News Around KPTA

January 09, 2018

1. Q: Do I have to treat my patients without a referral from a physician?

A: No.  You may continue to require a referral from a healthcare practitioner if you so desire.


2.  Q: My patient has a referral for treatment.  Do I have to utilize the referral?

          A: No.  You may treat the patient as you desire, following the established restrictions. 


3.  Q: Will insurance companies pay for PT without a referral? 

          A: Most insurance companies do not require a physician referral for payment.  Medicare requires a signed plan of care, but not a referral.  Check your contracts with participating insurance companies.  Remember, the new law changes how Kansans access physical therapy services, not how physical therapy services are reimbursed


4.  Q: When do I start counting days or numbers of visits during which patient improvement must be documented?

          A: Begin numbering the first visit following your initial evaluation.


5.  Q: Can the 10 patient visits spread out over the course of 1-2 months if they are not progressing toward documented treatment goals?

           A: No. You may treat without a referral for 10 visits or 15 business days, WHICHEVER COMES FIRST.  So, once you reach 15 business days starting the first visit after your initial evaluation (usually 3 weeks), and your patient shows no sign of improvement, you must seek a referral.


6.  Q: The patient made progress toward my documented treatment goals for the first 10 days of treatment, but experienced a setback and lost ground.  By the 15th business day after my initial evaluation, no progress could be noted.  Do I need to obtain a referral, or can I continue treatment since progress was made at one time?

          A: To continue treating without a referral, you must show “progress toward documented treatment goals as demonstrated by objective, measureable or functional improvement, or any combination thereof, after 10 patient visits or in a period of 15 business days from the initial treatment visit following the initial evaluation”.  You must show progress at the time of the 10th visit or at the 15 business-day cut off.  In this case, you would need to obtain a referral prior to continuing treatment. 


7.  Q: If the patient has shown documented progress and no referral was needed after the allotted time frame, will I ever need to obtain a referral during the same episode of care?

          A: No.


8.  Q: The patient did not progress during the allotted time frame.  Must the patient see the physician or other healthcare practitioner prior to continuing physical therapy?

          A: The law states that the “physical therapist shall obtain a referral from an appropriate health care practitioner prior to continuing treatment”.  The patient is not required to visit the physician. 


9.  Q: I am providing physical therapy services for injury prevention, fitness, health promotion, and/or education.  Are there referral requirements in these situations?

          A: No referral is needed at any time in this instance. 


10.  Q: Can I perform wound care without a referral from an approved healthcare practitioner?

          A: You may perform wound care without a referral as long as debridement is not part of the care given.  Any debridement will require “approval” from the healthcare practitioner. 


11.  Q: Will I pay more for my malpractice insurance now that Kansas has patient self-referral?

          A: Patient self-referral laws (many which allow complete, unrestricted patient self-referral to PT services) have been in effect in many states for 25-50 years.  There has never been a documented increase in liability claims or an increase in liability premiums resulting from patient self-referral.

January 08, 2018

Mark your calendars for Tuesday, March 6th!  This is the date for our next KPTA Day on the Hill event in Topeka.  We hope to fill the Capitol with PT’s, PTA’s, and students to help share the benefits of physical therapy. We will also plan to have a bill introduced to the legislature soon.

What can you expect at our 2018 Day on the Hill event? We will have some of our legislators speak to our group. We will then have time to meet with our legislators to discuss the hot topics for PT’s, PTA’s and our patients.  This will include discussing the Physical Therapy Licensure Compact (see below).


7:30 am - Arrive at Capitol

8:00 am - Light breakfast provided

8:15 - 8:30 am - KPTA President, Susie Harms, PT, MHS and KPTA Legislative Chair, Jennifer Caswell, PT, DPT      -Welcome and review of talking points for meetings with legislators

8:30 - 9:30 am - Legislative leadership speakers - TBA

9:30 am - Photo with Governor Sam Brownback (if available)

10:00-2:00 pm - Meet with legislators


Opportunities while at the Capitol: 

* Sit in on the House Health and Human Services Committee Meeting

* Sit in on the Senate Public Health and Welfare Committee Meeting

*Senate is in session

*House is in session 

* Capitol historic tours

* Dome tours


Physical Therapy Licensure Compact

The second week in January, the Kansas State Legislature will start its new session.  The KPTA has been working hard in the background to pave the way for a bill to be brought forth regarding Physical Therapy Licensure Compact (PTLC) early in 2018.  In 2014, the APTA House of Delegates passed a resolution supporting the concept of a physical therapy licensure compact.  The KPTA believes that being a part of the PTLC will improve public access to physical therapy services in Kansas. Currently, there are 14 states that have passed the PTLC.

How does it work?

  • PT/ PTA has to have valid, current, unrestricted license in his/ her primary state of residence.
  • Each state that the PT/ PTA would like to have Compact Privileges in would be required to have legislation in place for the PTLC.
  • Currently, both Colorado and Missouri are in the PTLC.
  • Allows for quicker licensure of physical therapy providers by use of the PTLC (days versus weeks).

PTLC Benefits?

  • Improves continuity of care
  • Improves portability for military spouses
  • Improves access to physical therapy providers
  • Increases choice of physical therapy providers
  • Facilitates alternate delivery methods, like Telehealth

Be a part of the future of physical therapy in our state, we hope you will join us on March 6th in Topeka!

Click here to register for KPTA Day on the Hill.

Contact KPTA

 1055 N Fairfax Street
Suite 205
Alexandria, VA 22314

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