facilitate communication and relationships between the WPTA and the physical therapy education programs in Wisconsin
Recognize the accomplishments and contributions of WPTA members . Full Award Details and Nomination can be found here.
facilitate and coordinate bylaw revisions at the district and chapter level
plan, promote, and present chapter conferences in coordination with the executive director and the local planning committee
process ethical complaints against members and serve as a resource to members regarding legal and ethical practice issues
WPTA seeks to promote the highest standards for physical therapy practice. All WPTA members are expected to maintain and promote ethical practice. If an individual notes any conduct by a physical therapy practitioner, which appears to be unethical, incompetent or illegal, that conduct must be reported. There are two mechanisms for reporting concerns. Ethics concerns against WPTA members can be brought to the WPTA Chapter Ethics Committee.
Violations of the Wisconsin Practice Act by any physical therapists (WPTA members or non-members) can be brought to the attention of the State of Wisconsin, Department of Regulation & Licensing.
I. How does the Ethics Committee work?
Who are the members of the Ethics Committee?
The WPTA Chapter Ethics Committee (CEC) consists of three WPTA members elected by the membership to process complaints against members of the chapter and also to stimulate awareness of ethical issues within the Chapter. Current members of the CEC are:
How do I register a complaint?
A complaint that a member has been in violation of the Code of Ethics or Standards of Practice is made in writing to the Chapter President. The President reviews the complaint to determine if the complaint contains a clear and concise statement of facts that constitute the alleged unethical conduct. A frivolous complaint is one that does not clearly involve ethical allegations. Upon receipt of the complaint, a copy is forwarded to the APTA Judicial Committee and assigned a new case number. IF the complaint indicates a crime that is classified as a felony or any crime that is punishable by imprisonment for six months or more, the member is suspended from APTA membership until the next meeting of the Judicial Committee, at which time a review will take place. The Chapter President refers the bona fide complaint to the CEC who appoints an investigator to perform a comprehensive review of the circumstances. The reviewer prepares a file and submits the file to the CEC. The CEC then determines to a. dismiss the complaint, or b. notify the respondent of his/her right to a hearing. The respondent has the right to appear before the hearing in person to present and examine witnesses and evidence. The conclusions and recommendations of the CEC are forwarded to the APTA Judicial Committee.
The respondent may request a hearing or submission of written testimony at the next meeting of the APTA Judicial Committee. The final decision of the Judicial Committee may be to approve the recommendation of the CEC, modify the recommendation of the CEC or remand to the CEC with appropriate directives.
If you have any questions or concerns relating to the Code of Ethics or Standards of Practice, please contact one of the WPTA CEC members or contact email@example.com.
II. How do I register a complaint regarding a potential violation of the Wisconsin Practice Act?
The mission statement of the State of Wisconsin, Department of Regulation & Licensing is to provide professional, quality services to members of occupations and professions regulated by the state in order to safeguard consumer health, safety and well-being.
If you feel a physical therapy practitioner is in violation of the Wisconsin State Practice Act, please contact the
prepare annual budget, monitor expenditures throughout the year, and recommend appropriate investments to the BOD
The WPTA values the health and wellness of the citizens of Wisconsin and supports wellness programs led by physical therapists.
The WPTA seeks the assistance of its membership for grassroots initiatives to promote physical activity in the citizens of Wisconsin. The attached Health of Wisconsin District presentation shares the history and current status of the WPTA Health and Wellness Task Force. Watch for future updates at WPTA district and state meetings. To see how you can get be a spark in the WPTA and Healthiest Wisconsin 2020 movement, please go to http://www.dhs.wisconsin.gov/hw2020/index.htm.
Present the best slate of candidates to the membership and conduct elections
The Imaging Education Manual has been created by the APTA Orthopaedic Section to facilitate the continued development of imaging instruction in physical therapist education and to heighten awareness among academic and clinical faculty of the legislative and regulatory issues the physical therapy profession is facing. The IEM provides resource information to assist faculty in curriculum planning and imaging instruction in both academic and clinical venues. The ultimate goal is that all physical therapist professional educational programs provide appropriate imaging education based on sound evidence, current APTA positions/policies, and projected future practice models as endorsed by the APTA Vision Statement and other association documents.
Promote physical therapy and WPTA members to the public, other health care colleagues, and to members of the WPTA
educate members and third party payers about reimbursement for physical therapy services
Dear WPTA Members,
As you already know Anthem BCBS of Wisconsin has initiated a review process through an outside entity - OrthoNet as of November 1, 2015.
This process adds considerable administrative burden to providers and inserts a potential delay & barrier to care for Anthem BCBS beneficiaries in Wisconsin.
The WPTA attended in September 2015 at the Anthem Provider Expo and expressed our concerns along with our request to schedule a meeting. We spoke with Anthem’s Medical Director Dr Michael Jaeger, Provider Relations staff as well as the CEO Larry Schreiber. We followed up with calls to or Provider Relations Specialist Theresa Ruggierio, Provider Network Manager, Enterprise Ancillary PE&C Contracting Anthem Blue Cross & Blue Shield (firstname.lastname@example.org; PHONE: 203 677 8067) as well as Heather Reardon / Ancillary Provider Contract Director / Enterprise Ancillary National Provider Solutions /Anthem Blue Cross and Blue Shield / Phone: 603-541-2128 / Cell phone: 603-703-1052 / email@example.com. We expressed our concerns to no avail.
We need you to continuously do the following IF you have any problems with OrthoNet:
If you or your employer are current subscribers to Anthem BCBS of Wisconsin Plan- have your Human Resource Benefits’ Specialist or yourself contact your BCBS Benefits representative to express your concerns about how this process will effect access to care, cost of care and administrative burden to providers. Express your concern about “what value does this additional burden bring to our health care plan?”
If you or your employer are current providers to Anthem BCBS of Wisconsin’s Plan- contact your Network Contracting Specialist: Theresa Ruggiero, Provider Network Manager Anthem Blue Cross and Blue Shield @ 203 677 8067 or email her @ Theresa.Ruggiero@anthem.com expressing your concerns. Ask her to respond to your call/e-mail If you are not able to receive a prompt response, contact Heather Reardon @ Phone: 603-541-2128 / Cell phone: 603-703-1052 / firstname.lastname@example.org
Post and/or send the “Letter to Anthem Patients” to your Anthem BCBS of Wisconsin patients. http://www.wpta.org/userfiles/files/Attention%20ABC%20Patients(1).pdf Ask them to contact their Human Resource Benefits’ Specialist to call their BCBS Benefits representative to express their concerns about how this process affects their/their employee’s access to care, cost of care and potentially their premiums.
Continue tracking information on this process on the WPTA Tracking Form. The WPTA already gathered data via Survey Monkey (Summary of OrthoNet Provider Experience) and will be sharing concerns with Anthem.
As you are submitting your Physical Therapy Plans of Care and the Orthonet forms to OrthoNet for patients who are receiving care- if your proposed plan of care is denied completely or in part i.e.: Your plan requested 12 visits and the approval denied 6 of 12 visits and you are confident that services requested are medically necessary, consider doing the following:
o Immediately appeal the denied plan DIRECTLY to Anthem BCBS
o Anthem has a Peer-to-Peer Review Process as follows:
o Peer to Peer Review Process Anthem uses a medical peer-to-peer review process by which our internal peer clinical reviewers re-examine cases when an adverse determination is made regarding health care services for Covered Individuals. This process allows attending, treating or ordering physicians* to request a peer-to-peer review to offer additional information and further discuss their cases with our peer clinical reviewers who made the initial adverse determination. *(Physical Therapists have been able to initiate these Peer to Peer Process I the past) See Page 45 of the Anthem Provider Manual) https://www.anthem.com/provider/wi/f5/s1/t0/pw_e232815.pdf?refer=ahpprovider&state=wi
o If you appeal and are still denied services that you believe are medically necessary contact the Office of the Commissioner of Insurance (OCI) at http://oci.wi.gov/pub_list/pi-203.htm to file a Grievance
Please keep us in the loop on the process! WPTA is committed to Advocating on your behalf!
Thank you for your support!
Lynn Steffes, PT, DPT
WPTA Payment Specialist
The purpose of the committee is to promote research and evidence-based practice which is part of the APTA’s Vision 2020. The mission of the committee related to the WPTA mission goals is to promote and disseminate Research to the WPTA members. The Research Poster Session held annually at the WPTA Spring conference encourages presentation of work from students from the various PT and PTA schools as well as from any other physical therapist. Posters can be submitted in the areas of research, case study/case report, special interest or literature review. The number of posters continues to grow each year. Additionally, the committee deals with Research related issues and encourages all aspects of research.