Medical Payment Policy and Clinical Use of Telehealth Technologies for Physical Therapists
Medical Payment Policy and Clinical Use of Telehealth Technologies for Physical Therapists:
An update on federal, state and commercial health insurer medical payment policies tied to telehealth services and clinical use of telehealth services by physical therapists during the pandemic and beyond
This presentation will outline recent medical payment policy changes tied to telehealth services since the start of the COVID-19 Pandemic and will present state, federal and commercial health insurer approaches to coverage and payment most recently and moving forward into 2021 and beyond.
This presentation will also discuss the implementation of Physical Therapists utilizing Telehealth services during the COVID-19 pandemic and discuss the future of Telehealth in clinical practice. Topics such as cost savings, improvements of functional outcome scores, adherence to plan of cares and provide care through state lines will be discussed. Lastly, this presentation will discuss the role of Physical Therapists performing Telehealth services to patients which will help reduce the spread of COVID-19 while providing optimal care.
- Participants will be able to understand Medicare’s recent changes in policy, as well as CPT and payment determinations, along with very recent decisions by commercial insurers tied to their ongoing acceptance and payment for telehealth services by clinicians, including physical therapists.
- Participants will describe how the utilization of Telehealth may improve patient plan of care adherence, functional outcome scores and cost savings.
- Participants will list scenarios in which Telehealth can be used to provide care remotely to patients who would not necessarily be able to receive in person care and how Telehealth may reduce the spread of COVID-19.
About The Speaker(s)
Matthew Katz. MS has more than 25 years of health policy and advocacy experience in health care insurance design and practice management, focusing on value-based payment models and improvements in billing, claims processing and payment. Mr. Katz is a physician practice and provider reimbursement and claims processing consultant, and was previously the chief executive officer of the Connecticut State Medical Society (CSMS), from early 2006 until the end of 2019. Mr. Katz is the Principal of MCK Health Strategies LLC and MCK Consulting LLC, specializing in health care consulting services and health care information technology solutions. A former director of Private Payer Advocacy and director of the Practice Management Center at the American Medical Association (AMA), Mr. Katz also worked in the AMA’s Private Sector Advocacy unit and health policy development division on physician reimbursement along with national and state-based health policy. More recently, Mr. Katz helped establish HealthyCT, a COOP insurance entity that at its height provided insurance coverage to more than 50,000 Connecticut residents, and also one of the nation’s largest national Accountable Care Organizations (ACOs) administered by physicians. In addition, Mr. Katz helped establish CTHealthlink, the Connecticut Health Information Exchange created by CSMS in partnership with Konza (a Kansas Company) and has worked with medical society foundations to solicit more than $5 million in state, federal and private grants for medical research, physician leadership and education, along with patient communication and to address issues of health equity and healthcare disparities.
Mr. Katz holds a bachelor’s of Science degree in History and Sociology from the University of Wisconsin - Madison and earned his Master of Science in Health Services Research and Policy from the University of Minnesota School of Public Health Institute for Health Services Research and Policy.
Jason Myerson, PT, DPT, DMT, OCS, FAAOMPT is a Physical Therapist and Leader of Clinical Development for an outpatient orthopedic multi-location practice in Connecticut and New York City. Jason is a 2005 graduate of Quinnipiac University with his Masters in Physical Therapy, and 2012 graduate of Arcadia University with his tDPT. He has completed an Orthopedic and Manual Therapy Residency and Fellowship training through the Ola Grimsby Institute in 2011 and 2012. Through the OGI he achieved a Doctorate in Manual Therapy (DMT) in 2012 and became a Fellow of the American Academy of Orthopedic Manual Physical Therapists (FAAOMPT) in 2013. He also is a board certified Orthopedic Clinical Specialist (OCS), certified as a Mulligan Practitioner (CMP) and certified in Dry Needling through Myopain Seminars (CMTPT).
Mr. Myerson has lectured at local and national conferences. He was instructed courses in moire than 26 states on topics including orthopedics, manual therapy, Telehealth, persistent pain, spinal manipulation, dry needling and male pelvic health.
He serves as adjunct faculty in the Department of Physical Therapy at Quinnipiac University and Sacred Heart University. Jason is currently the Chair for the Orthopedic and Manual Therapy Special Interest Group (OMSIG) for the Connecticut Physical Therapy Association (CTAPTA).