We are deeply saddened to share the news that our Founder and emeritus member of our Board of Trustees, Charles M. Magistro, PT, DrSci (Hon), DPT (Hon), FAPTA, passed away peacefully on April 21st. Not only was he a visionary and helped pave the way for future emerging researchers to investigate innovative therapeutic interventions in physical therapy rehabilitation, but he was a beloved colleague, mentor, and friend.
Everyone at the Foundation is grieving his loss. We would like to extend our deepest condolences to his family. To learn more about the impact Charles had on the Foundation, please visit: foundation4pt.org/.
More information about the funeral services to come. To make a contribution in his memory, visit: The Magistro Endowment Fund Page.
Dear WPTA Colleagues,
We are thrilled to announce that on Monday, April 25th, Governor Scott Walker signed AB549. This bill allows qualified physical therapists to resume ordering x-rays and for radiologic technologists to accept such orders to take x-ray films as directed. The bill text can be found at http://docs.legis.wisconsin.gov/2015/related/proposals/ab549
The bill, once signed, becomes effective the day after it is electronically published by the Legislative Reference Bureau at: http://docs.legis.wisconsin.gov/2015
This is a tremendous accomplishment which will benefit our patients by decreasing the overall cost of care as well as preventing delay of care.
WPTA encourages its members to read and understand the new language which lists qualifications for physical therapists ordering x-rays. Physical therapists who do not have a clinical doctorate in physical therapy will need to meet criteria to be further specified by Physical Therapy Examining Board (PTEB) through the rules promulgation process. The bill also contains specific care coordination language that the physical therapist shall follow after the x-ray results are known. The WPTA will continue to provide education to physical therapists on the specifics of this legislation as well as any new rules put forth by the PTEB.
This legislation was the result of over 2 years of work by APTA/WPTA members, our lobbyists and the legislators who supported our bill. In the Assembly, the WPTA thanks the bill author and chair of the Assembly Committee on Health, Representative Joe Sanfelippo, and co-authors Representative Mike Rohrkaste, Representative Jimmy Boy Edming, and Representative Jesse Kremer. In the Senate, the WPTA thanks the bill author, Senator Van Wanggaard; Chair of the Senate Health Committee, Senator Leah Vukmir; and co-authors in the Senate, which include Senators Richard Gudex, Chris Kapenga, Stephen Nass and Duey Stroebel. We also thank Governor Scott Walker for his support of this bill with his signature.
We especially want to thank Kip Schick, PT, DPT, MBA for his unwavering leadership as President of WPTA during this journey as well as Brett Roberts, PT, DPT, WPTA State Government Affairs Committee Chair. We also want to thank the following people who also testified in support of this legislation: Bill Boissonnault, PT, DPT, DHSc, FAAOMPT, FAPTA, Rob Worth, PT, DPT, OCS, MTC, LAT, Tim Thorsen, PT, DPT, OCS, MTC, Evan Nelson, PT, DPT, OCS, Julie Sherry, PT, DPT, MS, Kevin Wait, PT, DPT, SCS, CSCS and Rita Shapiro, PT, DPT, MA. Each of you provided testimony critical to justifying the importance of this bill. Additionally, we thank our amazing lobbyists, Annie Early and Jeremey Shepherd, who worked tirelessly behind the scenes and in many meetings to ensure understanding and support of the bill.
WPTA is pleased to have accomplished the passage of this patient-centered legislation, which is something we all can be proud of!
Connie Kittleson, PT, DPT
2015 OUTSTANDING SERVICE AWARD to Dennis Sobush, PT, DPT, MA, CCS, CEEAA In Recognition of Significant Contributions to the Profession of Physical Therapy
The 2015 PHYSICAL THERAPIST OF THE YEAR AWARD to Anthony Gries, PT In Recognition of Professionalism, Compassion and Technical Skills
2015 Mentor AWARD to Dale Gerke, PT, MPT, ScD, OCS, COMT In Recognition of Development of Physical Therapists in an Outstanding Manner
2015 ROOKIE OF THE YEAR AWARD to Stephanie Smith, PT, DPT In Recognition of Significant Contributions to the Profession in the Area of Clinical Practice within 3 Years of Graduation
The 2016 Academic Liaison Committee EMERGING STUDENT LEADER AWARD to Karen Lovely, SPT
The 2015 DISTRICT VOLUNTEER SERVICE AWARD to Phil Bergold, PT In Recognition of Significant Contributions to the Southeast District
The 2015 AWARD FOR CLINICAL EXCELLENCE to Mary Beth Geiser, PT, DPT, OCS, FAAOMPT In Recognition of Demonstrated Excellence in Clinical Practice
2015 PTA AWARD OF EXCELLENCE to Tamara Rondone, PTA In Recognition of Outstanding Achievement and Commitment in the Field of Physical Therapy
The Private Practice Special Interest Group Presents the 2015 PRIVATE PRACTITIONER OF THE YEAR AWARD to Julie Lombardo, PT, DPT, OCS, WCS of Capitol Physical Therapy
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 (email@example.com; 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 / firstname.lastname@example.org. 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 / email@example.com
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
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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.
Please contact District Chair, Jonathon Weiss, by email firstname.lastname@example.org with the following information:
4. Sponsorship amount being requested (Max limit of $250): ___________________________
(please list breakdown of league fees and t-shirt fees)