Student Spotlight: Johnny Herrera discuses the APTA National Student Conclave

Name: Johnny Herrera, Class of 2021, Colorado APTA Core Ambassador in 2018-2019

Undergrad: Grand View University

Hometown: Santiago, Dominican Republic

Fun Fact: During my junior and senior years of high school I only had class on Saturdays

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A couple of weekends ago, I had the pleasure of attending the National Student Conclave (NSC) in Albuquerque, New Mexico. For those of you who don’t know me, during my first year of PT school I was involved with the APTA through a position as the Colorado APTA Core Ambassador (feel free to contact me about what this position is!). I chose to attend this conference because it is the only conference that the APTA offers specifically for students, and it is also the only conference that is mainly put together by students. I believe NSC was put together as a conference where students vote for the upcoming term of Student Assembly Board of Directors (SABoD), and the students from the previous term hand over their positions. I figured I’m only a PT student once, so I might as well see what the APTA offers during a conference made for students. Most people viewed me as being nuts for leaving town during Halloween weekend, but when I look back on my time at the conference, I can truly say it was one of the best decisions I’ve ever made. Here are a few reasons why:

  • During my time as core ambassador, I worked under supervision of the SABoD. The SABoD is a board of current students from all over the country who serve every SPT/SPTA in the country and improve their interactions with the APTA. When I began this position as a first year student, it was daunting to think that I could have any sort of impact on other students. I had put the members of the SABoD on a pedestal for taking on such large roles within the APTA, and when I arrived at the NSC, I realized all of the members of the board during my term as Core Ambassador were there. Turns out, they’re a pretty cool group of humans. I had initially found myself intimidated because they were students who had these huge responsibilities and large platforms; but it turns out they were all just like any other student in PT school, just with a bit more responsibility. They are all broke college kids who study a ton, have doubts and fears about PT school and their futures, and love to have fun on the weekends with their friends. Being able to interact with them and get to know them personally was honestly refreshing. It was nice to see that those who had these high positions were no different than myself or any different than my current Regis classmates. They just had a passion for student involvement and they made sure to do something about it! I left having this renewed sense of ability to accomplish anything I really wanted to, and it was because of these amazing humans.
  • While reflecting about the NSC, I realized how similar it was to Regis DPT’s interview day. I know that for some, that day was super stressful, but for me, it was about getting to know people and further realizing why I wanted to join such an amazing profession. When I looked around at NSC, it was a huge melting pot of students from all around the country coming together to demonstrate their passion for PT and its future. It was so cool to hear about the amazing things that students all over the country are doing and how they’re making an impact within their communities.
  • People from all over the country recognize Regis, so when you tell them you go to school there, they WANT to talk to you. Selfishly, it was really cool to hear about how many students really wanted to go to Regis but didn’t get in (small pat on the back moment for getting in).
  • One of the talks was put together by Jimmy McKay, who is the CEO of the podcast “PT Pintcast”. For those of you who have never heard of it, definitely look into it and you might find some of our professors on previous episodes! The talk was a live podcast interview, where Jimmy interviewed Shante Cofield (AKA the Movement Maestro) and Josh D’Angelo (AKA founder of PT Day of Service) and then was interviewed by them. The point of the interviews was to share stories of how they used their passions to build what they now do for a living, and their stories ended by saying that all they had to do was ask. It sounds like such a simple thing, but when the worst thing that can be said to you after a question is “no”, then why not shoot for the stars? (I believe all 3 interviews are uploaded, so go listen to them for some motivation!) All weekend long, all 3 of these individuals were at some of the booths in the exhibit hall, so I got to meet them and have conversations with them. How often do you get to walk up to a stranger who you know has made a difference in the world of PT and just get to chat with them?!
  • Throughout the weekend, I was able to learn about a variety of travel companies, OP clinics, and residencies. I was even able to build rapport with specific clinic and residency directors, hopefully putting me in a good position in the future to pursue employment or a resident position within one of those companies if I choose to.
  • Lastly, the absurd amount of free stuff. Who doesn’t like soft t-shirts and pint glasses?!!
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The NSC Exhibit Hall

As exhausted (and possibly hungover) as I was during my drive back to Denver, there were so many good memories and great relationships built during that weekend. I hope I was able to give you some insight as to what these large conferences are all about. Last time I heard, NSC was going to be discontinued until the APTA found a better way of getting student involvement within the conference. That can change soon, so stay updated on NSC news, and if they decide to keep it rolling while you’re a student, I can promise you that the money and travel will be well worth it.

Feel free to reach out if you have any questions about anything or if you want to know more about APTA involvement! Can’t wait for everyone to experience this at CSM this year!

2019 APTA Federal Advocacy Forum – “Day on the Hill”

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Colorado members at the Forum representing and advocating for the #ChoosePT campaign.

Last week,  the APTA Federal Forum in Washington D.C. took place to advocate for important topics to physical therapists. The Forum brought together APTA members, speakers from the field, and stakeholders on the discussion of regulatory affairs and federal priorities that impact the physical therapy profession and its patients, as well as on learning about new information that comes with a new Congress. Attendees had the opportunity to speak with their representatives in person about issues facing their state and the profession as a whole. Among those in attendance were our very own Regis DPT students and faculty members. Second-year DPT student Hannah Clark reflects on her experience on the Hill and why it is crucial to not only advocate for our profession, but to be involved as a student, in her following essay:

“Issues Discussed at the Capital”

Hannah Clark, SPT – Regis University

To fundamentally agree with the policy positions held by the APTA is an exceptional feeling. As a DPT student who is hoping to delve headfirst into pain management and advocacy for marginalized communities in healthcare upon graduation, my decision to pursue this profession has been deeply validated by attending the Federal Advocacy Forum (FAF). Witnessing leaders within the APTA address topics related to population health, patient choice and access, value-based care and practice, and research and innovation helped me to fully recognize the crucial role the APTA has in influencing the policies that impact our ability to serve society. For these reasons, it felt important for me to join the GAC team advocating at the capital and I was deeply honored to be selected.

Due to the recent success regarding the removal of the Medicare cap, we were able to spend more time becoming educated and advocating for the field of physical therapy in a broader sense. On Monday, we spent the entire day learning about the current political climate in congress from Nation Gonzalez at CNN, the societal impact of healthcare policy from Sarah Kliff at Vox, and attended breakout sessions that detailed information regarding federal policy, payment, the ACA, Medicaid, and IDEA. One of the most emphasized topics throughout the day involved the #ChoosePT campaign. The APTA reminded those attending the FAF of the real impact physical therapists can have on the opioid epidemic through offering vulnerable populations access to non-pharmacological pain management. Clear objectives were presented that tackled this issue in addition to intra-professional issues such as student loan repayment. Several policy priorities were presented for every state to choose from when planning their congressional meetings.

The following topics were addressed by the Colorado GAC team when meeting with legislative assistants:

  • Our geriatric specialists spoke to the vital role in we play in exercise promotion and fall risk reduction in the community. Conversations were also had in the valuable perspective physical therapists can bring to park and recreational center design.
  • Our pediatric specialists asked congresspeople to consider expanding the budget for IDEA as they have witnessed the impact this program has on the lives of children.
  • Our outpatient clinicians provided examples of how they have successfully treated patients experiencing chronic pain and assisted them in weaning off opioids. These individuals also spoke to the measurable reduction in opioid use they have made in their local hospital system by implementing early access to physical therapy services.
  • Our students asked our congresspeople to cosponsor SB970 (and eventually the same bill when it is brought to the house) that would add physical therapists to the National Health Service Corps. This would allow graduates to serve rural populations, often most impacted by opioid addiction, and would offer student loan repayment as an incentive.
  • Our long-time advocates requested that physical therapists be added as community health center providers, as we are a vital element of the primary care team.

In addition to the invaluable time spent at the FAF learning about how physical therapists can impact healthcare quality and access in the U.S., one of the most important aspects of the weekend for my professional growth was getting to know the GAC members I accompanied. The people I spent time with exemplified everything I love and respect about our profession. They spoke with genuine care for their patients, integrity in leadership opportunities, intelligence in considering the complexity of pain, passion for their interventions, and commitment to social responsibility. Our conversations had a large impact on my personal development.

I returned to class following the Federal Advocacy Forum with a fresh perspective. I felt focused and calm as I approached coursework and simulation labs. Attending FAF granted me the opportunity to further shape who I aspire to be as a professional and world citizen. I am beyond grateful for this opportunity and truly believe that if any student were to have the chance to participate in this event, they would foster a deeper appreciation for the APTA and for healthcare advocacy at large.

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Hannah (pictured second from right) was all smiles with fellow members of the Forum at the 2019 APTA Federal Forum in Washington D.C. 

Presenting At CSM 2019, Washington D.C.

It was a cold, rainy national Combined Sections Meeting (CSM) this year in Washington D.C., but that did not stop almost 17,000 people, including several from Regis University, to attend! Regis students and faculty not only learned the latest happenings from others in our field of physical therapy, but also took roles in presenting their research and/or speaking during educational sessions to inform our profession. Below are some highlights of their experiences.

 

 

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DPT students Amber Bolen and Grace-Marie Vega with Dr. Andrew Littmann

“Going to CSM as a student researcher was a wonderful experience! Discussing our narrative review with PTs, students, and other researchers who shared our passion for regenerative medicine will always stand out as a highlight of my time at Regis.” — Grace-Marie Vega

“I loved working as a team with my research partner on our narrative review (the PT’s role in stem cell research for spinal cord injury). Presenting research at CSM was something I never expected to do when I first entered PT school, but Regis faculty encouraged our class to submit for review. We decided to give it a shot and we made it! Being able to speak with people interested in our field of research was an amazing feeling. We even attended a lecture in which one of our cited authors was present. It was also humbling to see how many research posters and lectures came out of Regis and its faculty and students. I look forward to seeing more as a proud future alumni!” — Amber Bolen

 

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DPT students David Cummins and Katherine Heller with Dr. Andrew Smith and Dr. Denise O’Dell

“Attending CSM in Washington, D.C. was an amazing experience. I had the opportunity to share my team’s research, chat with leaders in the profession, and meet dozens of potential employers. The energy and passion at the conference was infectious and I left feeling reinvigorated and excited about the future of our profession.” — David Cummins

 

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DPT students Hannah Clark, Vivian He, Felix Hill, and Erin Lemberger with Dr. Karla Bell, Dr. Melissa Hoffman, and Dr. Nancy Mulligan

“I think that getting to present an educational session at CSM is a fairly rare opportunity, and our team definitely bonded through the intimidating experience of presenting to almost 300 people! In presenting our research on LGBTQ+ related cultural competency, we were also able to identify barriers and build broader awareness of LGBTQ+ issues in our profession. I feel so grateful to our lead researcher, Dr. Melissa Hoffman, for getting me involved in research and making it possible for us all to have this experience!

In addition to the educational session, many members of our research team are involved in PT Proud, an LGBTQIA+ committee in the Health Policy Administration Section of the APTA. As part of that group, we held a membership meeting and happy hour event, which provided a powerful space for LGBTQ+ people and allies in our profession to come together.” — Felix Hill

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Pam Soto, a third year DPT student, presented a platform on “The Impact of Leadership Development Curriculum Through the Eyes of the Physical Therapy Student.”

 

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Class of 2018 graduate Dr. Amanda Rixey presented on preferred method of feedback after simulation experiences for DPT students.

 

And even more!

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How to Rock a CSM Conference

Name: Grace-Marie Vega

Undergrad: Arizona State University

Hometown: Placentia, CA

Fun Fact: I take pub trivia very seriously!

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CSM, or the Combined Sections Meeting of APTA, is a 4-day national conference held annually,  attracting thousands of students, practitioners, and researchers in the physical therapy field. These are some things I learned from CSM 2018 in New Orleans that I hope will help you navigate through future conferences:

  1. There are so many possibilities! CSM had over 300 educational sessions over the course of three days, not including poster presentations, platform presentations, and networking events. It was a whirlwind of people, places, and free giveaways. To get the experience that you want, and to avoid option paralysis, take some time beforehand to prioritize what you really want to see! In preparation for your own national conference, download the APTA conferences app so you can add programming to your own schedule. The WiFi in the conference halls can be unreliable, so I suggest that you make a plan before you get there, and glance at the map too.

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  1. Do not underestimate your knowledge. On my first day of CSM, I chose programming with subject matter that I felt I knew well enough to discuss. It turns out that I did know it well, because I had already studied it in my coursework, and even read some of the referenced articles. Basically that program was review, and a reassurance that Regis DPT coursework incorporates current best evidence. But I could have learned new things and expanded my awareness of topics that may not get as much coverage in coursework. For the rest of the conference, I tried to pick topics that I was interested in, but not experienced in, and in doing so, I realized that I was not out of my depth. Challenge yourself, and trust that you probably know more than you think.

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  1. Use public transit! Although less convenient, it’s cheaper and arguably more fun than taxis, ubers, and car rentals. I purchased a transit pass that allowed me to utilize all local buses and trolleys. For 3 dollars a day, I rode around New Orleans with locals and CSM attendees alike, and I felt like I was experiencing the city in a much more intimate capacity. Shoutout to the good people of New Orleans who always seem willing to make conversation and give restaurant recommendations while waiting for trolleys.

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  1. Network! As a self-proclaimed hater of all networking-related activity, I urge you to do this! Allow me to make a blanket statement and say that physical therapists are friendly, kind, and wonderful people who love talking to students, sharing their knowledge, and saving lives. Asking questions in educational sessions, talking to vendors in the exhibit hall, and even making small talk with the PT sitting next to you are all ways to get more out of your CSM experience. It’s also a way to dip your toes into the ocean of job hunting. I left with business cards, new aspirations to become a travel therapist, and more free t-shirts than I care to admit.

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  1. Quality over quantity! Strike a balance between conference time and exploration time. You could easily spend your time doing nothing but CSM from dawn to dusk, and that’s awesome! But, you don’t have to do that. You can get there a day early or take a later flight out if it means you have time to wander and be inspired by a new city, new friends, or live music. Your memory of this time will likely not only include the conference, but the people you were with and the place you were in. In my opinion, when you finally get home, your heart should be full, and your feet should be sore.

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How to Be an Active Student APTA Member

Hello, APTA stars! In my previous post, I talked about my experience at 2016 National Student Conclave, and I promised to share some tips on how to get involved in the APTA. Here are a few ways (some easier than others) to kickstart your APTA involvement. I have personally used all of these methods, and I don’t regret any of them!

Action Plan for APTA involvement:

  1. Join (or resurface) Twitter. I know it may seem like Twitter is old hat, but trust me; everyone who’s anyone in the PT world is on Twitter. At the recommendation of a colleague, I resurfaced my dormant Twitter account this past summer after a couple years of inactivity, and I am so glad I did. I now connect with other students and professionals from around the nation, and I follow PT organizations that give me good information. Don’t know how to start? Create an account and follow me @KatieRagle. I’ll tweet you a shout-out, and you’ll have followers in no time.

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    Follow @APTAtweets for direct information on involvement!

  2. Attend APTA conferences. And when I say attend, I mean actually engage with the sessions and attendees. You won’t get anything out of conferences where you float in to meet a school requirement, half-heartedly listen to a couple speakers, and ditch early because you’re tired. Actively listen to the sessions. Resist the temptation to only talk to people from your class who go with you. Put yourself out there, and introduce yourself to people. PT is an amazingly friendly profession, and the people who sacrifice the time and money to attend conferences are generally the ones who want to network and meet others.
  3. Read your APTA emails! I know it can be overwhelming, but you can adjust the number of emails you receive if you log into your APTA account. One of the most important emails you can read is the Pulse—the Student Assembly newsletter/blog with all kinds of great information just for us students.

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    Student happens can be followed at @APTASA

  4. Check out the #XchangeSA. This is a monthly chat that the Student Assembly Director of Communications holds with a professional in the PT field. These chats have covered everything from student debt management to mentorship to the value of APTA membership. Take a look at the archived podcasts and plan to watch the next one!

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    Our new Director of Communications is Cruz Romero, SPT CSCS.  Follow him at @cruzromero602

  5. Find someone who is actively involved in the APTA and pick his or her brain about how to get started. Don’t be ashamed to ask! I got my start by sending a simple email, and the next thing I knew, I was sitting in a state APTA meeting with the influential leaders in our field. One of the speakers at NSC told us that nearly every person who is actively involved in the APTA had someone who inspired them to do so. Please find that person. If you need it to be me, then let me know, and I’ll get you amped about the APTA. Both professionals and other students want to help you get involved, but you have to ask!

I know this is a lot of information, but hopefully, this gives you a few concrete things that you can do right now to get more plugged in. It may not seem like much, but you’d be surprised how more connected you’ll be by following these steps.

If you have any questions, please don’t hesitate to contact me at raglekatie@gmail.com or on Twitter @KatieRagle.

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Blogger: Katie Ragle, Class of 2018

The Best Loss I’ve Ever Had

Blogger Katie Ragle, Class of 2018, writes about her experience at the National Student Conclave held in Miami, Florida over the October 27-29th weekend.  

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Let me tell you about my trip to Miami.

It all started with an email from a fellow Regis student that read, “Hey Katie! I just tagged you in a Twitter post about the Student Assembly Board of Directors. Take a look at the application :). Deadline 7/1.” This began my journey into a passion for the APTA. But first, a history lesson:

If you are a PT or PTA student and an APTA member, then you are in the Student Assembly. There are around 29,000 of us, and we’re all led by a board of 10 people—the Student Assembly Board of Directors (SABoD). This board is comprised of positions such as president, vice president, and other director positions that help to make the student APTA experience a great one.

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That aforementioned email referred to the Director of Communications position on the SABoD. This person creates content to engage the Student Assembly through emails, social media, and videos. You may not realize it, but you receive emails from the Director of Communications on a regular basis.

As a broadcasting major with a minor in editing and publishing, this position was right up my alley. After I was encouraged to apply, I decided that I wanted this position to get more involved in the APTA and to use my talents to further the profession of physical therapy by engaging students from across the county.

After an application and a Skype interview, I was chosen to run alongside three other candidates for the Director of Communications. The election occurs every year at the National Student Conclave (NSC), which is the annual national APTA meeting that is just for students. Two weeks ago, I packed my suitcase and headed to Miami for the final election.

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The Regis representation at NSC.  I’m so glad they were there!

I arrived in Miami with nearly 1,000 PT and PTA students from around the country who gathered to learn how to be better practitioners and how to advocate for our profession. I was immediately blown away by the amount of enthusiasm and support for our field. Everyone eagerly engaged in meaningful conversations about their program and what they’re doing for the field of PT. Rather than simply clustering together with individuals from their schools, people branched out and met students from around the country. The excitement was palpable!

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These are the incredible candidates I got to interact with all weekend.

Little did I know that I would receive a ribbon that read “Candidate” all weekend so that people could ask me about my slated position. I had the opportunity to meet so many amazing people in my field! These people inspired me to not only be the best PT that I can be, but also to advocate for our profession and to represent it well. The speakers empowered us with knowledge in entertaining ways and generated passion for the field.

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This is one of my new friends, Alicia from MA

But more than passively attending, I got to actively participate in the conference. I participated in focus groups on how to make communication within the APTA better. I introduced a few speakers before their talks, and I met with the leaders of the Student Assembly to discuss the future of the organization. I also got to meet the president of the APTA, Dr. Sharon Dunn. She held an open Q&A for students to ask her any questions they had. She is both incredibly intelligent and personable. The APTA is fortunate to have her!

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APTA President, Dr. Sharon Dunn, gave all of us candidates a pep talk.

Did I win the election? No. Am I upset? Absolutely not. I wouldn’t trade my experience at NSC for anything. I made connections that will last a lifetime. This conference opened doors that I otherwise would have never been able to encounter. I still receive emails and messages from other students and professionals asking to keep in touch and encouraging future connection at upcoming APTA events. Best of all, NSC lit a fire within me for my future profession and for the organization that represents us so well.

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This is the amazing group of individuals with whom I ran for Director of Communications.  The one standing next to me (second from the left) was elected to the position.  His name is Cruz, and he will do great things for the Student Assembly!

In a future post, I will share some of the tips I learned at NSC about how to get plugged into the APTA;  for now, think about attending NSC 2017. It’s in Portland, Oregon, so how can you turn it down? You won’t regret it. We are the future of PT. Let’s be the best that we can be!

aptayay2.pngFollow NSC’s twitter to start counting down to next year!

Physical Therapy Classification and Payment System: a Discussion with Lindsay Still

 

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Blogger: Katie Baratta

My name is Katie Baratta and I just graduated from the Regis University School of Physical Therapy. I had the opportunity to spend two weeks at the APTA doing a student internship. I was able to talk to many different members of the APTA, attend the Federal Advocacy Forum, and learn more about what the APTA has been doing to move our profession forward. I’ve written a series of essays about my experiences here at the Association.

Interview with Lindsay Still, Senior Payment Specialist

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I talked with Lindsay Still, a Senior Payment Specialist, and she explained the current state of the PTCPS.  Read a summary of our interview below!

Overview

The Physical Therapy Classification and Payment System (PTCPS) is an ongoing initiative that was developed as an alternative to the current, fee-for-service codes—ones that easily fail to capture the true value of what PTs do—and instead particularly account for the complexity and skill of clinical expertise required for patients with more involved presentations. It also incorporates the use of standardized outcome measures. PTCPS would include a single CPT (Current Procedural Technology) code for the entire treatment session versus the assortment of 15-minute unit codes that we’re used to today.

The system has gone through multiple iterations in the past several years, and was developed by the APTA in collaboration with a specialty work group within the AMA (American Medical Association) involving members from the professional organizations of OTs, massage therapists, athletic trainers, speech-language pathologists, chiropractors, psychologists, optometrists, podiatrists, physiatrists, neurologists, orthopedic surgeons, osteopathic physicians, and representatives of CMS (Centers for Medicare & Medicaid Services).

Structure of the new coding system

Under the new system, there would be three new evaluation codes that puts a patient into an initial category of lower, moderate, or higher complexity. Certain documentation criteria (e.g. under patient history, presentation, or plan of care) would determine which of the three eval codes you would select. For example, the number of comorbidities for a given patient would play a role in the eval code selection. There would also be a single code for any re-eval visit.

As currently structured, the proposed PTCPS would also incorporate five treatment codes, based on the overall complexity of the patient’s presentation and treatments. These codes, much like our current CPT code for evals (97001 Physical Therapy Evaluation), would not have a set time frame or number of units associated with it. However, treatment billed under the lowest complexity code would likely be much shorter than a treatment session under the highest complexity code, and the reimbursements would reflect this fact.

Implementation

In 2014, pilot testing of the new system was performed with PTs using the new system to code/bill for hypothetical patients, as well as using the new system to code the treatments of actual patients previously coded with the existing system. This testing occurred in various care settings. Overall, the clinicians were very consistent in their ability to categorize patients with the new initial eval codes. However, for the intervention codes, the pilot clinicians were only able to consistently categorize those patients with the least complex and most complex presentations. There was significant disagreement between PTs in regards to cases that fell within the different “moderate” treatment categories.

The definitions and valuation of the proposed eval codes were reviewed and approved by the RUC (Relative Value Scale Update Committee) and will now require CMS approval. Lindsay is hopeful that CMS will accept the new eval codes, as they will be budget-neutral. In August of 2016, CMS will release the 2017 Medicare Physician Fee Schedule Final Rule; this should include the new PT evaluation and reevaluation codes. The new codes will go live on January 1, 2017. PTs will have three brand-new CPT codes to replace the current 97001 Physical Therapy Evaluation. The APTA will provide training and support to clinicians during the time leading up to the release of the new eval codes.

Impediments to the impending treatment code change

The new treatment codes will require further review and refinement, given their inconsistency of use during the pilot testing. This will likely be an interactive process, and not without controversy from the perspective of payers (insurance companies). In the meantime, the RUC has requested a “backup plan” to address ten CPT codes commonly used by PTs which have been identified as “potentially misvalued codes,” most of which PTs probably use frequently:

  • 97032 attended electrical stimulation
  • 97035 ultrasound
  • 97110 therapeutic exercise
  • 97112 neuromuscular reeducation
  • 97113 aquatic therapy with therapeutic exercise
  • 97116 gait training
  • 97140 manual therapy
  • 97530 therapeutic activities
  • 97535 self care home management training
  • G0283 unattended electrical stimulation (non-wound)

These codes are flagged  because they represent a high reimbursement rate and have not been assessed since 1994.

As a result, the APTA is currently redirecting efforts to provide replacements to those 10 codes rather than waiting for the codes to be reevaluated for us. The new treatment codes the APTA envisions to replace them with would be procedure-based: you would still bill in 15-minute increments. However, they would be streamlined; there would be fewer codes, and the codes would reflect the types of treatment PTs currently perform in practice (as opposed to focusing on what treatments PTs may have historically performed).

Future of the proposed treatment codes

The more general patient- and value-based treatment codes initially envisioned by the APTA are still in the works, but Lindsay foresees a longer process before fruition: it will require all parties to agree on a coding system that accurately and cost-effectively describes the type of treatments that PTs perform for patients. This includes the third-party payers who generally prefer the current setup of treatment codes based on billable units. The current coding system is easy to monitor for abuse or overuse of treatments.

I asked Lindsay if she saw outcome measures as one way of giving insurance companies some power to track the value of treatments under the proposed system. While they wouldn’t be able to screen specific procedures in the same way that they are able to under the current system, they would be able to, for example, monitor whether the progress of a “low complexity” patient was lagging behind what would be expected given that patient’s presentation.

She agreed that this could work in theory, but felt that we still have a long way to go in terms of standardization of outcome data across the spectrum of patient presentation. This is one of the reasons the PT Outcomes Registry will be so important! These two issues truly are intertwined in the future of value-based billing for PT services.

For more information, visit: http://www.apta.org/PTCPS and check out the Timeline for payment reform.