Donate to the WPT-Conduit Here!

Posted on November 24, 2015

Donate to the WPT-Conduit!

 Make A Donation Here



The WPTA 2015 Election is Now Open!

Posted on November 16, 2015

The WPTA 2015 Election is Now Open!
The 2015 WPTA election is online and PTs and PTAs can vote until November 30th. 
Those elected will take office in 2016. The process is quick and easy for members
to complete. You can  login, read candidate statements, and cast ballots. 
To login use your APTA membership number and your last name with an
upper case first letter. The link is
or visit

Remember to vote by November 30th  - election results will be posted on the website and in the January 2016 issue of PT Connections.

Ensure we have a valid election and support your peers - VOTE TODAY!!!!



Annual Wellness Examination (Piazza/Hallisy) - Additional notes and comments from 10/15/15

Posted on November 10, 2015

Annual Wellness Examination (Piazza/Hallisy) - Additional notes and comments from 10/15/15

Please Download Here



WPTA Webinar: Best Practices in Documentation Series - SNF Documentation to Support Services Now and in the Future

Posted on November 04, 2015

Best Practices in Documentation: SNF Documentation to Support Services Now and in the Future

COURSE DESCRIPTION: The Office of the Inspector General (OIG) just announced that they will be reviewing compliance with various aspects of the SNF payment system, including documentation. The OIG specifically mentioned a concern for the support of therapy intensity of services. This session will address best practices for supporting therapy service delivery. As the post-acute landscape is changing it’s critical for therapists to understand their value in assisting patients in achieving their necessary functional goals, and that value must be evident in your therapy medical record to support your services now and in the future.  


1.       Identify best practice SNF documentation guidelines

2.       Understand the SNF regulations, especially the coverage guidelines

3.       Understand the changing SNF landscape and the impact on therapy treatment planning and documentation


WPTA Members $50/Non-Members $125


To register and for more details, please visit





Important OrthoNet Info for WPTA Members

Posted on October 29, 2015

Dear WPTA Members,

As you may have been notified by Anthem BCBS of Wisconsin, it is Anthem BCBS’ intent to initiate a review process through an outside entity - OrthoNet as of November 1st.

This process adds considerable administrative burden to providers and inserts a potential delay and barriers to care for Anthem BCBS beneficiaries in Wisconsin.

Click here for the letter that went out to Anthem BCBS of Wisconsin enrollees last week.  This letter implies that:

  • Enrollees will NO Longer have direct access to Physical Therapy but will now require a visit to their MD (with the potential added costs and delays of diagnostic imaging). 
  • It implies that physicians and “specialists” will have to develop and submit a Plan of Care for Therapy for prior approval to insure coverage.  See this link for the required Orthonet forms:
  • It also states that any plan of care that is currently in process will require prior approval to continue care after November 1st.

The WPTA attended the September 2nd 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 and CEO Larry Schreiber.  At that time, we were assured that we would be given an opportunity to discuss our concerns about that process. To date, we have not been given an opportunity to have a formal meeting.

On Monday October 26th we were able to speak with Heather Reardon, Director of Enterprise Contacting for Anthem throughout their 14 states.  We were told that this was an “enterprise initiative” that was being rolled out across Anthem’s plans over the next year.

We need you to IMMEDIATELY do the following:

  • 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 & Blue Shield  203 677 8067 or email her @  expressing your concerns as descried above.  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 / heather.reardon@anthem.comWe need to make it clear to Anthem that we are a Direct Access state and that Anthem has been recognizing our Direct Access status in Wisconsin for over 10 years.  Please request that they send a letter of clarification out to members to that effect. 
  • Post and/or send this Letter to Anthem Patients to your Anthem BCBS of Wisconsin patients.  Ask them to contact their Human Resource Benefits’ Specialist to call their BCBS Benefits representative to express their concerns about how this process will affect their/their employee’s access to care, cost of care and potentially their premiums. 
  • Immediately begin tracking information on this process on the WPTA Tracking Form.  The WPTA will send you a link to a Survey Monkey to enter this IMPORTANT data by the end of the month.
  • Begin submitting your Physical Therapy Plans of Care and the Orthonet forms to OrthoNet immediately for patients who will be receiving care on or after November 1st.t 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)


Please keep us in the loop on the process!  Look for the Survey Monkey Link in order to provide us with important data on your experience with the process.

WPTA is committed to Advocating on your behalf!


                Lynn Steffes, PT, DPT, WPTA Payer Specialist




WPTA Members Unanimously Support a Full Vote for PTAs and District Updates!

Posted on October 16, 2015

At the business meeting held on October 2nd at the Fall Conference in Wisconsin Dells, WPTA members voted to allow PTAs a full vote for all matters of the Chapter. Before the vote, PTAs received a ½ vote when they voted in state elections or as members of the Board of Directors. Earlier this year, the APTA House of Delegates voted to allow the Chapters to decide how the PTA vote is counted. The WPTA Board of Directors voted unanimously at the July board meeting to support PTAs in obtaining a full vote at the Chapter level.

The second change that members supported was with regards to district operations.  The district chairs proposed and had the support of the WPTA Board to change the bylaws to better reflect what members have reported wanting from our districts.  The approved changes allow for each district to offer at least 2 continuing education courses per year and yet still have at least one business meeting.  Additionally, the changes eliminate the requirement for a district treasurer due to these responsibilities being performed at the Chapter level. 

A big thank you to WPTA Members for your support to make our Chapter stronger!




ICD-10: It's Go Time

Posted on September 25, 2015

New APTA ICD-10 Resources Added Just in Time for Oct 1 Transition

Surprises are great for birthdays and anniversaries. When it comes to ICD-10—not so much.

That's why APTA now provides additional resources that can help make the October 1 changeover to the new coding system as uneventful as possible.

APTA's ICD-10 webpage now features an extensive collection of information that ranges from the big-picture stuff to the nitty gritty of how the coding works—including some case studies of how the codes would be used in physical therapy and links to additional guidance from the US Centers for Medicare and Medicaid Services (CMS).

In addition to the case studies, other resources on the page include:

  • An extensive list of frequently-asked-questions and answers that delve into details you need to know, such as when to use the "7th character," the hows and whys of "X" as a placeholder, and an explanation of the "sequelae."
  • A list of the common codes used in physical therapy according to practice area
  • Links to CMS resources that include guidance for small-practice providers
  • Access to a recording of the highly popular APTA webinar on final steps for successful implementation of the -10 (free to APTA members)

The assistance goes beyond the resources posted on the association has also created a special online community devoted to ICD-10, where you can ask questions and share experiences with colleagues.




Mileage Reimbursement Form

Posted on July 31, 2015

Please download the Mileage Reimbursement Form here.





Review of SGR/Therapy Cap Legislation

Posted on May 06, 2015

Review of SGR/Therapy Cap Legislation

On April 14, 2015, the Senate passed the Medicare Access and CHIP Reauthorization Act (H.R. 2), which repealed and replaced the Medicare Sustainable Growth Rate (SGR) formula. The president signed the bill into law on April 16.

Included in the bill was an extension of the Therapy Cap exceptions process through December 31, 2017 and provisions for more targeted manual medical review. During the Senate deliberation of the bill, an amendment was introduced which, if passed, would have repealed the Medicare Therapy Cap once and for all. The introduction of this amendment was the culmination of a historic grassroots campaign, spearheaded by APTA and in conjunction with over 20 patient advocacy groups, including AARP. While the amendment ultimately did not pass, it received a tremendous showing of support, coming only two votes shy of passage (60 vote threshold needed). This amendment was the furthest the issue has been raised since the creation of the Therapy Cap 18 years ago. APTA staff will build off of this momentum and pursue further strategy for a future repeal.

Other provisions within the legislation include:

  • April 1- June 30, 2015: 0% update in payments
  • July 1, 2015- December 31, 2019: .5% update in payments
  • 2019 rates will be maintained through 2025 with increases available through the Merit-Based Incentive Payment System (MIPS)
  • Beginning in 2019: MIPS will be implemented tying payment to quality
  • Beginning in 2026 providers can receive payment increases for participation in alternative payment models (APM) 

For a more detailed summary of the Medicare Access and CHIP Reauthorization Act and to learn how it could affect your practice, please visit our Medicare payment and reimbursement webpage. Some of the highlights include:

  • Manual medical reviews of therapy cap exceptions won't be based solely on dollar amounts. Sometime around mid-July, the $3,700 trigger for manual medical review (MMR) will be replaced with a system that links MMR to provider behavior and other factors. CMS will be looking at whether a provider has a pattern of "aberrant" billing practices, the provider's claims denial percentage, whether the provider is newly enrolled, what types of medical conditions are being treated, and whether the provider is part of a group that includes another provider who has been identified in terms of the those factors. The new process will apply to exception requests that have not been conducted by the anticipated July startup date. APTA will meet with CMS to discuss implementation, and will share details with members over the coming months.
  • PQRS, value-based modifiers, and electronic health records meaningful use may be consolidated into a single new quality program These quality programs stay in place for now, but prepare for MIPS—the Merit-Based Incentive Payment System—set to be launched in the future. MIPS will evaluate performance according to quality, resource use, meaningful use, and clinical practice improvement. There are still many details that need to be worked out in terms of the reach of these programs in the future.
  • Participation in alternative payment models (APMs) could be a rewarding experience. CMS will offer 5% bonuses to PTs and other health care professionals involved in APMs such as accountable care organizations, medical homes, and bundled care systems. Beginning in 2026, CMS will stratify annual updates, providing a .75% annual update to health care professionals engaged in APMs, and .25% for those who aren't.
  • Other changes in the new law include the establishment of a 1% payment update factor for postacute care providers, the inclusion of physician assistants, nurse practitioners, and nurse clinical specialists as professionals qualified to provide documentation for certain types of durable medical equipment, and requirements that Medicare administrative contractors (MACs) provide ongoing outreach, education, training, and technical assistance to providers.



Imaging Education Manual Now Available

Posted on April 22, 2015



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. 



Membership Video!

Posted on April 22, 2015





NE District Guidelines for Sponsorship

Posted on April 05, 2011






Request Form for Sponsorship for Youth Sports/Adult League Teams

Please contact District Chair, Jonathon Weiss, by email with the following information:

1.       Name of individual requesting sponsorship and APTA number:
2.       Sport :__________________________________________________
3.       Type of League: Adult/Children ____________________________________________________

4.       Sponsorship amount being requested (Max limit of $250):      ___________________________                                                                                   

(please list breakdown of league fees and t-shirt fees)

·         T-shirts with a minimum of 1.5” lettering spelling out Wisconsin Physical Therapy Association    (either front or back)
·         We request a digital photo of the team in t-shirts.
·         This will be on a first come, first serve basis.
 Thank you,
Download NE District Guidelines for Sponsorship

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