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​ Payment update from 2017 state payment forum​

Tuesday, October 3, 2017   (0 Comments)
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Payment update from 2017 state payment forum 


  • APTA overview

PTA growth 9% 

Consumer awareness - choose PT doubled consumer drive to website 

Rural health hub on the Apta now open as Apta is committed to stopping closure of rural hospitals

Dry needling update  APTA requesting to add a category 1 code for DN


  • I come away from this years Forum with more questions then solutions. 


The main theme was who is our customer is it individual patient or population health of all patients and how do we define our value and to who are we defining this value? How do we do this first is decreasing variations of practice me other is data collection.  

By using Standard care and the evidence based guidelines to reduced variability this is felt by payers to reduces cost of care and improved outcomes the Driver is predictability of cost. 


How do you see value in your practice? 


APTA has identified that we need to look at partnerships that help improve population health and by doing that leverage us as PT as content experts on mobility and functional deficits.  To this end looking at using choose PT campaign to focus on opioid abuse by targeting more audiences and resources by looking at larger target audience and public policies while looking at internal policies on practice, payment, communication. 


Some national wide identified issues were identified if you are experiencing any of these please let me know:

    • Humana presenting challenges on providing a person to talk to about issues 
    • 59 modifier denials
    • MMPR double reduction
    • Reconsideration for FLR 


Please contact me directly if you want more details on any of the agenda items. 



Jenelle Lauchman, PT

Payment Chair Nevada Chapter APTA

Center Manager, Select Physical Therapy

Cell (702) 278-5847

Office (702)260-6238 

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