*Click here for a printable brochure & registration form (PDF)

An Overview

There are many times when Medicare will not cover specific physical therapy interventions, whether because of statutory limitations (such as exceeding the Therapy Cap or providing prevention and wellness services) or when services are not deemed medically necessary. Often, physical therapists will discharge patients, patients will stop coming to therapy, or services are provided for free, even though providing Medicare patients with free services may in fact violate the federal anti-kickback statute. There are legal pitfalls that providers must be aware of related to charging patients cash, or if considering providing free or reduced cost services to Medicare beneficiaries. This audio conference will review the instances in which Medicare will not cover physical therapy services, identify when therapists can charge patients directly for these services, and under what conditions this can occur. Ensure that you and your therapists are appropriately identifying revenue opportunities that may exist beyond situations in which Medicare will provide payment, so that the full spectrum of physical therapist services can be provided to patients who wish to receive and pay for them!

Upon Completion, you and your staff will:

t Understand what/when services are not considered skilled or medically necessary based on Medicare’s rules and requirements;
t Learn when and what types of services may be billed directly to Medicare beneficiaries, and under what circumstances;
t Learn how to utilize the Advanced Beneficiary Notice (ABN) to inform patients that Medicare will likely deny payment and that the patient will be financially responsible should they wish to receive certain therapy services;
t Ensure services are not being given away for free (and potentially in violation of the federal anti- kickback statue) when there is an opportunity to capture cash-based revenue for physical therapy, so that revenue opportunities are not being “left on the table”, and
t Become aware of some of the legal issues surrounding providing free or reduced fee services or offering in-network benefits when patients see out-of-network providers.

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This is how it works...      

Complete the Registration Form for your PT practice and return to the APTA/Colorado Chapter by September 2, 2008.

On the Friday before the session, registered locations will be sent an e-mail confirmation with dial-in information and a web link to download handout materials.

Join the call by dialing the toll-free number and tell the operator your specified confirmation number. 

Gather your staff and listen via speaker phone to the presentation, follow along with the handouts and participate in live, interactive Q&A.

After the conference, take a few minutes to complete the program evaluation form and submit back to the APTA/Colorado Chapter office. 

Certificates of attendance will be mailed to your practice after evaluations are received.

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Save time and travel costs and include all staff members who will benefit from this timely topic!

Fees to participate in this audio-conference are based on practice size and number of PTs on staff.

• $149 for Practices with 4 or more PTs on staff
• $139 for Practices with 2-3 PTs on staff
• $129 for Practices with only one PT on staff

PLEASE NOTE: Registration fees are based per dial-in connection; multiple dial-ins from your practice will be charged. We are unable to accommodate more than one practice or department per call-in. 

Written requests for refunds received on or before the September 2nd deadline will receive a 50% refund, less a $50 processing fee; fees are nonrefundable after this date. There are no refunds for no shows.

You must contact us by the session deadline date if you have special needs or require additional assistance or accommodation to participate in this audio conference.

Register by September 2nd!

Please complete the Secure On-line Registration Form and submit your registration electronically to the APTA/Colorado Chapter.

Click for a printable brochure & registration form in PDF

A confirmation with dialing information and handout materials will be emailed to all registered practices on the Friday before the session.

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American Physical Therapy Association / Colorado Chapter
7400 East Arapahoe Road, Suite #211, Centennial, Colorado 80112-1821 U.S.A.
Phone 303.694-4728   Fax 303.694-4869   Email apta@assnoffice.com

Copyright 2008, APTA/Colorado Chapter. All rights reserved.

(sc 7/21/08)