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Spring Conference 2016: Two Courses - Payment/Policy by Helene Fearon or Therapeutic Exercise by Tim Fearon

  • 23-Apr-2016
  • 7:00 AM
  • 24-Apr-2016
  • 4:30 PM
  • Bozeman, MT


  • Course includes light continental breakfast, lunch at the MAPTA meeting, reception.
  • Course includes light continental breakfast, lunch at the MAPTA meeting, reception.
  • Course includes light continental breakfast.

Registration is closed

Two Courses Available:

Payment and Policy Pandemonium: Medicare and Therapy Benefit Updates for 2016 and Beyond
Helene Fearon PT, FAPTA: (7 Hours)
SATURDAY ONLY - Billing staff welcome to register!

Efficiency & Efficacy: Integration of Therapeutic Exercise & Manual Therapy,
Tim Fearon
 PT, DPT, FAAOMPT (7 hours)


If you are registering a member, and you find the selection does not give you member pricing, please log in with the email we have on file for you. This will recognize you as a member. If that doesn't work, feel free to call or email and we will find the problem and fix!


Provisions include a light continental breakfast both days including coffee; Lunch at the business meeting. 


Rooms can be reserved at the Bozeman Holiday Inn. Please call 406-587-4561 and request the MAPTA room block of $99. This block expires at noon on April 9, 2016. You may book rooms after this date but are subject to standard rates and availability. Please check with the hotel regarding cancellation policy.

Board Meeting

April 22, 2016, 6-8pm, TBA.

Business Meeting

Business meeting and elections will be held at noon on Saturday, April 23, 2016 at the Holiday Inn, Bozeman. Lunch is included for those registered for the course and for those who RSVP in advance. Please RSVP if you are not registered (you may register online). Please send agenda items to the office or President Jay Shaver by April 2, 2016. Final agenda will be posted by April 13, 2016.

Salsa Reception and Fundraiser

Following the education, join us for the Salsa Reception and Fundraiser at the Holiday Inn. You  may join us regardless of course registration! This is continuation of the fundraiser reception held at the Winter Meeting

Cancellation Policy

MAPTA reserves the right to refuse/cancel an event registration. If MAPTA refuses a registration, registrants will be offered a full refund.

Registration Cancellation by Participant:

  • Cancellations will be accepted in writing via fax, email, or mail.
  • A $25.00 administration fee will be withheld when cancellation occurs up to ten days prior to the start of the event; 50% refund if cancelled 2-10 days prior; 25% refund if cancelled 0-1 day prior.

Group Discounts:

10% Discount for 3 or more APTA Members from one clinic. Fees for all persons must be made with one payment. No exceptions. Credit will not be provided at a later date. 

Lifetime Members:

Lifetime members may attend any non-limited seating, MAPTA sponsored CE at 50% discount.

Student Members:

Student members may attend any non-limited seating, MAPTA sponsored CE for $99. Student Non-Members may attend any non-limited seating, MAPTA sponsored CE for $125.



 7am-8am Professional Issues Forum, Jay Shaver et al




Helene Fearon Course




Helene Fearon Course, continued


LUNCH and MAPTA Business Meeting


Helene Fearon Course, continued




Helene Fearon Course, continued


Summary / Conclusions

05:35 Global Health Reception - Salsa!


Depending on number of attendees, we may move this course to a local PT Clinic. TBD.

07:00 Registration


Tim Fearon Course




Tim Fearon Course, continued


Working lunch


Tim Fearon Course, continued




Tim Fearon Course, continued


Summary / Conclusions

About the courses:

Payment and Policy Pandemonium: Medicare and Therapy Benefit Updates for 2016 and Beyond

Helene  Fearon PT, FAPTA 
7 Contact Hours   *Montana Category A

Morning Content: Physical Therapy and Payment Reform: Key Characteristics, Important Accomplishments and the Continued Path Forward

Course Description:
Hear an update on the efforts to secure meaningful payment reform in physical therapy for care delivered in the out-patient setting. This half-day course is designed to provide the most up-to-date information on the payment reform environment and physical therapy services provided in the outpatient setting. The day will start with Attendees learning the backround of reform efforts as applicable to physical therapy payment and the context in which reform efforts have progressed, including health care reform initiatives impacting payment across healthcare. Information will be provided regarding the aspect of payment reform that impacts reporting of physical therapists evaluations, specifically 2017 CPT coding changes as well as an update on revisions to intervention codes in the future. Updates regarding other issues related to payment policy and compliance will assist in informing a discussion regarding physical therapy delivered through various service delivery models in a reform environment that takes into consideration the following characteristics: efficiency, effectiveness, quality, value and sustainability.

This makes for some challenges as well opportunities, come and participate in this day of information sharing and audience participation. This information will be delivered through a didactic presentation as well as through panel presentations including local experts in the area payment policy, health care reform and innovative service delivery models addressing both!

Afternoon Content:Policy Pandemonium Medicare and Therapy Benefits: Payment Policy and Compliance Update

Course Description:

"The more things change the more they stay the same", this phrase very well describes the environment that administrators and clinicians find themselves in when considering payment policy, regulation and compliance pertaining to the delivery of physical therapy services in all OP setting's. The important elements involved in current policy and regulations, that all OP practice environments need to understand and implement appropriately, changes constantly, yet the underlying definitions and requirements of the benefit under the Medicare program basically remain the same. In light of all the payment reform efforts and changing service delivery models, it is always good to assure that compliance with these policies and regulations is up to date and a reflection of the most current interpretation and implementation. This presentation is made up of lecture/ practice management scenarios, audience participation for discussion and Q/A, on topics to include payment policy, regulation and compliance issues related to the current billing and payment environment. Clinical scenarios are used often in the context for how to best report the clinical service to a third party to support medical necessity, as well as best reflect the clinician’s clinical decision making.

Who Should Attend this One Day Course:

Physical Therapists, Physical Therapist Assistants, Front Office Administrators, Practice Managers, and Billers

Course: Learner Objectives/References

These sessions will present information on the payment environment for physical therapy in light of the reform efforts sweeping across healthcare. Specifically will provide an update on how the various efforts at reforming payment models could impact therapy services in the OP setting, trends and efforts to include therapy services in these initiatives. Also there will be specific content on various payment policies, reporting requirements and administrative processes necessary for the OP Therapy practice to understand and implement in order to be an efficient, effective and compliant Medicare Part B provider.

The content will be provided in an organized manner to facilitate practice and payment in this challenging environment. The course content begins with an overview of the environment in terms of the what, where and how of therapy utilization, review and policy. The course also includes specific information regarding Medicare requirements related to documentation, coding and billing in the OP setting, discussion of various tools to facilitate better collections of cash from certain patient populations, and updates on the audit environment. There will be ample time for interaction with the speaker and others in attendance, with several Q&A sessions throughout the one-day presentation. The afternoon will close with a moderated panel of chapter representatives familiar with state payment and policy issues.

Course Content: Approximately 4 hours in AM and Approximately 3 hours in PM (time considering breaks/lunch during the days presentation).

Content areas:

  • Review of APTA payment reform initiatives in regards to Delivery of Therapy services under the Medicare Benefit
  • Focus on Revised Evaluation Codes as facilitating first phase of payment reform efforts
  • Payment Policy: Medicare Fee Schedule Update (Therapy Cap, Manual Medical review, FLR/PQRS review and updates)
  • Coding: ICD-10, lessons learned, CPT Coding, New evaluation codes and updates on coding for interventions
  • Medicare and the Cash-pay patient: Use of Advanced Beneficiary Notice (ABN), Decisions related to Medicare enrollment
  • Who, What, Where and How of Provider Audits

Learning Objectives

  • Description of the current issues in the Federal Legislative and Regulatory arena and their impact on delivery, documentation, and coding requirements for rehabilitation in 2016 and beyond
  • Understand the most significant risk areas for audits, specific to private practice and OP rehabilitation and how to best address through documentation both clinically and administratively
  • Learn the definition of Medical Necessity used by most third party payers and how to best apply to the reporting of services in your practice environment
  • Learn the most updated Medicare Documentation Requirements as well as other Medicare compliance issues and any implications to other third party policy
  • Identify areas of risk in coding (time, units) from a compliance perspective and learn documentation tips important in support of the use of codes to describe clinical practice in the private practice setting
  • Be able to describe the basic construct of and resources for effective reporting of ICD-10 codes for OP rehabilitation services
  • Understand upcoming changes to the payment and reporting methodology for rehab services in the future and how to best prepare for this transition from a thought and process perspective

About the Speaker:
Helene Fearon is one of the founders and principle consultant of Fearon Levine Consulting, (FLC) from 2004-2016 and currently consults on payment and policy issues related to outpatient rehab services delivered in all settings. She also is co-owner of Fearon Physical Therapy and provides for work injury management and prevention services. She is president of and shareholder in a physical therapist owned provider network with over 165 private practices involved as members. Ms. Fearon teaches as an adjunct faculty member in 3 university physical therapy education programs.

Ms. Fearon has been involved over the past 23 years with the American Medical Association’s Current Procedural Terminology (CPT) process in the development, and implementation of CPT codes. She was appointed as APTA’s representative to the American Medical Association’s CPT HealthCare Professionals Advisory Committee (HCPAC) in 1992 and completed 8 years of service on the AMA’s CPT Editorial Panel as well as 4 years on its’ executive committee. She is a reviewer and contributor to APTA/Optum Health publication “Coding and Payment Guide for Physical Therapists”. She is active in the Private Practice Section and a member of the Arizona PT Association and served on the State of Arizona Licensing Board for 8 years, 4 as President of that Board. Ms. Fearon was honored in 2012 as a Fellow of the American Physical Therapy Association.

Efficiency & Efficacy: Integration of Therapeutic Exercise & Manual Therapy

Tim Fearon PT, DPT, FAAOMPT 
7 Contact Hours   *Montana Category A

Course Description

This class is intended to assist the clinician in maintaining their primary focus on enabling patient independence from the medical system including the need for PT.

The stratification of patients can be effectively summarized as those requiring intervention, rehabilitation, management or prophylaxis. The recent trend to evidence-based practice has brought along with it an unintentional and inappropriate bias toward the intervention phase.

This class will be biased toward the rehabilitation, management, and prophylaxis phases with a complete focus on therapeutic exercise and appropriate education for the patient. With the decreasing reimbursements in physical therapy and the burgeoning business models of physical therapy delivery, exercise has commonly been generalized and delegated to ancillary staff. The exercise concepts will require physical therapist knowledge of anatomy, pathology, chronology and attainable patient goals through the application of genuinely therapeutic exercise.

Basic principles of facilitation will be integrated with the use and elimination of gravity and body weight directed towards the patient's functional needs. There will be an integration of proprioceptive neuromuscular facilitation, manual resistance applied during the flow of manual therapy techniques, gravity assistance, gravity resistance, and external resistance. Additionally the progression towards realistic home exercise without sophisticated equipment will be integrated.

This class is willfully designed to be efficient with your time as well as effective with developing, improving or mastering your skill set. The content will be completed in one day. All enrollees will receive the didactic portion of the class before the actual class day allowing time for absorption before the physical interface. This will ideally liberate the class to spend the majority of the time together in a genuine “hands on” refinement of skills to be assimilated into their present matrix.

Course Objectives

  1. Develop a conceptual framework for active exercise.
  2. Integrate the basic concepts of exercise into manual therapy techniques.
  3. Discuss the genuinely common clinical syndromes, the rapid recognition of them and the applicable progression to exercise as treatment.
  4. Integration of the principles for spinal mobilization on a continuum through to manipulation and active exercise.
  5. Develop proficiency with the common clinical syndromes and progression of treatment from passive to active for the purposes of developing patient independence.
  6. Understand the application of principles for therapeutic exercise from repeated movements for centralization, augmenting manual intervention, to development of trunk control and prophylaxis.
  7. Nurture continued development of skills with accurate and informative feedback from the ‘patient’ therapists with each session. Understand the experiential nature of motor skills.
  8. An emphasis on the application of proprioceptive neuromuscular facilitation to the orthopedic patient.

Course Agenda

8:00 – 10:00 AM: Introduction of common clinical syndrome concepts. Lab content: Active mobilization of the cervical, thoracic spine and lumbar spine

10:15-12:15: PNF concepts for application to the orthopedic patient. Lab content: Progression of mobilization techniques through the use of PNF

12:15-1:00 lunch

1:00-2:45 Controlling & limiting motion. Lab time: Controlling trunk motion with superimposed extremity motion.

3:00-4:15 Creating independence through exercise. Lab time: Exercise applied to function

About the Instructor:

Timothy Fearon received his PT degree from The Ohio State University. He completed the graduate program in the Musculoskeletal Sequence at Northwestern University. He completed his Doctorate in Physical Therapy at Northern Arizona University.

Fearon founded Phoenix Manual Therapy (PMT), which initially offered courses, based on the Nordic System of orthopedic manual therapy. Phoenix Manual Therapy progressed to offering a long-term course frame for study of the Australian clinical reasoning approach to orthopedic manual therapy with integration of Norwegian techniques and therapeutic exercise. The course has been running over the last 25 years. In 2011 PMT began to sponsor Dr. Peter Gibbons & Dr. Phillip Tehan's spinal manipulation course work and Fearon is lead faculty for course one. He earned his Full Fellowship status in the American Academy of Orthopedic Manual Therapy by the challenge process in 1999; he renewed that status in 2010.

Dr. Fearon is currently adjunct faculty at A. T. Still University where he teaches manual therapy of the spine and extremities at the entry level and in the residency track. He has been a guest instructor for NAU, Arizona School of Health Sciences, Regis University, Langston University, and North Georgia College. He is lead faculty for Evidence in Motion manual therapy courses, the Clinical Decision Making Class and Fellowship Virtual Rounds. He has taught manual therapy courses over the last 20 years, spoken at numerous meetings for the Arizona Physical Therapy Association, and for the APTA.

Dr. Fearon currently practices in an outpatient private practice specializing in orthopedic manual therapy and spinal rehabilitation where he has been for the last 29 years.

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