Apparently, physical therapists (PTs), occupational therapists (OTs), and the outpatient facilities they work for aren’t the only ones adjusting to the new Current Procedural Terminology (CPT) tiered coding set: recently, the Centers for Medicare and Medicaid Services (CMS) informed APTA that it’s revising its National Correct Coding Initiatives “procedure to procedure” edits, a long list of CPT code pairs that should not be reported together. That list of problematic paired codes included PT and OT evaluation and reevaluation codes.
It’s a complicated situation, but the bottom line is, CMS is making changes that should allow for full payment of PT and OT evaluation and reevaluations code combinations that previously resulted in erroneous payment denials or partial payment when the new code set was first adopted in January. Ironically enough, it appears the change is an attempt by CMS to correct an error in its National Correct Coding Initiative. Here’s a breakdown.
Many physical therapists (PTs) know the pattern all too well: a patient makes significant improvement over an episode of care, only to lose ground when the PT’s recommendations for post-treatment care aren’t followed. So what can be done to increase adherence and stop “the revolving door” of physical therapy?
This month in PT in Motion magazine: an exploration of what PTs can do to extend adherence after the conclusion of care. Associate Editor Eric Ries reports on several PTs who share different ways to recognize and remove the roadblocks that can get in the way of patients doing what needs to be done to stay healthy.
The US House of Representatives has passed legislation that helps to protect physical therapists (PTs) and other health care providers who travel across state lines with sports teams.
The Sports Medicine Licensure Clarity Act (HR 921/S 689) aims to provide added legal protections for sports medicine professionals when they’re traveling with professional, high school, college, or national sports teams by extending the provider’s “home state” malpractice and professional liability insurance to any other state the team may visit. On September 12, the House officially passed the bill in a noncontentious vote.
The growth of the physical therapy profession over the past 5 years seems to be bringing another increase with it—the cost of malpractice claims filed against physical therapists (PTs) and physical therapist assistants (PTAs).
According to a new report from Healthcare Providers’ Service Organization (HPSO), between 2011 and 2015, payments for malpractice claims rose to $42 million. The previous HPSO study, published in 2011, reported a total of $44 million in malpractice payments, but the older study period spanned 10 years, not 5.
In terms of the kinds of allegations made against PTs and PTAs, claims of improper management over the course of physical therapy treatment nearly doubled during the study period. Now at 22.5%, the management category represents the largest percentage of closed claims, compared with allegations related to manual therapy, failure to supervise or monitor, improper use of therapeutic exercise, and improper use of a biophysical agent.
Everyone’s entitled to his or her beliefs, so they say. But what happens when those beliefs get in the way of getting better?
This month’s issue of PT in Motion magazine takes on the subject of how physical therapists (PTs) and physical therapist assistants (PTAs) can help their patients and clients overcome misbeliefs that can interfere with achieving optimal outcomes. The feature-length article includes plenty of real-life examples of patients attached to ideas that were barriers to their understanding of their condition and how physical therapy can help—everything from believing that exercising makes multiple sclerosis worse, to a theory that wearing wet jeans causes arthritis.
Keeping in mind that patient values and beliefs are a factor in evidence-based practice, how should a PT or PTA handle off-target patient beliefs? According to the article, there simply isn’t a single best way—it’s all about nuance, about understanding the kind and source of the misinformation the patient holds, and about approaching the issue with genuine sensitivity to the patient’s belief system, culture, personality, and learning style.
A new study of 5 years’ worth of concussion data from NCAA sports reveals that men’s wrestling is the sport with the highest rate of sports-related concussion (SRC), but men’s football remains on top in terms of the sheer number of athletes who experience SRC while in practice or competition. And in men’s and women’s sports that can be directly compared—lacrosse, ice hockey, soccer, and others—female athletes tend to have higher rates of SRC than their male counterparts.
Researchers analyzed statistics from the NCAA Injury Surveillance Program (ISP) and found that between the 2009-2010 and 2013-2014 academic years, the overall SRC rate was 4.47 per 10,000 athlete exposures, or about 10,560 SRCs annually. Among reported SRCs, about 1 in 11 was recurrent. In almost every sport, the majority of SRCs occurred in practice, while the actual rates of SRCs were higher in competition settings.
Topping the list in terms of SRC rates was men’s wrestling, which reported an overall rate of 10.92 per 10,000 athlete exposures. Next was men’s ice hockey at 7.91, followed closely by women’s ice hockey at 7.52. Men’s football had a 6.71 rate of SRCs, but with an estimated 3,417 SRC incidents annually, it took the position as the sport that produced the most SRCs overall. Research results were published in the American Journal of Sports Medicine in September.
Most Americans expect to live a long life but worry that when it comes to movement, it ain’t gonna be pretty. That’s the myth that APTA and its members are taking on this October through the #AgeWell campaign launched in recognition of National Physical Therapy Month (NPTM).
The campaign is built around the idea that while some effects of aging are inevitable, many symptoms and conditions commonly associated with growing older can be delayed—and in some cases prevented—and that physical therapists (PTs) and physical therapist assistants (PTAs) can play a vital role transforming the aging process.
Many of the tips and other information developed by APTA for the #AgeWell campaign are based on responses to a national survey that included questions on Americans’ perception of the aging process and their own hopes and fears about aging. That survey found that while 68% of respondents believe they will be able to engage in “the same type” of physical activities at age 65 and older, about half expect to lose strength and flexibility with age. Similarly, while 42% hope to stay healthy as they age, fears loom large, including worries about not being able to live independently and being affected by debilitating disease and chronic conditions.
Increasingly, medical schools are requiring that students add one more skill to their bedside manner: an ability to explain and discuss the costs of a patient’s care options.
A recent story from National Public Radio reports on an American Association of medical Colleges (AAMC) survey that showed 129 of 140 of US medical schools now require students to take a course on the cost of health care, with “a vast majority” of programs also integrating discussions of cost and value throughout coursework.
According to NPR, the change is a “departure from the past,” when doctors were expected to provide effective care, “leaving cost considerations aside.”
If you ask Canadian orthopedic surgeons, Canadian orthopedic surgeons are pretty darn good at communicating with Canadian physiotherapists and athletic therapists about postoperative rehabilitation. Turns out that not all physiotherapists and athletic therapists would necessarily agree with that assessment.
Researchers in Canada conducted a survey of the 3 professions to assess the perceived quality of communications around “how complete participants felt referral information was provided or given for the rehabilitation of postoperative patients and whether this referral information needed further clarification.” Authors of the study especially wondered if perceptions were more-or-less equal across the professions, and if collaborative settings would improve these perceptions.
The answers: no, not really; and yes, kind of. Results of the survey were e-published ahead of print in The Physician and Sportsmedicine.
Researchers have completed what they describe as “the first comprehensive description” of foreign-educated physical therapists (FEPTs), and produced a snapshot that covers everything from regions-of-origin to why FEPTs decide to make the move, and which states and practice settings they arrive at once they do.
The email survey was sent to 9,334 FEPTs but focused only on those who had been licensed in the past 5 years. The final results were based on responses from 1,978 FEPTs—a 22.4% response rate. The report on the survey was e-published ahead of print in Physical Therapy (PTJ), the journal of APTA. The complete article is available for free to APTA members.