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  • Quick Guide and Call-In Q&A Are Latest New Resources to Prepare for Payment in 2017

    A new guide to using the 3 new tiered evaluation codes that come into play January 1, 2017, gives APTA members a quick graphical explanation of the criteria for determining when an evaluation is considered “low,” “moderate,” or “high” complexity. Developed by APTA, the guide is available as a 2-page printable PDF download and, as a bonus, is being included as a printed pocket-sized guide in members’ December 2016-January 2017 issues of PT in Motion magazine.

    The quick guide joins other APTA resources that can help members become familiar with the codes, which were included in the final 2017 Medicare physician fee schedule.

    Among those other resources: the latest recording of APTA’s Insider Intel, APTA’s series of call-in sessions that allow members to pose questions to staff experts on current topics. The November 9 call-in led off with the new evaluation codes, of course, but other need-to-know topics included the review of potentially misvalued CPT codes; provisions to implement the Medicare Access and CHIP Reauthorization Act of 2015 as well as the Improving Medicare Post-Acute Care Transformation Act of 2014—known as MACRA and IMPACT, respectively; and final rules for the home health and outpatient prospective payment systems. A full recording of the November 9 call is available here.

    To see what else APTA offers, visit the association’s New Evaluation and Reevaluation CPT Codes webpage, where new tools are being added regularly in the countdown to January 1.


    • The so called "quick guide" struck me as providing little help or clarity. The CMS website was much more useful and clear on the issue.

      Posted by Brian Miller on 11/19/2016 12:11 AM

    • I appreciated the APTA's efforts in providing this guide and the efforts of all those involved around decision making and complexity of presentation related to coding. However I am disappointed that resources and documents have made mention of any particular minute value. It would seem understandable the time has value, however, In my opinion, definition around minute value has potential for being detrimental to the underlying premise of the change should these codes in the future have any influence with respect to monetary value. It would seem coding that represents patient characteristics has merit. I suppose time will tell if this coding change will have any bearing on improved care. At minimum, these coding changes do seem to force emphasis and consideration of individual characteristics of the patient/client that is front us....which would seem always a positive variable towards decision making. Hopefully, we can become less consumed in our individual practices around the inconvenience and uncomfortable feelings that change can bring and rather look towards what can evolve in positive light to enhance quality and value of the care that is provided to our patient/clients.

      Posted by Brad Tracy on 11/24/2016 12:51 PM

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