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Spinal Manipulation, Louie Puentedura PT,DPT,PhD,OCS
15 CEs

September 27, 2014
UNLV, Las Vegas

>>Click here for the PDF brochure or to register by mail.

>>Click here to learn more online or register online.

Course Description
This 2 day/15 hour course will enhance the knowledge and skills of physical therapists, building upon entry-level training of orthopedic manual physical therapy in regard to joint movement for the lumbar spine, cervical spine, thoracic spine and pelvis. This course is based on The Guide to Physical Therapist Practice Manipulation Educational Manual and the latest research and clinical implementation of spinal manipulation for physical therapists. The focus of this course is safe and skillful application of the manipulation techniques taught in the class. The majority of the class will feature extensive lab sessions. Physical Therapy clinicians will also be taught the latest research regarding issues related to spinal manipulation including the history of spinal manipulation, demystifying the concept of the “audible pop”, clinical prediction rules, safety including contraindications and precautions, consent for manipulation, efficacy of manipulation for spinal pain and models for the application of spinal manipulation. Furthermore, clinicians will be taught sound clinical reasoning skills to appropriately apply spinal manipulative procedures. Complimentary treatments such as exercise, education, modalities and more will be discussed and demonstrated to provide the clinicians with immediate clinical applicable information. Safe and effective handling skills form the core of this course. Limited participants are allowed to ensure quality supervision and instruction. This course is only open to Physical Therapists. Each participant is required to provide ISPI with a copy of their professional license.


CIGNA and ASH Update:
APTA release:  

Over the past six weeks, APTA staff has had many discussions and correspondences with the AZ, CA, TX and NV chapters regarding Cigna’s plan to use American Specialty Health (ASH) to manage the rehabilitation benefit, which includes physical therapy services.  APTA staff also had the opportunity to speak with Cigna senior staff to express its numerous concerns with the ASH provider agreement. APTA anticipates this will the first in a series of meetings with Cigna senior staff.  The sum and substance of our coordinated efforts and discussion is that the ASH agreement, methods of solicitation to providers and operational standards and systems presented on behalf of Cigna, raise material concerns from a business, practice and operational perspective.


APTA will submit a formal letter to Cigna highlighting its main concerns regarding the ASH agreement. At this point, APTA strongly objects to implementation of the program for a variety of reasons that will be detailed in the correspondence to Cigna. We will continue to engage Cigna, APTA chapter leadership, members and other stakeholders to advocate on behalf of the physical therapy profession.


In the meantime, APTA recommends that any communication between individual physical therapists and ASH or Cigna representatives be reported to the chapter payment chairs or executive committee. It is important that the chapters are kept informed and have an understanding of member concerns so it can clearly articulate that message on your behalf.


Each provider will have to decide for themselves as to whether or not signing this contract is a good business decision.  However, APTA wants to be sure it has done its due diligence in advocating on behalf of the profession to ensure physical therapists are able to treat patients based on their clinical judgment and decision making and full scope of licensure, not based on arbitrary policies and protocols. 


If you have questions or concerns, please reach out to your chapter or APTA or 1-800-999-2782 x 8511.

 We appreciate your membership!

New Wound Treatment Code Available to PTs

The following is reprinted from a January 16, PT in Motion: News Now article:

A new code for the use of a modality to heal wounds using sound energy has been made available to physical therapists (PTs) in the 2014 version of the Current Procedural Terminology (CPT) document published by the American Medical Association.

The new active wound care management code 97610 replaces Category III code 0183T. The modality uses acoustic energy to atomize saline and deliver ultrasound energy by way of a continuous mist to the wound bed and surrounding tissue, and is identified as "low frequency, noncontact, nonthermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day."

As always, therapists are reminded to check payer policy to determine coverage for CPT codes. For more information on CPT codes, visit APTA’sCoding and Billingwebpage.

Tips for Verification of Coverage in Health Insurance Marketplace Plans

As more consumers obtain health insurance through the marketplace plans, practices and their patients will be facing new challenges. APTA is developing resources to better understand marketplaces, available at

One of the challenges practices face is verifying coverage. Patients may have just recently purchased their insurance and may not yet have an identification card. Here are a few tips for verifying coverage, and additional tips and resources are posted at APTA’sHealth Insurance Marketplacewebsite.

·Federal marketplaces– Call the patient’s insurance plan customer service line. A list of all plans and their customer service numbers can be found in thisdatabase. A fact sheet for using the database is availablehere. If you cannot locate a number, call the Marketplace call center at800/318-2596.

·State marketplaces– Contact your state Medicaid office. State exchange information is availablehere.

Practices can further help their patients by reminding them to carry their insurance card with them at all times, and to keep all of their paperwork and receipts from doctor appointments and other medical expenses. They may need these for their insurer purposes.

Bill O'Grady, PT, DPT, OCS, COMT, DAAPM, FAAOMPT earns the the prestigious Stanley Paris Award from the Orthopedic Section at CSM 2014. Congratulations Bill!

District Meeting CE Certificates will be available online

New for 2014:It will now be easier to obtain your CE Certificate for attending Nevada Northern or Southern District Meetings. Register online for the event, sign in onsite with the District Chairperson, and your certificate will be available in your account at within a few days to a week. The events continue to be free for members and $10 for non-members. To see a list of upcoming events in your district, click on the calendar link in the menu above or to the left.

2014 Medicare Changes You Need to Know

Before adjourning for the holidays, Congress passed the Pathway for SGR Reform Act of 2013, which took effect January 1, 2014, temporarily preventing a scheduled payment cut for physicians, physical therapists, and other health care professionals from taking effect on January 1, 2014, and extending the therapy cap exceptions process. The temporary patch in effect until March 31, 2014 is intended to allow the House and Senate time to finalize legislation that would permanently repeal the flawed SGR formula. In addition, there were a number of changes included in the 2014 Medicare Physician Fee Schedule final rule that affect physical therapist practice and payment for 2014.

Changes that are in effect from January 1 –March 31, 2014 include the following:

A 0.5% update in the conversion factor for providers. The 2014 conversion factor for these three months is $35.8228.
An extension of the existing 1.0 geographic practice cost index (GPCI) work floor.
An extension of the therapy cap exceptions process at $1920 for all outpatient settings.
An extension of the manual medical review (MMR) process at $3700 for all outpatient settings.

Changes that are in effect from January 1 –December 31, 2014 include the following:

Application of the therapy cap in critical access hospitals (CAHs) for 2014, in the same manner as all other providers of outpatient therapy services.
Requirement for physical therapists in private practice to report at least 3 individual measures via claims or registry under the PQRS program to avoid the 2016 2.0% payment penalty. To receive a 0.5% bonus payment in 2014, physical therapists should report 9 measures (or 1-8 if 9 measures are not applicable).

For more information on these changes, visit APTA’s 2014 Medicare Changes webpage or email


The Silver State Health Insurance Exchange

The Silver State Health Insurance Exchange is building a brand new marketplace where Nevada consumers and small businesses can shop for, compare and purchase quality health insurance plans with ease. An intuitive web page will guide consumers through the application process with a number of useful tools including: out of pocket cost calculators, plan sorting by primary care provider, prescription drug availability and hospital network. This October, the Silver State Health Insurance Exchange will forever change the way Nevadans buy health insurance.Insurance Exchange:


From APTA Components:

The September issue of Perspectives, APTA’s magazine for PTs and PTAs in the first 5 years of their careers, has hit the streets. This latest issue includes a story about educating payers on the value of PTA services and a primer about how motions become policy through the APTA House of Delegates process, using APTA’s new Vision Statement as an example. The complete issue can be downloaded in PDF format. Feel free to add a link to it on your component website.

The PR Committee announces the following publicity projects:

1. APTA-designed advertisements were placed in Desert Companion magazine for the entire month of August. This special medical issue was available for free at stores, libraries, and doctors' offices in Las Vegas.

2. Radio announcements about the NPTA will be running in Northern Nevada for the month of October to celebrate National Physical Therapy Month. Underwriting of national public radio station KUNR 88.7 FM will feature branding messages from the APTA.

3. "Fall Prevention Awareness Week" and "Stepping On" classes, which are being offered by the Nevada Goes Falls Free Coalition in Las Vegas, is being intensely promoted to the media to alert the public to the free screenings and classes for residents with poor balance and a high risk of accidental falling. These extremely important services are the spotlight events of National Physical Therapy Month in Southern Nevada.

Thank you, Andrea Avruskin, PR Committee Chair.



PMI PTA Clinical Instructors

Please attend a presentation from Dr. Ty Druse of PMI Corporate Education Department regarding the new Bachelor of Science in Physical Therapist assistant (BSPTA) program that will be offered by PMI later this year.We will have two sessions on September 16th ( 12:15 - 12:45pm and 6:00-6:30pm) in hopes of accommodating everyone's schedule. The meeting will take place in our PMI PTA suite #5, located at 3365 E. Flamingo Rd. I look forward to seeing you all and we are excited to share information regarding this new PMI PTA program. SincerelyRebecca Cheema Ed.D., PTA, ATCProgram Director, PTA ProgramPima Medical Institute New Clinical Specialists

New Clinical Specialists

Congratulations to Nevada's new clinical specialists:

  • Christine Rachelle Burford PT, DPT, LAT, ATC, OCS
  • Janette Powell PT, MHSc, OCS, SCS
  • Catherine Linda Turner PT, DPT, OCS


NPTA shirts are in!! They are black, moisture-wicking t-shirts, and we have XS-XXL (ladies, you may want to order 1-2 sizes smaller than what you normally wear). The best part is they are only $20! (If you don't live in the Las Vegas area, we can ship your shirt to you for an additional $6.) They also make great gifts for the holidays. Contact with your order.

Making Good Health MY Reality

Congressman Steven Horsford will be hosting a town hall "Making Good Health MY Reality” on Saturday, September 14, 2013. The purpose of this town hall is to provide timely, clear and user-friendly information about important dates and local resources that individuals should have as they prepare to enroll in Medicaid and/or Nevada Healthlink. Read more >>


John Ivanoff

It is with a heavy heart that PMI Las Vegas has to announce some sad new today. John Ivanoff, our Las Vegas campus PTA Clinical Director was admitted to St Rose Hospital on Friday, August 2, 2013 for exacerbation of asthma symptoms/attack. John's symptoms became critical after experiencing some additional complications. John may have suffered a pulmonary embolism during the complication. JohnIvanoff passed away on Saturday, August 3 at St Rose Hospital. Mr.Ivanoff has family living in Michigan. At this time we do not have any other information as to the details of any type of service or memorial. As additional information is given to us, we will pass it on to the Las Vegas PT/PTA community. Please keep his family in your thoughts during this most difficult time.

APTALandmark New Vision

The 2013 APTA House of Delegates adopted a landmark new vision of the profession of physical therapy: "Transforming society by optimizing movement to improve the human experience."


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