The PPS Payment Policy Committee will present updates on the most relevant payment and reimbursement topics for the private practice physical therapist. This session will include updates about Medicare regulations, coding changes, commercial payer activity, and policies affecting therapy providers. The session will allow time for Q&A and will provide multiple resources developed by the Private Practice Section to assist members with navigating the reimbursement landscape.
Define physical therapy coding and billing requirements as dictated by the major payers in the industry, including: Medicare; Medicaid, and commercial payers.
Identify PPS resources on payment and reimbursement.
Understand the most significant risk areas for audits, specific to private practice and outpatient rehabilitation.
Define which physical therapists are currently mandated to participate in the Merit-based Incentive Payment System (MIPS).
Employ strategies to identify utilization management policies and identify APTA and PPS resources to address.