The Centers for Medicare and Medicaid Services (CMS) has mandated some PTs in private practice to participate in either MIPS or
Advanced Alternative Payment Models beginning January 2019. Additionally, CMS has proposed to allow certain other PTs and physical
therapy practices to opt into the program, enabling them to earn incentive payments.
This session will provide the details on participation thresholds and whether or not a practice will be mandated to participate. In addition, private practice owners will be challenged to evaluate whether they should consider opting in to earn an incentive payments to mitigate the looming flat Medicare fee schedule and PTA differential in years to come.
This course is FREE to PPS Members
Meet our Presenters:
Heather Smith, PT, MPH Heather serves as the Director of Quality for APTA. In her current role, Heather leads
and coordinates quality initiatives for the Association and develops resources related to quality for programs under
Medicare that impact PTs including the respective post-acute care Quality Reporting Programs, the Merit-based Incentive
Payment System, and the Functional Limitation Reporting requirements for therapy services under Medicare. She serves in
a consulting role for the Physical Therapy Outcomes Registry with a focus on measure development and compliance with
quality reporting regulations. She has presented at national meetings and webinars on quality related topics that impact
Janet Shelley, PT, DPT Janet is the CEO of Medical Billing Center (MBC). MBC specializes in billing for outpatient
therapy. Janet founded MBC in 2001 following the sale of a large regional private practice. While in private practice, Janet
participated in oversight and management of independent therapy offices, hospital joint ventures and facility management contracts.
These varied experiences lend to the innate understanding of the challenges and opportunities before facilities and private
practices. She is past President of the South Carolina Chapter, APTA and participates on both state and national payment
policy committees. Janet is the current Chairperson of the PPS Payment Policy Committee.