Category: ceus

CMS Coding Reversal Will Apply to Claims Made Beginning January 1, 2020

Details are still emerging around exactly how CMS intends to walk back a decision to change coding methodologies that prevented PTs from billing an evaluation performed on the same day as therapeutic activities and/or group therapy activities. But we know a little more now: namely, that the decision is retroactive to January 1 of this year, the date when the short-lived system was set in place.

APTA pressed CMS for the logistics of how its do-over would be worked out as soon as its decision was announced on January 24. On January 28, CMS informed the association that while the agency is still working on its messaging to the Medicare administrative contractors, or MACs, the reversal will be extended to claims made from January 1, 2020, on.

Full article at APTA

Flex CEUs: Older Course Removal

Due to the age of the material, Flex CEUs will be removing the following courses from our library on 02/27/2020. After this date you will no longer be able to take these courses for CE credit.

Cervical Spine Injury Medical Treatment Guidelines

Hydrotherapy Outcome Measures for People with Arthritis

If you have any questions you can start a chat or call us at 1-800-413-9636 during our business hours.

Humana Adopts PTA Coding System, Anticipates Payment Differential Beginning in 2022

Commercial health insurance giant Humana has announced that it’s falling in line with rules from the Centers for Medicare and Medicaid Services designed to establish an 85% payment differential for therapy services delivered “in whole or in part” by a PTA or occupational therapy assistant. Consistent with CMS, Humana is requiring use of code modifiers in 2020, with no changes to payment until 2022.

The new system, which establishes a code modifier (“CQ” for PTAs and “CO” for OTAs) began on January 1 for Medicare Part B payments. The new approach was triggered by federal law that mandated the creation of a way to denote the volume of physical therapy and occupational therapy services delivered by PTAs or OTAs, and then create a payment differential for those services. In its announcement, Humana states that its policy will mirror the CMS rule, “as applicable in the Federal Register and relevant CMS guidance.” Like CMS, Humana also is requiring the modifier on all applicable claims submitted for services delivered beginning January 1, 2020.

Full article at APTA

Judo holds promise for reducing sedentary behavior among children with autism

Judo may be just the right sport to increase the physical activity level among children with autism spectrum disorder (ASD) and holds promise for reducing sedentary behavior, which is linked to obesity and diabetes, according to a new study from the University of Central Florida.

The pilot study found increases in moderate to vigorous physical activity among participants during and beyond the study period and a reduction of sedentary time, although researchers say the amount was not statistically significant. However, the children in the study were eager to continue judo lessons beyond the scope of the study and the few who did not continue failed to do so because of scheduling or transportation problems, rather than lack of interest. More research is needed to see if the reduction in sedentary time will last.

Full article at News-Medical.net

APTA: New SNF Payment System Should Drive Quality Patient Care, Not Staff Layoffs

Fewer than 48 hours after the launch of a new Medicare payment system for skilled nursing facilities (SNFs), APTA began receiving word from physical therapists (PTs) and physical therapist assistants (PTAs) that a number of providers were announcing layoffs or shifts to PRN roles with reduced hours and fewer or no benefits. Many were told by their employers that the new system, known as the Patient-Driven Payment Model, or PDPM, was the reason for reduced staffing levels and less therapy.

There’s one problem with that explanation: it isn’t true.

That’s the message APTA is delivering to SNFs, association members, and the media as it works to debunk myths surrounding a system that was designed to support clinician decision-making and push SNFs toward a more patient-focused payment model.

Full story at APTA

From PTJ: Getting at the Risk Factors for Falls Post-TKA

Up to a third of patients with total knee arthroplasty (TKA) experience a fall within 6 months to a year after surgery, but a new study suggests that physical therapists (PTs) can reduce this risk by targeting specific deficits for intervention.

Researchers followed 134 individuals at a Hong Kong hospital for 6 months after TKA to determine falls frequency, circumstances, and risk factors. All patients had been referred for outpatient rehabilitation. The individuals were all between the ages of 50 and 85 with a primary diagnosis of knee osteoarthritis (OA). Results were published in the September issue of PTJ(Physical Therapy).

Participants attended physical therapy 1-2 times per week for 8-10 weeks, beginning 2 weeks after surgery. Sessions included electrotherapy, mobilizing and strengthening exercises, and gait and balance training. At 4 weeks postsurgery, PTs evaluated knee proprioception, balance, knee pain, knee extension and flexion muscle strength, range of motion, and balance confidence. Patients also were given a log book to record any falls. After the evaluation, authors followed up monthly to ask participants about any falls they may have experienced.

Full story at APTA

How does rheumatoid arthritis affect the ankles?

Rheumatoid arthritis can affect the ankle joints in a similar way to other joints, causing stiffness, swelling, and pain.

Most often, rheumatoid arthritis or RA affects the hands and feet, but, less commonly, it can also affect the ankles.

The condition typically impacts on smaller joints first, such as the toe joints in the foot. It may then move to larger joints, such as the ankles. RA in the ankles can impede walking and cause considerable discomfort.

In this article, we take a close look at how RA affects the ankles, including the symptoms, and how people can relieve pain and swelling.

Full story at Medical News Today

Flex: New CEU Courses

MULTIPLE SCLEROSIS AND PHYSICAL ACTIVITY

Exercise is safe for people with Multiple Sclerosis (MS) and is necessary to combat the secondary deconditioning resulting from MS-related weakness and fatigue.  The goals of this CEU course include reviewing the importance of physical fitness in persons with MS, examining if self-efficacy and physical activity have relationships with quality of life (QOL) in individuals with MS, investigating the perception of barriers and facilitators to exercise for those with MS, and comparing the effects of Pilaties, static stretching, and elastic bands resistance training.

CHILDHOOD OBESITY, EPIDEMIOLOGY, AND BONE THICKNESS

Childhood obesity is one of the most serious public health challenges of the 21st century.  Problems during the childhood and adolescence phases of the human development, during which the adult bone mass density is determined, could compromise bone health in adulthood.  The goal of this CEU course is to analyze the relationship between abdominal adipose tissue and bone mineral density (BMD) in obese children and adolescents.

For more information on these new courses and many more, visit Flex CEUs

Flex: New CEU Courses

TOTAL KNEE ARTHROPLASTY REHABILITATION CONSIDERATIONS

The major objectives of rehabilitation after total knee arthroplasty (TKA) are the early regain of range of motion (ROM) and mobilization of the patient.  The goals of this CEU course are to investigate the effect of the knee position during wound closure on early knee function recovery after TKA and the validity and effectiveness of rehabilitation techniques and physical therapies before and after TKA.

POST-PARTUM COCCYDYNIA MUSCLE ENERGY TECHNIQUES

Coccydynia is a painful and incapacitating condition in the early post-partum period.  The goal of this CEU course is to determine the effect of Muscle Energy Technique (MET) in treating post-partum coccydynia. This course is based off of an open access article from the Journal of Physical Therapy and Rehabilitation.

For more on these new courses and many more, visit our CEU home page!

Flex CEUs: New CEU Courses

PATELLOFEMORAL PAIN SYNDROME AND ROLE OF PT

The goal of this CEU course is to establish the physiotherapy treatment of Patellofemoral Pain Syndrome and examine the barriers that stop physiotherapists from increasing strength and flexibility and the contradictions of physiotherapists beliefs regarding their practice.

CEREBRAL PALSY – ADVANCEMENTS IN UPPER EXTREMITY THERAPY

Cerebral palsy (CP) is the most common lifelong disability affecting motor development in children.  The goals of this CEU course are to investigate spastic hemiparesis recovery after intensive technology-enhanced physical rehabilitation; the effects of manipulating object shape, size, and weight combined with hand-arm bimanual intensive training; the effects of modified Constraint Induced Movement Therapy (CIMT); and the effects of repetitive Transcranial magnetic stimulation (rTMS).

ANKLE DORSIFLEXION EFFECTS ON GAIT AND BALANCE

Limitations in ankle dorsiflexion have been associated with balance dysfunction and the development of altered gait patterns.  The goal of this CEU course is to investigate the relationship of ankle dorsiflexion, measured in non-weight bearing and weight bearing positions, to balance and gait performance in healthy young and older adults.

For more on these new courses and many more, visit the Flex course page