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The Good Stuff: Members and the Profession in the Media, August 2018
Innovators, business leaders, and ninja warriors--all in this month's "Good Stuff."
2018 ELI Fellows Class Brings APTA's Educational Leadership Program Past 100 Graduates
The ELI Fellowship strives to provide developing and aspiring program directors in physical therapist and physical therapist assistant education programs with the skills and resources they need to be innovative, influential, and visionary leaders.
Short-Term Insurance Rule Adds More Uncertainty to Care
"We're concerned that, perhaps unknowingly, patients who purchase these plans may be moving onto plans that don't cover physical therapy or that offer very limited physical therapy benefits."
CoHSTAR Seeks Postdoctoral Fellow

The successful candidate will work with the Comprehensive Post-Acute Stroke Services (COMPASS) trial.



Study: Estimated 1 in 3 Medicare Beneficiaries Receiving Inpatient/SNF Rehab Report No Improvement in Function
Does health literacy play a role?

A Stark Reality: APTA Continues Efforts to Shore Up Self-Referral Law
"Until HHS creates a more level playing field between these different types of providers, physical therapists will be unable to meaningfully participate in Medicare and Medicaid APMs, despite their desire to do so."
From PTJ: Common Activity Trackers May Be Inaccurate for Patients With PD
Authors speculate that the inaccuracies may have something to do with a lack of tracker sensitivity to steps taken "in environments with greater discontinuity, where starting, stopping, and turning occur frequently."
From PT in Motion Magazine: How to Defend Yourself Against Scams and Cyberattacks
As technology and information sharing evolves at a rapid pace, it becomes harder to keep up with criminals and scammers—even if you are an experienced professional. Last year, a staggering 83% of physicians said they had experienced some form of cyberattack, according to an American Medical Association report. What kind of scams are out there? What should you be wary of? What new threats are emerging?
SNF, IRF Final Rules Follow Through on Proposed Shifts in SNF Payment Systems, IRF Reporting Requirements
The situation is far from a "same as usual" scenario.
2018 State Policy and Payment Form Offers a Packed Agenda
Registrations are now open for this important members-only gathering in Kansas City, Missouri.
Tiered Coding for PT Evaluations: New APTA Podcast Series Answers Common Questions
The 5-part series covers a general overview of the coding change and addresses common questions.
Proposed CMS Outpatient Rule Would Adopt Further 'Site Neutral' Payment Policies

Should Medicare be reimbursing outpatient facilities owned by hospitals at higher rates than it does independent providers' facilities? CMS doesn't think so.


CMS to Host Fee Schedule Webinar for APTA Members
The webinar is free, but space is limited.

At the State Level, a Very Good Year for PTs and PTAs
Progress at the state level.

The 2019 Fee Schedule, Part 1: 5 Things You Need to Know About What MIPS Might Look Like for PTs Next Year
5 things to know about how MIPS may be rolled out for PTs in 2019.

The 2019 Fee Schedule, Part 2: Quality Reporting Options Other Than MIPS
There's more to the Quality Payment Program than MIPS.

The 2019 Fee Schedule, Part 3: The End of FLR, the Move to PTA-Specific Codes, and a Nod to Technology
Here's a rundown of 3 of the biggest non-Quality Payment Program-related changes included in the proposed physician fee schedule.
APTA Offers Help With Payment Denials
The letters make it easier for members to appeal a claim denial.

Study: Popular Shoulder Procedure Provides No Relevant Clinical Benefit Over 'Placebo Surgery'
Researchers noted "marked improvement" among all the participants, but that was the problem.
From PTJ: Are Pain Measures Asking the Right Questions?
July 20. 2018: From PTJ: Are Pain Measures Asking the Right Questions?
The Good Stuff: Members and the Profession in the Media, July 2018
Nice support of PTs from a clinical psychologist in this month's Good Stuff.
What's the Best Post-TKA Intervention in the Acute Care Setting? There's No Easy Answer, Say Researchers
Authors were able to come up with a definitive conclusion, albeit not the most rewarding one for those looking for guidance.
Proposed 2019 Fee Schedule: Goodbye Functional Limitation Reporting, Hello MIPS?
FLR could be a thing of the past. MIPS participation could be required next year.

APTA Helps Create New Grant Opportunities for PTs
The grants of at least $2,000 each are available to PTs.

OB-GYN Group Embraces 'Fourth Trimester' Concept, Acknowledges Role of Physical Therapy in Postpartum Care
"Formal recognition of physical therapy in the fourth trimester not only recognizes our expertise in this area of care but provides a clearly stated standard of care for physicians providing postpartum care options for their patients."
Innovative Collaborative Effort Between APTA, United Healthcare, and OptumLabs Could Introduce Important Changes to Pain Management Policies
What would happen if payers encouraged patients with low back pain to explore low-risk treatments such as physical therapy by waiving copays for initial sessions? We may find out.

From the 2018 APTA House of Delegates: Rimmer, Corcos, Polvinale, Receive Honorary APTA Membership
Their contributions have allowed PTs and PTAs to better serve patients and clients.
APTA Input Included in Health Care Exec Group's Roadmap for Addressing Opioid Crisis
The recommendations are largely consistent with those developed by APTA in its white paper "Beyond Opioids: How Physical Therapy Can Transform Pain Management to Improve Health Care."
From PT in Motion Magazine: Pedaling Past Injury
No matter the kind of riding they do, all riders face some of the same challenges.
Proposed CMS Home Health Rule Includes Major Change to Payment System
A huge payment shakeup could be on the way for home health.

NEXT 2018: Rothstein Roundtable Takes on Reasons Payers Are Slow to Make Changes That Support Physical Therapy
This year's roundtable held true to its reputation for facing hot topics head-on.

Study: Ignoring Inappropriate Patient Sexual Behavior Doesn’t Work, but Other Strategies Might
The release of this study happens to coincide with action last week by APTA’s House of Delegates to strengthen the association’s position on sexual harassment in all forms.
NEXT 2018: Maley Lecture: Health Care Must Adopt a Biopsychosocial Model
News@NEXT: The health care system needs to evolve from a medical to a biopsychosocial model, asserted Robert Palisano, PT, ScD, FAPTA, in the 23rd Maley Lecture, delivered during NEXT 2018. "Healthy living is a societal and systems issue. The focus of the traditional medical model of health care is on the individual and acute conditions." The title of his lecture was "Lifecourse Health Development of Individuals With Chronic Health Conditions: Visualizing a Preferred Future."
2018 NEXT: Physical Therapy Can Play a Part in Addiction Treatment
2018 NEXT: The power of physical therapy to help prevent people from starting opioid use has been well-documented, but work now being done by physical therapists (PTs) and physical therapist assistants (PTAs) is showing that the profession also has an important role to play in the lives of those recovering from addiction. And that role has everything to do with applying the knowledge and skills PTs and PTAs already possess.
2018 NEXT: PTs Offer Guidance on Developing Leadership Abilities
News@NEXT: A panel of 5 physical therapists (PTs) in various stages of their careers offered NEXT 2018 attendees their advice on how to become leaders and succeed professionally. The PTs were Carrie Cunningham, PT; Michael Gans, PT, DPT; Matthew DeBole, PT, DPT; Stephanie Weyrauch, PT, DPT, MSci; and Elizabeth Nixon, PT, DPT.
From the 2018 House of Delegates: Envisioning a Community
The actions taken by the House make it clear: for the foreseeable future, APTA will be an outward-facing organization that understands its capacity to be a change agent.
What's New at MoveForwardPT.com, Summer 2018
MoveForwardPT.com is always evolving, and a great resource for members to share with patients and others to help increase public understanding of all that the profession has to offer.
2018 NEXT: Movement System Finding Its Way Into Education and Research
News@NEXT: As far as Paula Ludewig, PT, DPT, PhD, is concerned, the idea of anchoring physical therapy's identity in the movement system is, to put it simply, a big deal. "This is a huge opportunity for our profession," said the University of Minnesota professor and researcher. "We're at the doorstep of making significant change."
2018 NEXT: McMillan Lecture: Wisdom and Courage Exemplify the Best of Our Profession

News@NEXT: Both wisdom and courage are needed to effect positive change. Laurita M. (Laurie) Hack, PT, DPT, PhD, MBA, FAPTA, opened her delivery of the 49th Mary McMillan Lecture with these thoughts and with her insights into gaining more of the wisdom and courage that will move the profession forward. Hack addressed a capacity crowd on June 28 during APTA’s NEXT Conference and Expo.


2018 NEXT: Making the Case for the PT and PTA Role in Disaster and Emergency Responses
News@NEXT: A panel of 4 physical therapists (PTs) with firsthand experience in responding to Hurricane Harvey, the Orlando Pulse mass shooting, the Great White concert fire, and other emergencies agree: PTs and physical therapist assistants (PTAs) have an important role to play in responding to these situations. The problem, they say, is that not everyone fully understands that role—including many PTs and PTAs.
2018 NEXT: 'You're Changing People's Lives' NEXT 2018 Attendees Told
News@NEXT: Professional beach volleyball player Gabrielle (Gabby) Reece told attendees at the opening event of NEXT 2018: "To serve others and help other people is a really important thing. You're changing people's lives."
CMS Seeking Comments on Self-Referral Prohibitions in Stark Law
The general aim of the RFI would seem to run counter to APTA's own efforts to toughen up the rules against self-referral.
APTA 2018 House of Delegates Election Results Announced

June 25, 2018: The following members were elected to APTA's Board of Directors and Nominating Committee on Monday, June 25, at the 2018 House of Delegates in Orlando, Florida.


CDC: Concussion Rates Among High Schoolers May be Undercounted
Authors of the study say that's a number higher than some previous estimates, probably because the CDC study includes anonymous self-reports from the students themselves, many of whom may try to hide the injury from coaches and parents.
Multistate Practice Privileges to Become a Reality in 3 States
It's the first practical application of a concept that could revolutionize licensure mobility for the physical therapy profession.
Fighting the Opioid Crisis: APTA Releases White Paper Pointing the Way to Better Policies on Nondrug Pain Treatment
No lasting gains can be made in the opioid crisis until stakeholders and policymakers in the country's health care system embrace the value of nonpharmacological approaches to chronic pain.
Study: Progressive Strengthening Program Shows Promise Over 'Standard of Care' Rehab for Patients Post-TKA
"The lack of consensus between therapists and surgeons on the optimal timing and amount of rehabilitation... may potentially have important negative effects on postsurgical outcomes."
Collaborative Stop the Cap Efforts from APTA, AOTA, ASHA Receive National Award
This is the fourth national award APTA has received from ASAE in the past 2 years.

APTA Selects Rapport for Education Research Fellowship
"This is an important time for investigations into clinical education in physical therapy."
The Good Stuff: Members and the Profession in the Media, June 2018
Recent media coverage of physical therapy and APTA members, with an emphasis on how individual PTs and PTAs are transforming health care and society every day.
Study: A Few Tests (And Demographic Variables) Can Help Predict Success of Nonsurgical Treatment of ACL Injury in Athletes
Sometimes age can be an advantage.

CMS to Expand List of DMEPOS Requiring Prior Authorization
The additional codes will go into effect on September 1 of this year.
APTA Provides an Easy Way to Share Your Comments on Proposed SNF Rule
Want to make your voice heard on the proposed CMS rule for SNFs? APTA makes it easy.

From PT in Motion Magazine: Diversifying the Profession
"Increasing the diversity of the profession and providing information on the importance and understanding of cultural competence have been part of APTA's vision, guiding principles, and mission for many years."
CMS Reports High Levels of Participation in MIPS; Will It Be Expanded to PTs in 2019?
All indications point to PTs being required to participate in MIPS or APMs as early as 2019.
AMA: Drop in Opioid Prescription Rates Good News; More Nonopioid Pain Treatment Needed
Among the recommendations: a call for "all public and private payers...[to] ensure that patients have access to affordable, non-opioid pain care."

CMS Hopes to Reboot 'Pre-Claim Demonstration' Proposal for HHAs in 5 States
The project will be rolled out in 5 states, with the possibility for expansion.

Don't Miss Out: 4 Events at NEXT You Have to See for Yourself
There are 4 events—2 lectures, 1 panel discussion, and 1, well…something else—that should be on your "can't miss" list for NEXT 2018.
CDC: Rates of Outpatient Rehab Poststroke Low in Several States
Despite its proven effectiveness at helping individuals recover from stroke and its important role in preventing future events, outpatient rehabilitation poststroke is still underutilized in many states, according to a new study from the US Centers for Disease Control and
Study: Seeing a PT First for LBP Lowers Overall Costs, Reduces Chances of Later Opioid Prescription
Odds of receiving a later opioid prescription dropped 87% when patients visited a PT first for LBP.

Major Overhaul of VA Choice Could be On the Way—But Health Net Won't Be Around For It
It's a $52 billion package that proponents say will open up access to non-VA providers for many vets.

Study: Home Is a Better Bet Than Hospitals for Achieving More PA Poststroke
There's no place like home for engaging in the levels of physical activity (PA) that can aid in recovery poststroke—at least compared with the current hospital setting—according to a small study from Australia. For the study, researchers
APTA Weighs in on Opioid Use Disorder, Opioid Poisoning, Among People With Disabilities
APTA has contributed to an effort that may help shed light on an often overlooked facet of the opioid crisis—the impact of opioid use disorder on people with disabilities. While final directions have not been laid out, the comments are
Advanced Cancer Patients Can Benefit From Structured Exercise, Say Researchers
Incorporating structured exercise into supportive care can help improve the lives of patients with advanced cancer, say researchers in an article e published ahead of print in the Archives of Physical Medicine and Rehabilitation (abstract only available for free). In
2018 House of Delegates Motions, Background Papers Posted
May 18, 2018: Now available to APTA members: the complete first packet of motions, accompanied by background papers, to be considered by the 2018 APTA House of Delegates (House) when it convenes June 25-27, 2018, in Orlando, Florida.
PTs From the US Selected to Speak at International Physical Therapy Congress
May 18, 2018: A total of 13 physical therapists (PTs) from the US will be among the main speakers at the World Confederation for Physical Therapy (WCPT) Congress to be held in Geneva May 10–13, 2019.
The Good Stuff: Members and the Profession in the Media, May 2018
Members and the profession in national and local media.

CDC: Falls-Related Deaths in the US Rose 31% in 10 Years
Deaths increased by about 3% each year between 2007 and 2016.

CMS Offers Alternative Dispute Resolution for Some Providers With Unresolved Medicare A or B Appeals
CMS is offering alternative dispute resolution for some Part A or B appeals.

APTA Federal Advocacy Forum Brings the Profession's Energy to Capitol Hill
"The level of dedication and engagement at this year's forum was truly impressive."
APTA-Supported VA Change Will Expand Use of Telehealth for PT Services
The rule allows for telehealth services across state lines for VA beneficiaries in all US jurisdictions.
CMS Wants to Drop Functional Measure, 2 Quality Reporting Measures From IRF Requirements
Bye bye, Functional Independence Measure?
New Strategy Group Seeking Input on Physical Therapy PT, PTA Clinical Education Recommendations
The dialogue around best practices in PT and PTA clinical education continues.

Special Olympics Looking for PT, PTA, Student Volunteers
The offering was developed in collaboration with APTA as an extension of its partnership with Special Olympics.
$9.7 Million PCORI Grant Will Fund Research on Physical Therapy vs CBT for LBP
APTA member Julie Fritz, PT, PhD, is the principal investigator.
Study: Self-Reported vs Actual Levels of PA Usually Don't Match Up

Self-descriptions of PA levels were fairly consistent--just not very accurate, especially for Americans.

 


From PT in Motion: PTs Improving the Health of Communities
PTs and PTAs have a lot to offer when it comes to community health promotion.

Vitamin D Takes a Tumble in New Falls Prevention Recommendations
"Vitamin D supplementation has no benefit in falls prevention in community-dwelling older adults not known to have vitamin D deficiency or insufficiency."
CMS Proposes Major Change in SNF Payment System
CMS may be pulling the RUG out from under SNFs.

Proposed CMS Hospital Payment Rule Includes Payment Increases, Reductions in Reporting and EHR Requirements
More money for ACHs, fewer reporting requirements.

PTJ Special Issue Podcasts: Physical Therapy for Pain May Reduce Overall Costs, Opioid Use
One study found that after 2 years, hip surgery patients who received only physical therapy postsurgery had lower overall health care costs than those who only received opioids.
Successful WCPT Efforts in Africa Subject of Capitol Hill Meeting
The WCPT project is designed to strengthen the physical therapy profession in West Africa.
2017 APTA Annual Report Posted
Sharon Dunn: APTA's accomplishments were due to "a commitment to working together, sharing ideas, and learning from each other."

2018 House of Delegates Motions Now Posted
The posting includes proposed amendments to the APTA bylaws.

Joint Commission Wants Your Comments on Proposed Pain Assessment and Management Requirements
Your comments can help shape final standards and more clearly define the roles of PTs and PTAs.

2018 APTA Honors and Awards Program Recipients Announced
The list of winners includes 2 new award categories.

APTA's Member Renewal Efforts Earn National Award
The award-winning effort was part of the #APTA100K campaign.

The Good Stuff: Members and the Profession in the Media, April 2018
PTs as bicycle seat designers, app developers, virtual reality researchers--and 1 proud new father.

Foundation Announces 2018 Scholarship, Grant Opportunities
The Foundation is now accepting applications for the 2018 Kendall scholarships and 8 research grants.

APTA Adds Its Voice to Coalition Calling for Medicare Advantage to Rein in Prior Authorization
April 16, 2018: With nearly a third of the total Medicare population enrolled in a Medicare Advantage (MA) plan and growth expected to continue, it's time for the public-private hybrid system to evolve and move away from excessive use of prior authorization—that's the message being delivered to the Centers for Medicare and Medicaid Services (CMS) from a coalition of health care and consumer organizations including APTA.
Study: Primary Care Physician PT Referral Rates Dropped 50% Between 2003 and 2014
April 13, 2018: Over the past 20 years, there have been vast gains in direct access to physical therapists (PTs), and most providers and clinical practice guidelines recommend physical therapy as a “first-line treatment” for many musculoskeletal conditions.

Final Rule on ACA Insurance Exchanges Opens the Door for Market Instability, Disruptions in Care
"Consumers will be left with a confusing, unsteady coverage system that could disrupt their care--practically the opposite scenario from the original intent of the ACA."

As APTA's Financial Solutions Center Marks 1 Year, Student Debt Looms Large in the News
APTA's Financial Solutions Center is designed to help PTs, PTAs, and students respond to the challenges of student debt and financial management.

PTs Honored for International Volunteer Efforts
Only a small number of volunteers among all types of health discipline receive the prestigious award.

PTJ: To Avoid Adverse Events, Rehab Facilities Need to Get to the Root of the Problem
Adverse events were most often caused by staff errors in policy and procedures and communications.
Bill to Weaken ADA Met With Strong Opposition From Senators, APTA, Other Organizations
"This attempt to erode the rights guaranteed in the ADA runs counter to the values of the physical therapy profession and its commitment to assisting all people with disabilities to set and achieve high goals."

Researchers Say Frequent TV-Watching Comes With VTE Risk That Can't Be Eliminated Through Physical Activity
"These results suggest that sedentary behavior is not just the opposite issue from physical activity."

2018 APTA State Legislative Leadership Award Nominations Open
Know a leader in state legislative efforts?

From PT in Motion: PTs Pack a Punch When It Comes to Treating Combat Athletes
MMA, jiu jitsu, thai boxing, karate--all can put extraordinary demands on an athlete's body. That's where physical therapy comes in to play.

Experts: It's Time to Act on the Evidence for Low Back Pain
"Care for patients with chronic conditions such as low back pain is inherently multidisciplinary."

Upcoming Issue of PTJ Focuses on Building the Evidence Base for Physical Therapy in Pain Management
"These papers showcase diversity in approaches, techniques, and philosophies needed to make meaningful progress."

CMS, APTA: OIG Report on Outpatient Physical Therapy Claims Contains Possible Flaws and Questionable Assumptions
CMS and APTA are questioning an OIG report on outpatient physical therapy claims under Medicare.

Lynda Woodruff, Leader in Physical Therapy Education, Dies at 70
Lynda Woodruff, PT, PhD, an educator and trailblazer in the physical therapy profession, died at her home on March 20. The APTA lifetime member was 70. Woodruff was a visiting professor at Alabama State University (ASU) and
Researchers Say Tai Chi Shows Promise Over Aerobic Exercise for Fibromyalgia
Could the mind-body aspects of tai chi make a difference?

The Crisis Continues: Opioids in the News, March 2018
Among the highlights: "Americans Take More Pain Pills - but not Because They're in More Pain"
One Call Care Management to Change Referral Practices as Result of Court Settlement
One Call began implementing the payment policy changes, which are specific to California, in February
2018 Candidate Information, Statements Posted
New resources include candidate statements and biographical information.
Study: More 'Collaboration and Consistency' Needed Between PTs and Surgeons in TKA, THA Measures
Researchers say it's going to become increasingly important for PTs and surgeons to pursue more "collaboration and consistency" when it comes to outcome measures for TKA and THA.

Study: Adding Dry Needling to Exercise for Shoulder Pain Could Reduce Broader Costs
The study is an expansion of earlier published results...which indicated that including trigger point was just as effective as exercise alone at reducing shoulder pain intensity, and better at improving pain-related disability.

APTA's New Mission Statement: A Healthier Society Through a Strong Community
APTA has a new mission, and it's all about bringing people together.

Move Forward Radio: Avoiding Muscle Atrophy When Injured
People who regularly work out or participate in sports may fear losing muscle mass or gaining weight during recovery from injury. It doesn't have to be that way.

The Good Stuff: Members and the Profession in the Media, March 2018
"We really push physical therapy prior to surgery, as well as strengthening prior to chemotherapy. ... Physical therapy is quite important."

Study: Optimal Exercise Dose for Knee Disorders Still Unclear

Effect sizes varied widely because so many different outcome measures were used, even for the same conditions.

 


APTA Contributes to New 'Playbook' on Pain Management and Opioid Stewardship
Understanding the link between overreliance on opioids for pain management and the broader opioid crisis in the US isn't difficult identifying realistic steps to break that link is another matter. A high profile national partnership that includes APTA
Study: Falls Among US Adults 65 and Older Cost $50 Billion in 2015
Authors say that unless the US steps up its game, costs are certain to climb as the baby boomer generation continues to age.
JAMA Study: Opioids No Better Than Nonopioids in Improving Pain-Related Function, Intensity for Chronic Back Pain, Hip/Knee OA
Authors say there's no support for opioid therapy for some types of chronic pain.

Easier Said than Done: A Third of Patients Told to Lose Weight Have Functional Limitations That Could Make Exercise Difficult or Unsafe
Researchers see opportunities for PTs to make a difference.
From PT in Motion: PT 'Boomers' Offer Advice on Life in the Clinic and Beyond
Physical therapy, Roesch notes, "is hard physically, mentally, and emotionally, mainly because we get so involved."
Study: Opioids Don't Improve Quality of Life for Individuals With Chronic Noncancer Pain
For people with chronic noncancer pain, opioids probably aren't delivering on what many presume to be their primary function.
Washington Post: End of Therapy Cap a 'Long-Awaited Gift'
The therapy cap saga "reveals much about how health care financing often gets done—or undone—in Washington."
Humana Coverage Limitations: More of the Same
Not much has changed--but that isn't necessarily a good thing.

CMS to Study Administrative Burden of MIPS; PTs Can Participate
How burdensome is MIPS?
#PTTransforms Blog: Keeping the Patient at the Center of Pain Management
The #PTTransforms blog is back.
CDC Issues 'Call to Action' to Address Treatment Gaps for Children Experiencing TBI
"The management of TBI in children is complex and depends upon multiple service delivery systems that frequently do not provide systematic or coordinated care."

Pediatricians' Group Releases 'Choosing Wisely' List of Orthopedic Treatments to Question
Questions about the use of imaging, ultrasound, and orthotics.

APTA's Updated Defensible Documentation Resource Provides Insight, Practical Tips, and More
APTA's retooled webpage includes the latest on best practices in documentation.
2018 CSM Largest Ever; News and Videos Now Available
Don't miss out: daily news and videos are available online.
Payers Looking for More Coding Detail
The 59 modifier is a potential red flag for CMS and commercial payers.
Spending on Health Care Projected to Increase 5.5% Annually Through 2026
One-fifth of the GDP by 2026.
The Post-Therapy Cap System: 5 Basics You Need to Know
The budget deal didn't just remove a rule--it also launched a new system of payment thresholds and triggers.
Now Available: Recording of 'Insider Intel' Session on Therapy Cap, Home Health, More
Are you ready for what's coming?
CMS Offers Settlement Option for Providers With Denial Appeals in Limbo
CMS is offering some providers a chance to settle backlogged claims denial appeals at 62% of net allowed amounts.
Home Health Faces Challenges in Wake of Budget Deal
What does the federal budget deal mean for home health?

The Good Stuff: Members and the Profession in the Media, February 2018
"I still wasn’t whole." 
CMS Issues Coding, Other Details on Supervised Exercise Therapy for Peripheral Artery Disease
February 13, 2018: The US Centers for Medicare and Medicaid Services (CMS) has released details on how it will process claims made as a result of its decision to cover supervised exercise therapy (SET) in the treatment of peripheral artery disease (PAD).
New APTA Podcast Series Explores Big Picture and Details of Value-Based Care
February 12, 2018: Everyone's talking about "value-based care," but what does the concept really mean, and how will it affect your practice? That's the subject of a new 21-part podcast series now available for download from APTA.


A Permanent Fix to the Therapy Cap: Improved Access for Medicare Patients Comes With Pending APTA-Opposed Cut to PTA Payment
Ending the hard cap has been a high priority for APTA.
Now's Your Chance to Step up to APTA Committee Service
Ready to take a lead in shaping the future of APTA?
PT, PTA Education Leadership Institute Accepting Applications for a Program That Inspires, Empowers, and Connects
Being a director for a PT or PTA education program can seem as lonely as it is overwhelming—but it doesn't have to be that way.
From PT Pintcast: Now's the Time to Embrace Outcomes Registries
Association-run registries also serve another important function: helping providers get a handle on the seemingly inevitable move toward value-based health care.
Making Transformation Possible: Panelists at APTA Event Explore Paths Toward Rethinking Pain Management
"The truth is, most people don't feel really great on opioids."

'Choose More Movement and Better Health': APTA Releases New #ChoosePT Video

 "Choose more movement and better health. Choose physical therapy."


APTA Learning Center Offerings Will be Included in aPTitude CE Resource
In the coming months, APTA will add its complete catalog of Learning Center courses to aPTitude.
BuzzFeed Features Physical Therapy 'Success Stories'

  "I owe [my physical therapist] my mobility and my life without pain."


With Deadline Looming, APTA Members, Patients, Multiple Organizations Press on for Therapy Cap Repeal
Here's a quick rundown of what APTA and others have been doing to call attention to therapy cap repeal.

From PT in Motion: PTs Should Cultivate Their Knowledge of Medical Marijuana
Because it is often used to treat pain symptoms...marijuana is "very relevant" for a PT.

In Wake of Nassar Conviction, PT Points to Need for Patient Education on Legitimate Pelvic Physical Therapy
"For women with pelvic floor disorders, it is difficult enough to battle the stigma, shame and guilt often associated with these conditions."
APTA-Hosted Panel Discussion on Opioid Epidemic and Pain to Be Broadcast Live Via Facebook

"Beyond Opioids: Transforming Pain Management to Improve Health," will be streamed live via APTA's Facebook page on February 5 beginning at 8:00 pm ET.


Mid-Atlantic, Pacific States and Territories Will be First to See New Medicare Cards
Beneficiaries in 9 states, DC, and 3 US territories will be the first to receive the new cards, which won't rely on SSNs.
CDC: Most Middle and High School Students Don't Get Enough Sleep

Among high school students, 72.7% reported insufficient sleep, with about 20% reporting sleeping fewer than 6 hours a night.  


APTA Issues a 'Call to Action' for Patient Videos on Therapy Cap
Lights, camera, advocacy!
Study: Concussions Aren't the Link to CTE
The populations at risk for CTE may be larger than first suspected.

New Data on Musculoskeletal Disease Highlight its Position as Major Contributor to Health Care Costs
More than half of all adults in the US now report a chronic musculoskeletal condition—a rate that outpaces  respiratory conditions and circulatory condition.
Government Reopens Under Short-Term Deal That Leaves Medicare Patients in Limbo
"The time has come for resolution of this unacceptable situation."
Study Contradicts Popular 'Text Neck' Theory
Is there a connection between "text neck" and neck pain? Researchers from Brazil don't think so.

Major Health Industry Groups Look to Streamline Prior Authorization

While prior insurance authorization may be right up there with death and taxes when it comes to life's certainties, 6 major health industry groups believe the process could be much improved.

 


Study: To Avoid LBP, Runners Should Think Deep
“The deep erector spinae required the largest compensations when weakened individually.”
The Good Stuff: Members and the Profession in Local News, January 2018
The brave, the creative, the dedicated - all in this month's "Good Stuff."
Film Star Kathy Bates Helps to Spread the Word on Lymphedema Management in APTA Oncology Section's Journal
"We need awareness. …Please help me spread the word."
Ohio Workers' Comp Program Requires Nonsurgical, Nonopioid Treatment of LBP as a First Step
The state now requires that all workers with work-related back injuries undergo at least 60 days of nonsurgical care, including physical therapy,  before pursuing other treatments.
APTA Physical Therapy Outcomes Registry Again Receives CMS Designation for MIPS Reporting
The value of the Registry goes well beyond MIPS data submission.
From PTJ: Office Work Doesn't Have To Be a Pain in the Neck
Could exercises in the workplace reduce office workers' neck pain?
Survey: HIIT Tops the List of Fitness Trends for 2018
What's the future of fitness?
CDC: 40% of Patients With Arthritis Don't Receive Exercise Counseling From Providers
"The prevalence of [exercise] counseling remains low for a self-managed behavior with proven benefits and few risks, especially among those who are inactive."
The Hard Therapy Cap Is Here: Answers to Some Common Questions
Questions and answers about the no-exceptions therapy cap now in place.
Most-Read Student Pulse Blog Posts of 2017 Point to a Bright Future for the Profession
APTA's Student Assembly Pulse blog series is worth checking out.
Get the Latest on the Future of Payment—And the Now of Home Health

Are you ready for the future of payment—both near-term and down the road? APTA is ready to help you stay up to speed.

 


Study: Referral to Physical Therapy for LBP Reduces Odds of Later Opioid Prescription—Even When Patients Don't Follow Up on the Referral
"Recommending physical therapy provides reassurance to patients that their LBP is best managed with physical activity and is in line with advice to stay active."
2017's Top Stories From PT in Motion News
The most-read PT in Motion News stories from 2017.

Do-Over: Check Out PT in Motion Magazine's Most-Read Articles From 2017
While PT in Motion gears up for 2018, why not catch up on what you may have missed from last year?
Humana Lifts Prior Authorization Requirements for Physical Therapist Services
"This is great news for patients and PTs, but this change also presents a bigger opportunity."
From PTJ: New Health Promotion Model May Equip PTs to Address Wellness and Prevention
When it comes to prevention and wellness, these researchers believe a new clinical model could help bridge the gap between knowing and doing.
Foundation Awards Research Grants, Kendall Scholarships
The Foundation has announced its latest round of scholarship and grant recipients.
Inaction by Congress Triggers No-Exceptions Therapy Cap in 2018
"Congress’ inaction creates the worst-case scenario for patients and providers," said APTA President Sharon Dunn, PT, PhD.
APTA Urges CMS to Consider Ripple Effects of Medicare Advantage Changes for 2019
"Iin addition to making changes that improve that access, CMS needs to make sure it maintains the gains we've already made." 

Study: High-Intensity Exercise Shows Promise for Patients With PD
High intensity exercise for patients with PD shows promise, say researchers.
PTJ: Research on Computer Gaming's Effectiveness in Physical Therapy Needs to Level Up
Active computer gaming had a "significant moderate effect" on cognition and balance, but but didn't improve functional mobility reduce fear of falling.
Government Affairs and Public Service Awards Nominations Due January 12, 2018
Do you know of an APTA member who in 2017 has gone above and beyond to advocate on behalf of the physical therapy profession at the federal level? Is there a member of Congress, staffer, or public figure who has championed physical therapy causes this year?
The Good Stuff: Members and the Profession in Local News, December 2017
APTA members talk squatting, HIIT, making it onto the New England Patriots cheerleading squad, and more.
Analysis: The 'Big 5' Insurers Are Increasingly Dependent on Medicare and Medicaid for Revenue
The degree to which the "big 5" private health insurers depend on Medicare and Medicaid for their revenues may surprise you.
President Signs Law Allowing PTAs in TRICARE; Implementation May Not Be Immediate
One thing that's certain: the change won't take effect immediately.
APTA Board Recommends Further Exploration of Education Reform Through Education Leadership Partnership
APTA's Board is looking to the Education Leadership Partnership to explore the future of clinical education.
Move Forward Radio: Former NBA All-Star Grant Hill Discusses Pain Management and Alternatives to Opioids
“Listen to your body. This is your body. This is your health. You don’t have to rely on opioids to deal with pain.”
APTA Fellowship Opportunities Focus on Education Research

 

APTA has opened its search to fill a fellowship position that will help to define the body of knowledge that drives physical therapist education.

 


Study: Even Small Amounts of PA Can Reduce CVD Risk Among the Elderly
"Even modest engagement in PA may be associated with a substantially lower CVD risk in the elderly."
New Webpage Maps APTA's Coalition Connections
APTA extends the "better together" idea far beyond its own members and components. And now you need look no further than a new APTA webpage for proof.
Study: Physical Therapy May Be Underused Among Patients With OA
While 70%–82% of participants in 3 clinical trials had used oral analgesics to treat OA symptoms, only 39%–52% had used physical therapy.
2018 Slate of Candidates Posted
The 2018 Slate of Candidates for APTA national office is now posted on the APTA website
Final CMS Bundling Rule Reduces Number of Mandated Participants, Expands Possibilities for PTs
CMS is backing off on its knee and hip replacement bundled care model--while opening up possibilities for some PTs.
From PT in Motion: Walking Away From the PT Designation
Do you stop being a PT when you drop the "PT" designation after your name?

Study: 61% of Opioid-Related Deaths Linked to Chronic Pain Diagnosis
61% of opioid-related deaths can be linked to a diagnosis of chronic pain within the preceding year.
CNN Money Looks at Challenges Faced by PTs, Other Providers, Whose Jobs Require Touch in the Workplace
From CNN: No touching the workplace. But what if your job requires it?

'Hollywood' High Tech May See Wide Release in Physical Therapy, but PTs Will Remain Feature Attraction
Tech site CNET is making the case that technologies such as motion-capture interfaces may be the next big thing in physical therapy.
Older Black Americans More Likely to Have Low Physical Function, Less Likely to Receive Rehab Than Older White Americans
Older white patients were found to be 1.38 times more likely than older black patients to receive any type of rehab services.
APTA Fact Sheets on 2018 Outpatient Payment, Home Health Now Available
Now available to APTA members: context and details to help you understand final 2018 rules from CMS on the home health and outpatient prospective payment systems.
4 Things to Do Now That the 2018 Fee Schedule Is Out
What should PTs do in the wake of the new PFS? Here are APTA's top 4 suggestions.
Innovation 2.0 Learning Lab to Focus on PTs as Key Players in PCMHs to Address Childhood Obesity
The fourth and final Innvoation 2.0 Learning Lab will focus on managing childhood obesity in the patient-centered medical home.
The 2018 Physician Fee Schedule: Where We Are, How We Got Here, What's Ahead
The fee schedule: where we are, how we got here, what happens next.
Bill Allowing PTAs in TRICARE Ready for President's Signature
Well, that was quick. The bill that would include PTAs in TRICARE is ready to be signed into law.
The Good Stuff: Members and the Profession in Local News, November 2017
Come and get the Good Stuff.
Choosing Wisely at 5: Is It Making a Difference (And What About the Next 5 Years)?
Has the Choosing Wisely campaign resulted in a significant change to the use of low-value tests and treatments?
Review: Sport Specialization at an Early Age Can Increase Injury Risk
Parents and coaches: be wary of encouraging children to specialize in 1 sport at a young age.
Defense Bill Headed for Final Votes Will Include PTAs in TRICARE
The Armed Services Committees for both the US House and Senate reached an agreement on a National Defense Authorization Act  that includes language proposed by APTA to add PTAs and occupational therapy assistants to the TRICARE program.
Study: Direct Access to Physical Therapy Safe, Effective, and Cheaper Than Referral-Based Care
“When patients chose to see a physical therapist first, there were no identified incidents of missed diagnosis or delays in care as a result of physical therapists’ clinical decision making,"
Required Rehabilitation Benefits Under Threat: Time to Make PT Voices Heard
HHS has proposed changes that will hurt essential health benefits, including rehabilitation. It's time to act.
Study: For Individuals With Knee OA, 3 Tests Can Predict Ability to Walk 6k Steps a Day

 

In a study of 1,925 participants with or at risk for knee OA, researchers sought to link performance on 3 tests to walking patterns outside the clinic.


Washington Post: Female PTs Will Spend Last 4 Weeks of 2017 Working 'For Free'
Guess what the majority of PTs will be doing beginning December 2?
Move Forward Radio: Pain Does Not Discriminate, Even in Hollywood
Karen Joubert, PT, DPT, says her services provide a “back-to-basics” approach for all of her clients, celebrities and noncelebrities alike.
From PT in Motion: The Power and Potential of Clinical Registries
"When you pay attention to the data…it helps improve your treatment and your documentation."
Mary Edmonds, Founding Director of Cleveland PT Program, Dies at 85
Mary Louise McKinney Edmonds, PT, PhD, FAPTA, well respected for her personal strength, her love of study, and her commitment to physical therapy and minority affairs, has died at age 85
Final Fee Schedule Rule a Mixed Bag; Outpatient Rule More Positive
While some practice expense RVUs may drop, the final rule includes no cuts to the work RVUs and actually increases values for a few.
CMS Drops Home Health Payment Plan Opposed by APTA
"It appears our efforts--along with those of many others in the home health industry--were compelling."

HHS Unveils Proposal Allowing States to Change Details of Essential Health Benefits

 

CMS wants to change the ways the Affordable Care Act's state insurance exchanges set up their coverage requirements--and not in a good way.


From PTJ: PTs, PTAs, Students Report High Rates of Inappropriate Sexual Behavior by Patients
Survey: 84% of PTs, PTAs, and students reported some form of inappropriate patient sexual behavior at some point during their careers or training.
Just Taking a Walk Can Extend Your Life, Say Researchers
Few studies have explored the potential association between walking and mortality rates in the aging adult population
Therapy Cap Breakthrough? Legislators Reach Bipartisan Agreement on Repeal
Could the end of the therapy cap be near?
US Receives Failing Grades on Walking and Walkability
The country's report card on walking and walkability isn't honor roll material.
APTA Expands Efforts to Address the Opioid Crisis
APTA has been bringing the physical therapy profession’s voice and perspective to the national dialogue on how best to reshape the health care system’s approach to pain treatment and management.
Researchers Find No Evidence for Popular Treatment for UI, POP
“This particular treatment currently illustrates the phenomenon that not all recommended treatments are evidence based.”
APTA Report: Use of Direct Access Among PTs Is Widespread, but Barriers Need to Be Addressed
Just how much of a reality is direct access?
The Good Stuff: Members and the Profession in Local News, October 2017
There's some Good Stuff going on with APTA members and the profession.
Foundation Funding Opportunities Available for 2018
The Foundation is now accepting applications for 2 major funding programs.
Study: CMS Should Pay Closer Attention to Chronic Wounds
CMS needs to pay more attention to the cost of chronic nonhealing wounds, according to a new study.
CMS Sets Dec 1 Deadline for PQRS Appeals
Appeal 2018 PQRS payment reduction notices by December 1.
APTA Part of the Effort to Save Rural Hospitals
Preserving rural hospitals
New 'Rehab Therapists Give Back' Effort Helps Channel Donations to Hurricane Victims in Florida, Texas, and Puerto Rico
Rehab Therapists Give Back
State-Level PT Advocates Honored at Policy and Payment Forum
These state legislative leaders know how to get things done for the profession.
APTA to Submit Feedback on USPSTF Draft Falls Prevention Recommendations
Draft recommendations for falls prevention have been released by the USPSTF, which is also seeking comments on the draft.
Rates of Cancer Associated With Overweight and Obesity Register Significant Increases from 2005 to 2015, Says CDC
America's obesity problem is also a cancer problem.
From PT in Motion: Going 'Fixer Upper' on Your Clinic
From PT in Motion magazine: PTs explore space.
Making the Profession's Voice Heard on Home Health: Multifaceted Advocacy Efforts Deliver Strong Message to CMS
CMS got an earful from APTA, the Home Health Section, and members on a flawed proposal for home health.
CMS Shelves Controversial Orthotics and Prosthetics Proposal
CMS is backing off an orthotics and prosthetics proposal that would've affected thousands of PTs.
VA Wants to Move Telehealth Beyond State Borders and Into Vets' Homes
The VA is ready to cross state lines when it comes to telehealth.
JAMA: Equipment Ownership, Prior Imaging Behavior Predict High Rates of Low-Value Imaging for LBP, Headache
From JAMA: Equipment ownership is a "consistent independent predictor" of the use of imaging when it's not necessary.
Problems With Humana Claims? Let APTA Know
Having problems with Humana claims? APTA wants to know.
AGs From 37 States Call for Better Insurance Coverage for Nonopioid Pain Treatment
37 state AGs are urging insurance companies to do more to support non-opioid pain treatments.
APTA: CMS Proposal for Home Health Creates 'Perverse Financial Incentives' to Reduce Care
September 26, 2017: APTA tells CMS its proposed home health payment system will do more harm than good.
APTA Board, Nominating Committee Recommendations Must Be In by November 1
September 25, 2017: Help APTA find its next leaders.
APTA Opposes Graham-Cassidy Due to Patient Impact

September 22, 2017: The specifics of the US Senate's latest attempt to repeal and replace the Affordable Care Act (ACA) could evolve before any vote, but the basic outline of the "Graham-Cassidy" (or "Cassidy-Graham") legislation raises enough concern that APTA opposed the bill this week.


US Senate Makes Statement With Language to Bring PTAs Into TRICARE
September 21, 2017: APTA's efforts for revision of the TRICARE payment system to include services by physical therapist assistants (PTAs) got a big push on September 18 when the Senate passed its version of the National Defense Authorization Act (NDAA).
Analysis: Exercise, Psychological Treatment Outperforms Drug-Based Approaches for Cancer-Related Fatigue
September 21, 2017: Authors of a new meta-analysis say there's little doubt that exercise and psychological interventions, used alone or in combination, are superior to pharmacological approaches in the treatment of cancer-related fatigue (CRF).
Microchips That Reprogram Cells, 'Superglam' Physical Therapy, and Powow Sweat: Highlights From 'Making the Rounds'
September 20, 2017: This year, PT in Motion News added a new section to the weekly news blast to members—"Making the Rounds," a collection of interesting reads for the profession from across the Internet.
PT, PTA Students Use 'Flash Action' Against the Therapy Cap
September 20, 2017: A physical therapist (PT) and physical therapist assistant (PTA) student-led "flash action strategy" (FAS) held last week was all about stopping the Medicare therapy cap.
Funding Opportunity for Chapters, Practices to Encourage Activity for People With Arthritis
September 19, 2017: APTA chapters and individual physical therapy practices have a new incentive to start or enhance programs that encourage people with arthritis to be more active—but time is short to take advantage of it.
7 Cool Things That Happened at APTA Over the Summer (And 1 Cool Thing for the Foundation)
September 19, 2017: 7 Cool Things That Happened at APTA Over the Summer (And 1 Cool Thing for the Foundation)
5 Examples of Why You Should be Reading the APTA Student Pulse Blog
September 18, 2017: Given that physical therapy students represent a significant portion of APTA membership, you can't really call the APTA Student Assembly's "Pulse" blog a "best-kept secret" or "hidden gem." Still, because the blog series is targeted at students, it can be easy for practicing physical therapists (PTs) and physical therapist assistants (PTAs) to overlook.
8 APTA Collections That Could Make You a Better Therapist

September 15, 2017: The APTA website is home to some fascinating archives devoted to a variety of topics. Some put you in touch with the thought leaders of the physical therapy profession; others help you keep up with the latest research; still others help to remind you why you chose the physical therapy profession.


The Good Stuff: Members and the Profession in Local News, September 2017
September 13, 2017: "The Good Stuff," is an occasional series that highlights recent, mostly local media coverage of physical therapy and APTA members, with an emphasis on good news and stories of how individual physical therapists (PTs) and physical therapist assistants (PTAs) are transforming health care and society every day. Enjoy!
Ready for Falls Prevention Awareness Day? PTNow Can Help
September 12, 2017: Falls Prevention Awareness Day is coming September 22, making now a great time to check out falls-related resources on APTA's recently expanded PTNow evidence-based practice center.
PTJ: Preterm Infants Less Able to Explore, May Lead to Delays

September 11, 2017: Infants born preterm may be less able to perform certain motor and exploratory behaviors, which could lead to future cognitive and developmental delays, suggests a study in the September issue of PTJ.


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