#1 - The “New Rules” for Reimbursement of Pulmonary Rehabilitation Services

I. Brief history of reimbursement for pulmonary rehabilitation services

II. Pulmonary rehabilitation versus respiratory services

III. Reimbursement criteria for pulmonary rehab participants with a diagnosis of COPD

IV. Requirements for billing one or more sessions of pulmonary rehabilitation

V. Reimbursement criteria for pulmonary rehab participants with diagnoses other than COPD

Behavioral/Learning Objectives:

1. Describe the 2010 changes in Pulmonary Rehabilitation reimbursement established by the Centers for Medicare and Medicaid (CMS).
2. Differentiate between the reimbursement for participants with a diagnosis of COPD and those with respiratory pathologies other than COPD.
3. Identify the specific billing codes for participants with COPD and those with respiratory pathologies other than COPD.
4. Describe the criteria for billing one or more sessions of pulmonary rehabilitation or respiratory services.

#2 - Pulmonary Function Testing as Criteria for Pulmonary Rehabilitation Participation

I. Definition of lung volumes.

II. Definition of lung capacities.

III. GOLD classification for obstructive lung disease.

IV. PFT values typical for obstructive versus restrictive lung disease.

V. Case examples of PFTs in chronic obstructive, restrictive, and other lung disorders.

Behavioral/Learning Objectives:

1. Define lung volumes and capacities.
2. Classify the severity of airflow obstruction based on the GOLD criteria.
3. Briefly describe obstructive and restrictive lung disease physiology.
4. Descrbie a review of pulmonary function case examples.

#3 - The Individualized Treatment Plan (ITP) for Pulmonary Rehabilitation: CMS Requirements and AACVPR’s Minimum Standards

I. 2010 CMS requirements for the individualized treatment plan for pulmonary rehabilitation program participants

II. AACVPR minimum standards for the ITP, including the four required domain of education, psychosocial, nutrition and exercise.

III. Components of a sample ITP.

IV. Sample ITP for a specific patient’s pathology and symptoms

Behavioral/Learning Objectives:

1. Describe the CMS requirements for the individualized treatment plan for participants in a pulmonary rehabilitation program.
2. Describe the AACVPR program certification minimum standards for the ITP.
3. Describe a sample ITP and the necessary components.
4. Explain how to develop an ITP for a specific patient.

#4 - Case Examples of Obstructive Lung Diseases: Pathology, the ITP, and Billing for Pulmonary Rehab

I. Brief discussion of pathology of asthma, COPD, alpha 1 antitrypsin deficiency, and bronchiectasis.

II. Case examples of each obstructive pathology

III. Education domain of the ITP for each pathology

IV. Psychosocial domain of the ITP

V. Nutrition domain of the ITP

VI. Exercise domain of the ITP and considerations specific to each pathology

VII. Billing codes and number of sessions.

Behavioral/Learning Objectives:

1. Describe briefly the pathology of various obstructive lung diseases.
2. Explain how to develop an ITP based on the pathology and typical symptoms for obstructive lung disease patients.
3. Identify appropriate billing for these pulmonary pathologies.

#5 - Case Examples of Restrictive Lung Diseases: Pathology, the ITP, and Billing for Pulmonary Rehab

I. Brief discussion of the pathology of pulmonary fibrosis, thoracic cage abnormalities/surgeries, and obesity-related lung disorders.

II. Case examples of each restrictive pathology.

III. Education domain of the ITP for each pathology.

IV. Psychosocial domain of the ITP.

V. Nutrition domain of the ITP.

VI. Exercise domain of the ITP and considerations specific to each pathology.

VII. Billing codes and number of sessions.

Behavioral/Learning Objectives:

1. Describe briefly the pathology of various restrictive lung diseases.
2. Develop an ITP based on the pathology and typical symptoms for restrictive lung disease patients.
3. Identify appropriate billing for these pulmonary pathologies.

#6 - Case Examples of Pulmonary Arterial Hypertension (PAH) and Lung Transplant: Pathology, the ITP, and Billing for Pulmonary Rehab

I. Brief discussion of pathology of PAH

II. Considerations for pre and post lung transplant

III. Education domain of the ITP for each pathology

IV. Psychosocial domain of the ITP

V. Nutrition domain of the ITP

VI. Exercise domain of the ITP and considerations specific to each pathology

VII. Billing codes and number of sessions.

Behavioral/Learning Objectives:

1. Describe briefly the pathology of PAH.
2. Describe briefly the considerations for lung transplantation.
3. Develop an ITP based on the pathology and typical symptoms for patients with these disorders.
4. Explain appropriate billing for these pulmonary disorders.
   

Accreditation Information

Respiratory Therapists – This program has been approved for 9 contact hours Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 N. MacArthur Blvd. Suite 100 Irving TX 75063 Course # 203455000.

Nurses – Academy Medical Systems is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s COA.

Academy Medical Systems (AMS) is also a provider approved by the California Board of Registered Nursing, provider #CEP14413.

AMS is also a provider approved by the Florida Board of Nursing, provider #50-19.

Iowa Nurses – The Iowa Board of Nurses will recognize the recorded webinars as a home study program. They recognize our ANCC approved provider status as well as our CA and Fl Board of Nursing provider approval for home study products for nurses in Iowa.

All other states recognize our approved provider status listed in the above text for continuing education credit for nurses.

9.0 contact hours will be rewarded to nursing professionals at the completion of this workshop.

Dietitians - Academy Medical Systems is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR.) Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 9.0 continuing professional education units (CPEUs) for completion of this program/material.

Occupational Therapist - Occupational Therapist will receive 9, continuing education hours for completion this program and a test score of 70% or better. AMS is an approved provider for the AOTA , provider # 5470.  This course is an intermediate education level.

Exercise Physiologist – ACSM recognizes AMS’s approved provider status with the ANCC and will honor our continuing education for Certified Exercise Physiologist recertification purposes.

Certified Cardiovascular Techs – Cardiovascular Credentialing International recognizes our approved provider status with the ANCC for continuing education courses for CCTs.

Certified Athletic Trainers – Academy Medical Systems is recognized by the Board of Certification (BOC) to offer continuing education for certified athletic trainers. 9 hours will be awarded at the completion of this program.

Physical Therapists - PTs and PTAs in the following states will receive 9 contact hours for completion of all 6 webinars: AK, AL, AZ, CA, CO, CT, GA (Class 1), HI, IA, ID, IN, KS (Cat 2), KY,  MA, ME, MI, MN (Cat 2), MO, MS, MT, NE, NM, ND, OK (Cat 2), OR, RI, SC, SD, UT, VA (Type 2), VT, VI, WA, WI, WY.

We are an approved provider to offer continuing competency courses to CA PTs, approval date 4/5/10.  The following state boards recognize other state’s approval: AL, AZ, GA (Class 1), KY, MO, MS, OK (Cat 2), WI.

The AR Board of Physical Therapy has approved this course for 9 Contact hours.

Because each state’s continuing education requirements for physical therapists is subject to change, please verify this information with your state board. Thank you.  See The Federation of State Boards of Physical Therapy website for more information.

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