Legislative & Payment

Recent News and Course Content Reminders of Medicare Billing Requirements

With recent news in Hawaii along with information provided during the Medicare class that HAPTA hosted in early October, we thought we should provide reminders about some Medicare billing areas that continue to cause problems for some providers: In order to bill for physical therapy, services need to be provided by a licensed physical therapist,…

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Bundled Payment Will Require New Solutions

PT practice is changing and much of it comes from external stressors. Especially as we step into new payment models such as bundled payment, we must come up with new solutions. Many physical therapy practices attempt to meet these demands by increasing productivity, driving down costs, and being selective with payers. We must ask ourselves…

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Federal Regulation, Dry Needling and Licensure Compact Highlights from 2017 APTA State Policy and Payment Forum

HAPTA members Joanne Zazzera, Patti Taira-Tokuuke and I (Justin Ledbetter) recently traveled to Detroit, Michigan to attend the annual APTA State Policy and Payment Forum. In addition to Joanne receiving the APTA State Legislative Leadership Award, we learned a lot about what’s going on around the country. Here are some highlights. Federal Regulatory Affairs PTs…

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HAPTA Legislative Activities – Review of 2017

With the recent end of the Hawaii 2017 legislative session, we would like to update our members on what HAPTA did this year and how our efforts turned out. We began 2017 with a contracted lobbyist and some strong strategies. Our plan was for legislators to become familiar with us and to have our voice…

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HAPTA Will Continue to Advocate for Improved Workers’ Compensation Payments

As the Hawaii legislative session draws to a close, we thought members would be interested in an update about our efforts this year to tackle workers’ compensation (WC) issues. It was our priority this year to tackle: 1. injured workers’ access to medical care, 2. the challenges of physicians and physical therapists taking on WC…

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Member Action Helped Avert Workers’ Comp Payment Crisis

On November 17, the Hawaii Department of Labor and Industrial Relations (DLIR) held a hearing on a proposal that would have switched the medical fee schedule back to Medicare plus 10 percent. Doing so would have pushed the clock back to a time when reimbursements for workers’ comp cases were barely sustainable. Due to notice…

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CPT Evaluation Codes Changing January 1, 2017

On January 1, 2017, the PT initial evaluation and reevaluation codes (97001 and 97002) will disappear from the AMA’s CPT coding. Poof. Just like that. That’s right, the AMA will replace codes 97001 and 97002 with 97161, 97162, 97163 (for low, moderate and high complexity initial evaluations) and 97164 (reevaluations). This will affect claims for…

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HAPTA Leader Joins United Spinal Association in Advocacy and Honoring Hawaiian Senator

HAPTA Legislative Committee member Abi Leddy joined the United Spinal Association during their annual Roll on Capitol Hill (ROCH) in Washington, DC last month so she could advocate for priority legislation and to help present their VetsFirst program Congressional Bronze Star Award to Hawaii Sen. Mazie Hironi. During the ROCH, Dr. Leddy joined more than…

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Support North Carolina’s Dry Needling Lawsuit

Dear Members of HAPTA, As you know physical therapy has evolved greatly over the last few decades.  As a profession we have developed and expanded our scope of practice.  We as therapists are allowed to expand our knowledge base to treat along a long spectrum including othropaedics, neurology, wound care, cardiopulmonary rehab and oncology to…

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2016 State Legislative Summary

Goodbye snail mail Workers Comp Treatment Plans! Hello electronic submissions HB2017 will change current law that only allows snail mail submissions for WC Treatment Plans, and mandates that insurers accept electronic treatment plans. But hold your horses as this doesn’t go into effect until 1/1/2021. The measure will allow insurers 10 business days to deny…

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