Hello Association Members,
As I write this, .....
NPTA Practice Management Committee Update
June 1, 2020
Some companies are posting their end dates for COVID-19 requirements.
- Specifically, UnitedHealthcare has resumed their prior authorization requirements and site of service reviews as of June 1st. More UHC updates are as follows:
- June 30 – Claims with a date of service on or after Jan. 1, 2020 will not be denied for timely filing if submitted by June 30, 2020.
- July 24 – COVID-19 telehealth service coverage and related cost-share waivers for Individual and fully insured Group Market health plan members are extended through July 24, 2020. We’ll adhere to state regulations for Medicaid plans.
- Sept. 30 – Cost share is waived for Medicare Advantage members for both primary and specialty office care visits, including telehealth, through Sept. 30, 2020.
UHCCP & MPPR
Our coalition with the Nebraska Occupational Therapy Association (NOTA) and the Nebraska Speech, Hearing, and Language Association (NSHLA) is jointly working on tackling this issue. The MPPR is applied to patients that are covered by UnitedHealthcare's Community Plan (Medicaid) and reimbursement rates fall below the fee schedule that is set for the State of Nebraska by the State Legislature. More information to follow on this topic.
The Legislature will return to finish the final 17 days of the legislative session on July 20th and adjourn on August 13th. We hope that our bill will be passed by the Legislature, which will provide for a 60-day requirement before changes to such things as authorizations for the Heritage Health (Medicaid) plans in Nebraska as it pertains to PT, OT, and SLP.
PT's and ATC's
Many of you know that the Athletic Trainers of Nebraska are in the midst of changing their practice act. APTA-NE members, including, our president, Grace Knott and PT's that are are also licensed ATC's have met 3 times to discuss the proposed changes. In addition, the APTA-NE and the NSATA members have met on 2 separate occasions. There is a hearing tomorrow and APTA-NE will have representatives attending the hearing.
It has been brought to my attention that Medica may be employing some new edits in relation to ICD10. You may have had some denials with specific combinations of codes. We are looking into this further and more updates in the very near future will follow. Please contact me if you are having these issues. [email protected]
Thank you so much!!!
Brian Brunken, PT, MSPT, OCS
Despite the Annual Education Conference being cancelled for 2020, the Education Committee continues to look toward the future in the hopes that 2021 will bring renewed opportunities for professional learning and networking.
The Education Committee is always open to taking recommendations for speakers. We are currently determining if the 2020 line up of speakers would be open to presenting at the upcoming 2021 Education Conference.
The Education Committee encourages you to continue learning and developing your knowledge in these unprecedented times. We encourage you to check out the APTAnebraska.org website, where you can find other educational options: see the Events tab in the top right corner and click on Calendar of CEUs. We also invite those with pearls of wisdom to teach, to develop online learning modules and submit them on the NPTA.org website for Continuing Education Course Approval to get them added to the CEU Locker: NPTA Homestudy & Online Courses Page.
Jen Bruursma, Education Committee Co-Chair
Happy Spring from the Central District of APTA NE. We would like to introduce ourselves as the new co-chairs to the Central District and express our excitement to take on this role. We are both eager to bring you quality continuing education, promote networking amongst our region and work alongside the rest of the executive committee in serving our members.
Tessa Wells has been an APTA member since 2003, and a 2006 alum of the University of Nebraska Medical Center. She practiced in Kearney, NE at CHI Health Good Samaritan/Kearney Physical Therapy in both inpatient and outpatient before taking a faculty position in 2016 at the UNMC-Kearney campus. She specializes in geriatric rehabilitation and is the co-state advocate for Nebraska for APTA Geriatrics.
Stacie Christensen is a faculty member at UNMC – Kearney campus as well and practices in the acute care and inpatient rehab units at CHI Health Good Samaritan/Kearney Physical Therapy. She is a 2008 alum of UNMC and longtime member of APTA and APTA NE. She specializes in neurological rehab with 10+ years of experience in inpatient rehab.
In the past year, the Central District has hosted continuing education courses locally. The fall course originated from Kearney and presented a clinical practice guideline on selecting core outcome measures for neurological patients. There was good representation from both licensed therapists and physical therapy students. The meeting was streamed using GoToMeeting to allow remote attendance for clinicians unable to travel to the host site. The meeting planned for Spring did not occur due to COVID-19.
We anticipate planning the next education event as we are allowed to gather again with continued use of the GoToMeeting platform to bring you education even within these unprecedented times. Please reach out to either Tessa ([email protected]) or Stacie ([email protected]) with any suggestions for future discussions or any questions or concerns that we can assist with. We look forward to serving you!
Mike Moravec recently retired from being the Western District chair. Thank you Mike for your time and effort that you dedicate to our association over the lat 5 years as chair.
The Western District recently hosted a two part online class on pain neuroscience by Justin Dunaway of the Institute of Clinical Excellence (ICE). The courses were very informative and attended by therapist across the state. We are looking forward to providing more of these educational opportunities in the future.
Sidney Regional Medical Center is planning on hosting the ICE class of Total Spine Thrust Manipulation on July 25th and 26th. Sidney Regional Medical Center would like to welcome anyone to attend and share in this educational experience. Due to the current COVID circumstances, this class may be subject to change.
Good afternoon to the APTA Nebraska chapter.
I love our new rebranding and how consistent we will be across the nation with how strong the APTA is becoming.
Soon the first virtual House of Delegates will convene on June 1st, 2nd and 3rd via Zoom. Please join us on the APTA website if you’re sitting in your office with a little time to kill. I think you will find the HoD inspiring and the process through virtual media this year is interesting to say the least.
You will be represented by Bobby Griese, chief delegate, Kasey Murphy, Brent Todd, Cheryl Wisinski, Karen Paschal, Grace Knott, alternate delegate, and Ian Thompson, PTA caucus representative.
9 main motions have been put on the consent calendar and will be voted in first order of business in the house. Then the other 32 motions will be debated virtually starting with the by-law amendments because every 5 years the HoD looks at by-laws and changes that are needed to support the current times.
Hope to see you all soon at a meeting that we are face to face without masks when it is safe!
Bobby Griese, PT, DPT
The Early Professional Special Interest Group (EPSIG) had its first executive committee meeting via zoom on May 31st in preparation for recruitment of members and mentors for the group. Among many topics the committee discussed in detail the following: mentorship for members; committee’s vision for social media; recruitment of members and mentors; and events the SIG would like to host in the future. The executive committee consist of the following young professionals: Chairperson – Morgan Busboom, PT, DPT, CSCS; Vice Chairperson – Devan Sedlacek, PT, DPT; Director at Large – Maggie Morehouse, PT, DPT; Secretary – Cara Cameron, PT, DPT; PTA Director – Cortney Kelley, PTA; Nominating Chair – Reana Mulcahy, PT, DPT.
Please stay tuned for information from the SIG on recruitment of members and mentors, social media, and events!
Reminder that the SIG is an organization for early professionals in physical therapy that are within 5 years out of school and current members of the NE Chapter of the APTA.
Please contact the executive committee with any questions by emailing [email protected].