APTA participated in the Brain Injury Awareness Fair as part of the 12th annual
Brain Injury Awareness Day on Capitol Hill. These events aim to educate members
of Congress and their staff on the full range of effects of traumatic brain
injury (TBI), the challenges and recoveries of people living with brain injury,
and the services and supports that are available to them.
Bill Pascrell Jr (D-NJ) and Thomas J. Rooney (R-FL), cochairs of the
Congressional Brain Injury Task Force, held a press conference to announce
legislation advancing the treatment and prevention of TBIs.
afternoon panel discussion titled "Promoting Brain Injury Awareness
through Public/Private Partnerships" featured COL Jamie B.Grimes,
MD, MC, national director, Defense and Veterans Brain Injury Center;
Sara Patterson, associate director of policy, Centers for Disease Control and
Prevention; Katie Clarke Adamson, director of health
partnerships and policy, YMCA of America; Jeff Miller, chief security
officer, National Football League;
Roland Gerritsen van der Hoop, chief medical officer, BHR Pharma,
and Ralph Ibson, national policy
director, Wounded Warrior Project.
Check out APTA's TBI webpage for advocacy and education resources on TBI and
a 2-step trial conducted in the United Kingdom, providing active management
consultation for patients with acute whiplash injury in emergency departments
(ED) did not show additional benefit compared with usual care consultations,
say authors of an article published in
February in The Lancet. Physical
therapy resulted in a modest acceleration to early recovery of persisting
symptoms but was not cost effective from the National Health Service's (NHS)
perspective. Usual consultations in EDs and a single physical therapy advice
session for persistent symptoms are recommended, the authors add.
1 was a pragmatic, cluster randomized trial of 12 NHS Trust hospitals including
15 EDs that treated patients with acute whiplash associated disorder of grades
I-III. The hospitals were randomized by clusters to either active management or
usual care consultations. In step 2, the researchers used a nested individually
randomized trial. Patients were randomly assigned to receive either a package
of up to 6 physical therapy sessions or a single physical therapy advice
session. Randomization in Step 2 was stratified by the center. Investigator-masked
outcomes were obtained at 4, 8, and 12 months. The primary outcome was the Neck
Disability Index (NDI). Analysis was intention to treat, and included an
step 1, 12 NHS Trusts were randomized, and 3,851 of 6,952 eligible patients
agreed to participate (1,598 patients were assigned to usual care and 2,253
patients were assigned to active management). Of the 3,851 eligible patients,
2,704 (70%) provided data at 12 months. NDI score did not differ between active
management and usual care consultations (difference at 12 months 0.5).
step 2, 599 patients were randomly assigned to receive either a single physical
therapy advice session (299 patients) or 6 physical therapy sessions (300
patients); 479 (80%) patients provided data at 12 months. At 4 months, patients
who received physical therapy showed a modest benefit compared with advice (NDI
difference -3.7, -6.1 to -1.3), but not at 8 or 12 months. Active management
consultations and physical therapy were more expensive than usual care and a
single advice session. No treatment-related serious adverse events or deaths
new carbapenem-resistant Enterobacteriaceae (CRE) webpage contains news,
updates, and links to a variety of resources on these drug-resistant bacteria.
reported earlier this week in News Now, physical therapists and physical
therapist assistants play an important role in protecting patients from CRE.
CRE have high mortality rates, killing 1 in 2 patients who get bloodstream
infections from them. Additionally, CRE easily transfer their antibiotic resistance
to other bacteria. CRE are usually transmitted person-to-person, often on the
hands of health care workers. Currently, almost all CRE infections occur in
people receiving significant medical care. However, their ability to
spread and their resistance raises the concern that potentially untreatable
infections could appear in otherwise healthy people, including health care
Jacquelin Perry, MD, a physical therapist who trained at Walter Reed Army Hospital (1940-1941) and practiced in the US Army for 5 years, died at her home in Downey, California, on Monday at age 94.
Perry graduated from the University of California, San Francisco, in 1950 as a physician and became board certified as an orthopedic surgeon in 1958. At Ranchos Los Amigos, she was chief of the Pathokinesiology Service for 30 years.
She published hundreds of articles and received APTA's Golden Pen Award and the Helen
J. Hislop Award for Outstanding Contributions to Professional Literature. She was an honorary
lifetime member of APTA. She also received the Orthopaedic Section's Steven J. Rose Excellence in Research Award.
Throughout her career Perry advocated for the profession of physical therapy and worked closely with numerous physical therapists.
"The name Perry and the word movement are almost synonymous—we hear 'Perry,' and we think analysis of normal and abnormal movement of the trunk, upper extremity, and lower extremity and the restoration of movement through surgery, bracing, electrical stimulation, and exercise," Rebecca L. Craik, PT, PhD, FAPTA, wrote in a 2010 PTJ editorial.
The Centers for Medicare and
Medicaid Services (CMS) recently reported that
physical therapists and other providers who bill Medicare for outpatient
therapy services may have recently noticed an increase in the frequency of
Health Insurance Portability and Accountability Act rejection codes on their
provider notification letters. Medicare routinely mails these letters to
providers when various identified claims cannot be successfully crossed over to
their patient’s supplemental insurance companies.
The codes are:
you see "_____" directly above, the value [for example, G8978;
modifier CH; or CARC 246] was reported, when applicable, on the outbound
provider notification letter that billing offices would have received.)
CMS states that the new functional
G-codes, new severity/complexity modifiers, and new Claim Adjustment Reason
Code (CARC) 246 for the January 2013 Healthcare Common Procedure Coding System
(HCPCS) and CARC updates were inadvertently not loaded. As a result, a
moderate number of Part B outpatient therapy claims (claims for physical
therapy, speech-language pathology services, and occupational therapy) were
rejected in error. The newly added severity/complexity modifiers were as
follows: CH, CI, CJ, CK, CL, CM, and CN. The new functional G-codes
fall within the following ranges:
To remedy this issue, the
Coordination of Benefits Contractor (COBC) HIPAA validation vendor added the
new G-codes to its HCPCS table as of January 28. The vendor then added the
new severity/complexity modifiers to its HCPCS table as of February
11. Lastly, the vendor added the new CARC 246 to its table as of February
25. Thus, Medicare participating therapists, physicians, and nonphysician
providers should now see a drastic
decrease in the incidence of error codes H51000, H51061-H51064, and
H51108 reflected on their provider notification letters.
If your billing office received a
provider notification letter from Medicare indicating that claims could notbe crossed over due to one of the H-series error messages described
above, there unfortunately is not
a way for Medicare to retransmit the affected claims to your patients’
supplemental insurers. Therefore, you will need to bill your patients'
supplemental insurers directly.
To help mitigate this kind of problem
in the future, CMS will implement a fail-safe strategy in advance of the
scheduled installation of new HCPCS or other code updates. This will
ensure that any incorrectly rejected Medicare crossover claims will be repaired
by all A/B Medicare Administrative Contractors, thus minimizing the impact to
the provider community.
notice, titled CMS Reports Problem Impacting Crossover of Medicare Part B
Outpatient Therapy Claims, can be found in the March 7 issue of Provider e-News.
has added a new resource to its Balance and Falls webpage to help
physical therapists reduce falls that occur
during a patient's hospital stay. "Preventing Falls in Hospitals: A
Toolkit for Improving Quality of Care" addresses hospital readiness,
program management, fall prevention practices, implementation, measurement, and
sustainability. Developed by the Agency for Healthcare Research and Quality,
the toolkit is designed for
multiple uses. The core document is an implementation guide organized under 6 major
questions intended to be used primarily by the implementation team charged with
leading the effort to put the new prevention strategies into practice. The
full guide also includes links to tools
and resources found in the Tools and Resources section of the toolkit,
on the Web, or in the literature. The tools and resources are designed to be
used by different audiences and for different purposes, as indicated in the