    • Recovery Audit Contractor (RAC)
    • Redeterminations
  • Medicare Updates on:
    • Regulations, Change Requests (CRs) and Medicare
    • Learning Network Matters (MLN) Articles
  • Trends in fraud, waste, and abuse initiatives; and
  • Defensible documentation as it relates to these states and those surrounding states.
This day is one among the three days of the North Carolina Chapter's fall conference. The Risk Management Forum will provide material relevant to physical therapists as well as occupational and speech therapists.

LODGING: Make your hotel reservations now as it is leaf season in October!

DoubleTree by Hilton
115 Hendersonville Road
(828) 274-1800
$165 + tax/fees -
Residence Inn Biltmore
701 Biltmore Avenue
(828) 281-3361
$145 + tax/fees
Sleep Inn Biltmore
117 Hendersonville Road
(828) 277-1800
$99 + tax/fees

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ACOs, bundles and PCMHs: A trio of innovative payment models
By Brooke Andrus
Healthcare innovation isn't just about new techniques and technologies. As the U.S. healthcare landscape continues to evolve — and hopefully improve — one of the most important areas of focus is payment models. Let's face it: medical costs aren't getting any lower, and the system for reimbursement could definitely use some TLC. Here are three innovative payment models that have garnered substantial support among various leaders in the healthcare industry.
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Research supports treadmill training post-spinal cord injury
Doctors Lounge
Treadmill training soon after spinal cord injury is effective in improving walking ability if spinal cord inflammation is also reduced, according to an animal study published in the Aug. 7 issue of The Journal of Neuroscience.
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5 reasons why a patient's history may matter
Robin McKenzie's wisdom tells us that we should listen to our clients because they have the answer. Here are five reasons why a patient's history matters.
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Colby Horton, Vice President of Publishing, 469.420.2601
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Nikki Trufant-Wade, Content Editor, 972.910.6810  
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