now called Academy of Pelvic Health Physical Therapy

Practice

Practice Committee

Director of Practice: Jennifer Sergeant Hungate, PT, DPT, WCS, MS

Payment Policy and Advocacy Chair: Katie Pring, PT, MPT

Government Affairs Chair: Gail Zitterkopf, PT, DPT,CLT, CKTP

Clinical Practice Guidelines Chair: Susan Clinton, PT, DScPT, OCS, WCS, COMT

Practice Guidelines, Position Statements and Resources

 

Clinical Practice Guidelines

Clinical Position Statements

Government Affairs Updates

Billing & Coding Reimbursement FAQs

ICD-10 Information (SoWH Members Only🔒)

Functional Outcome Measures

Second Person in the Room (PDF)

Risk Management 101 (PDF)

Documentation (Word Document)

Pessary Guidelines (PDF)

TAKE ACTION

DoD Office of the Secretary Proposed Rule Adding PTAs and OTAs to TRICARE as Authorized Providers: 

The US Department of Defense (DoD) has released a proposed rule to add certified or licensed physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) as TRICARE-authorized providers to provide services under the supervision of a TRICARE-authorized physical therapist or occupational therapist in accordance with Medicare’s rules for supervision and qualification when billed under the supervising therapist’s national provider identification (NPI) number. The proposal follows the provisions of the National Defense Authorization Act of 2017 that added PTAs and OTAs as authorized providers under TRICARE. APTA will submit comments. Individuals (members and nonmembers) may submit comments individually using APTA’s unique template letter (link below).

Deadline for Comments: Tuesday, February 19, 2019

Download Letter Template

 

Kudos to PT Advocate Achievement in 2018!

Reflecting back on 2018 and the numerous achievements accomplished this year. A permanent fix to the Medicare therapy cap was achieved after 20 years of temporary exceptions and implementation delays. Other important legislative and regulatory achievements, included enactment of comprehensive opioid legislation that increases awareness and access to nonpharmacological treatment options, enactment of the Sports Medicine Licensure Clarity Act to ensure physical therapists have liability insurance when working with teams across state lines, the elimination of functional limitation reporting, and the expansion of telehealth services in the Veterans Administration and Medicare Advantage. The Physical Therapy Interstate Licensure Compact continued to make progress, with the first licensure privilege being issued and compact legislation enacted in 21 states. These wins help advance the profession of physical therapy. Please join the effort to move physical therapy forward with the start of the 116th US Congress this January and become a grassroots advocate. The 2019 Federal Advocacy Forum will take place Sunday, March 31-Tuesday, April 2 at the JW Marriott near the White House in Washington, DC. Registration and housing will open January 2019…

Read Full Message

 

Biofeedback Coding Update

In September 2018, the AMA CPT Editorial Panel replaced CPT code 90911 (Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry) with 2 new codes to describe biofeedback training initial 15 minutes of 1-on-1 patient contact and each additional 15 minutes of biofeedback training.

As a follow-up to another CPT editorial panel decision in 2018 that replaced a single CPT biofeedback code with 2 separate codes, CMS is also proposing an RVU of 0.90 for CPT code 908XX (biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry when performed; initial 15 minutes of one-on-one patient contact) and 0.50 for code 909XX (biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry when performed; each additional 15 minutes of one-on-one patient contact). The proposed rule also designates the 2 codes as “sometimes therapy” procedures, meaning that an appropriate therapy modifier is always required when this service is furnished.


New dry needling codes, and changes to codes and RVUs for biofeedback

The American Medical Association (AMA) Current Procedural Terminology (CPT) Editorial Panel approved 2 new CPT codes to report dry needling of musculature trigger points in 2020. These codes, with proposed relative value unites (RVUs) of .32 (205X1, needle insertion without injection, 1 or 2 muscles) and .48 (205X2, needle insertion without injection, 3 or more muscles), were surveyed and reviewed by the Health Care Professions Advisory Committee, a group of non-MD/DO health professionals, including a PT representative. Those new codes are included in the proposed PFS.

Also, in September 2018, the AMA CPT Editorial Panel replaced CPT code 90911 (Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry) with 2 new codes to describe biofeedback training initial 15 minutes of 1-on-1 patient contact and each additional 15 minutes of biofeedback training.

As a follow-up to another CPT editorial panel decision in 2018 that replaced a single CPT biofeedback code with 2 separate codes, CMS is also proposing an RVU of 0.90 for CPT code 908XX (biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry when performed; initial 15 minutes of one-on-one patient contact) and 0.50 for code 909XX (biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry when performed; each additional 15 minutes of one-on-one patient contact). The proposed rule also designates the 2 codes as “sometimes therapy” procedures, meaning that an appropriate therapy modifier is always required when this service is furnished.

source: http://www.apta.org/PTinMotion/News/2019/07/30/Proposed2020PFS/

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