Practice and Payment Specialist Committee in Indiana
Practice and Payment Specialist Committee in Indiana provides resources for addressing practice and payment issues in physical therapy. Through advocacy efforts and collaboration with payers, the committee works to improve payment policies, educate members, and proactively engage with the payer community.
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PRACTICE AND PAYMENT SPECIALIST AND COMMITTEE Practice and Payment Specialist Andrea Lausch, PT, DPT: andrealausch@inapta.org Practice and Payment Committee Members Sean Bagbey, PTA, ATC, MHA David Dinn, PT, MS, Board-Certified Clinical Specialist in Orthopaedic Physical Therapy Shane Sommers, PT, MS Holly Zent, PTA
PRACTICE AND PAYMENT SPECIALIST AND COMMITTEE As a benefit of APTA Indiana membership, the Practice and Payment Specialist, working in conjunction with the Practice and Payment Committee, serves as a resource for practice and payment issues. This includes: Disseminating News/Updates Educating Membership on Practice and Payment Issues Addressing Questions and Concerns From APTA Indiana Members
PRACTICE AND PAYMENT SPECIALIST AND COMMITTEE APTA Indiana would like to proactively build positive relationships with the payer community in Indiana. The Goal Is To: Create an Opportunity to Provide Payers With Useful and Pertinent Information About our Field in a Collaborative Atmosphere Be a Resource to Payers Improve Physical Therapy Payment as Payers Consider Payment Policy Decisions Host a Payer Forum
PRACTICE AND PAYMENT SPECIALIST AND COMMITTEE How you can help payment and practice in Indiana? Advocate for the PT Profession #fightthecut: CMS is attempting to adjust Medicare Part B by reducing fee schedule payment for codes tied to physical therapy. These reductions, planned for 2021, could result in an estimated 9% decrease in payment, according to the 2021 proposed Medicare Physician Fee Schedule rule released August 3, 2020. Visit the APTA Regulatory Action Center to access templates to write CMS and the APTA website to access pre written letters to Congress.
PRACTICE AND PAYMENT SPECIALIST AND COMMITTEE Keep the APTA Indiana Practice and Payment Committee informed of payer issues so we can address your concerns! Current Concerns Members Have Expressed: AIM/Anthem: Inappropriate Prior Authorization Approvals Are you having challenges with Anthem/AIM? Need case examples of: denials, how visits authorized impact care, administrative burden challenges to build a case. Telehealth: Is there a need for best practices education? Are you having difficulty with reimbursement? Other concerns?
PRACTICE AND PAYMENT SPECIALIST AND COMMITTEE Help us build a database of payers, third-party administrators, and others payer organizations that would benefit from an improved knowledge base about physical therapy including: Claims, utilization managers, case managers, provider relations or professional services managers, department of medical directors, and fraud investigation units. Provide as much of the following information about payer representative contacts you have: Send information to andrealausch@inapta.org Name Title and Company Address Phone Fax E-mail Address
