Medicare Alphabet Soup for Outpatient Rehabilitation Practices: Navigating the Medicare Maze

Medicare is an ever-changing landscape for outpatient physical therapists. From Functional Limitation Reporting, Manual Medical Review and Medicare caps, to outcome tools, probe and targeted audits, total time rules, maintenance, Merit-based Incentive Payment System, and documentation requirements, the regulations seem overwhelming. Learn how to navigate the Medicare maze. This course will provide a clear understanding of the Medicare Rules and regulations for outpatient physical and occupational therapy. Participants will develop a basic understanding of the audit process and how to position oneself for success in an audit situation. This course will cover the issues that therapists find most confusing.

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Stress, Movement, and Pain: A Systematic Approach

Whether you practice in outpatient, in-patient, acute care, orthopedics or neurology nearly all your patients are experiencing stress and it is fundamentally affecting how they move and perceive the world and themselves.

This seminar is designed to advance clinical competence in working with the neurological and musculoskeletal issues centered around the neuroscience of stress and movement
through the application of current clinical evidence. We will identify the relationship between perception, the autonomic nervous system, the HPA (hypothalamic-pituitary-adrenal) axis, and movement to create a foundation for proper intervention. This foundation will then be used to develop assessment and treatment approaches to pathology associated with stress and movement.

Designed for the clinician not interested in the status quo; you will learn how to improve your patient outcomes regardless of specialty or condition because the science of stress, perception, and movement is foundational to all human experience.

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    Gait Recovery and Orthotic Management in Rehabilitation in Adults with Neurological Injury or Disease

    This course will provide participants with essential tools for examination and evaluation of gait in adults with neurological injury or disease, with the end goal of determining appropriate therapeutic interventions and/or orthotic management to maximize gait recovery. Stroke will be the diagnosis emphasized in the course because of its prevalence, but the course will also address gait dysfunction and recovery in spinal cord injury, Parkinson ’s disease, multiple sclerosis, peripheral neuropathy, and other neuromuscular disorders. Common gait deviations and trends in gait recovery will be discussed. Evidence based activity, exercise, and orthotic interventions specific to the rehabilitation and recovery of gait will be presented. Participants will have opportunities to see and handle orthotic examples and practice application of information through video and paper patient cases.

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      The Foot and Ankle Complex

      The foot and ankle comprise one of the most fascinating and complex areas of human anatomy and divine engineering. Dysfunction in this anatomical region can be difficult to assess, and the same physiological movements often are referenced using several different terms. Foot function can influence lower quarter kinematics and kinetics, as well as lower quarter function having the potential to influence foot kinematics and kinetics. The purpose of this program is to enhance the ability to: understand the biomechanics of this anatomic region; assess foot, ankle, and selected aspects of lower quarter dysfunction accurately; and plan and implement appropriate treatment regimens for these pathologies, including the use of foot orthoses and shoewear.

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        Stroke Rehabilitation Across the Continuum of Care: An Evidence Based Approach

        This course will provide participants with essential tools for clinical examination and intervention of persons following a stroke, across the continuum of care. Common impairments, activity restrictions, and participation limitations will be discussed. Evidence based interventions specific to the rehabilitation and recovery of basic mobility following stroke will be presented. Participants will have opportunities to see and work through examples and practice application of information through lecture and hands on labs.

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        Proprioceptive Neuromuscular Facilitation in Orthopedic Patients

        This two-day, evidenced based, laboratory intensive course will focus on teaching a historically useful manual therapy technique, Proprioceptive Neuromuscular Facilitation (PNF). The course introduces PNF as a manual therapy and exercise intervention technique to address common pathologies of both upper and lower extremities. The course is intended to provide the clinician with the skill to rehabilitate the patient with a hands-on, integrative approach. This will be accomplished through a combination of lecture, demonstration, and significant lab time. The structured sessions are aimed at emphasizing important concepts in neurophysiology and motor learning to improve neuromuscular control in orthopedic patients. Mastery of these techniques requires a solid foundation in basic anatomy and the pathomechanics of the shoulder and hip. Attendees will learn useful terminology, basic procedures, and techniques.

        Participants will learn to successfully apply PNF techniques in a manner that each patient-centered session is both therapeutic intervention and assessment or evaluation. The clinician will learn to develop and sequence a dynamic treatment plan incorporating PNF techniques that can be used for conservative and post-operative approaches. Current clinical evidence supports the combination of these treatments when properly performed and prescribed by a skilled clinician. Strategies for documentation and coding will also be covered.

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        The Shoulder and Elbow Complex

        This course is designed to present an anatomical and biomechanical basis for rehabilitation of the shoulder and the elbow. Normal anatomy and biomechanics form the basis for understanding the pathomechanics of musculoskeletal dysfunction of the shoulder and elbow. Integration of both joints for normal function will be reviewed. Treatment planning will include consideration of joint arthrology and accessory movements, exercise strategies, functional retraining and incorporation of physical agents and splinting/bracing.

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          The Shoulder Complex

          Successful evaluation and treatment of the shoulder complex entails an accurate understanding of its normal and abnormal anatomy, pathomechanics and biomechanics. Treatment of the shoulder can be complex and confusing based upon the multitude of approaches that exist. By utilizing a systematic approach, therapists and athletic trainers may focus on a problem-solving basis to accurately and successfully evaluate patients with a variety of shoulder conditions. Included in this two-day workshop is an overview of the most common orthopedic conditions in which therapeutic intervention is indicated, evaluation and treatment schemes to promote successful outcomes and significant lab time. Attendees will further their development involving effective evaluation and treatment (surgical as well as non-surgical); including differential diagnosis, manual therapy, exercise prescription and evidence supported treatment techniques for the shoulder proper.

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            Muscle Energy and Soft Tissue Techniques for the Lower Quadrant

            This lab intensive manual therapy course presents the use of mechanical movements which lead to proper selection of Muscle Energy Techniques (MET), Soft Tissue Mobilization (STM), select joint mobilizations and home exercises to correct positional faults, muscular imbalance and hypo-mobility of the lumbar spine, pelvis and hip region.

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            The Lumbo-Sacral Complex

            Low back pain is one of the most debilitating and costly epidemics in industrialized society, comprising over 25% of all outpatient physical therapy visits with a notable increase expected over the next 15 years. Consequently, this course has been designed to provide an evidence-based approach to the evaluation and treatment of lumbosacral dysfunction. This two day lab intensive course incorporates medical screening procedures, differential diagnosis, muscle energy techniques, functional exercise prescription, mobilization and manual therapy of the lumbosacral complex. Evaluation and treatment is approached as a systematic process utilizing clinical reasoning and scientific evidence. Significant lab time allows each attendee to process, practice, and polish intervention techniques under the guided supervision of experienced manual therapists. The end result is the ability to immediately apply new skills upon return to the clinic.

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            NeuroMobilization of the Upper Quadrant

            This two day; hands on intensive seminar is designed to develop clinical assessment and treatment skills in advanced concepts of pain management and dysfunction in the upper quadrant.

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            Course Dates & Locations:

            • Feb 22, 2019 – Feb 23, 2019

              5848 S Fashion Blvd, Murray, UT 84107

              6  SPOTS LEFT

              View Location Details

              The Orthopedic Specialty Hospital (TOSH)
              5848 S Fashion Blvd, Murray, UT 84107

              Enter the building through door #3. The conference will be in the auditorium, located on the same floor.
              Park in parking lot #3.

              Area Accommodations
              Residence Inn by Marriott
              171 East 5300 South
              Murray, UT 84107
              (801) 262-4200

              Home2 Suites by Hilton
              4927 S State Street,
              Murray, UT 84107
              (801) 288-1234

              Holiday Inn Express & Suites
              5429 South Commerce Drive,
              Murray, UT 84107
              (877) 410-6681

              There are NO room blocks or discounts available at the mentioned hotels. Please visit the hotel chain website for “Best Rates”

              View Google Maps for Location and Nearby Accommodations

              Click here to Register!

            The Cervico-Thoracic Complex

            Neck pain is present in a large portion of the population. Treatment of these patients can often be difficult, particularly when specific causative structures cannot clearly be defined. Attempting to treat neck pain without an attempt to classify the patient can lead to inconsistent outcomes and frustration for both the patient and clinician. Guiding strategies can help improve patient outcomes and lead the clinician based on the most appropriate evidence-based interventions. This seminar will help clinicians identify common problems associated with neck pain as well as appropriate functional treatments. Evaluation procedures will also be introduced to group patients in treatment categories. This classification system will assist the clinician in determining which patients will most benefit from specific treatment interventions and improve outcomes. Finally, eclectic functional treatment interventions will be covered including stabilization, manual techniques, and pain management strategies. Corrective home exercises will also be reviewed. Participants will walk away with practical and functional treatment techniques that can be implemented with their patients the very next day.

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              Splinting the Hand, Wrist, and Elbow

              The art of custom splinting is an often frustrating and challenging skill to master. Invariably we find our best efforts in a pile of very expensive and awkward to handle mass of materials leaving both our patients and ourselves baffled by the outcome. Taking control of the materials through understanding their properties, characteristics and “feel”, along with a strong foundation of upper extremity biomechanics and surface anatomy can quickly turn the tables in your favor. Holding true to the title, these clinicians have created a remarkable formula for mastering splint fabrication in an introductory environment that incorporates ample opportunity to both observe and fabricate custom splinting, all the while, sharing the dos and don’ts that can only come from 20 years of trial and error. A fun, relaxed and non-intimidating workshop developed to replace frustrated and baffled with enlightened and confident. Diagnosis and conditions covered in this workshop include fractures, arthritis, contractures, CTDs and wounds. Emphasis is placed on replicating the actual patient environment. Course handouts and labs are designed to allow immediate clinical application of splinting techniques.

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                Management of Nerve & Tendon Pain in the Upper Extremity

                This seminar is designed to advance clinical competence in working with the neurological and musculoskeletal issues associated with repetitive stress injuries through the application of current clinical evidence. A thorough review of tendon/nerve physiology, pathomechanics, and surgical techniques will create a foundation for proper intervention. This foundation will then be used to develop assessment and treatment approaches to pathology associated with repetitive stress injuries. Course content includes current conservative and surgical treatment options, ergonomic assessment/intervention, imaging, post-surgical guidelines, splinting options, joint and soft tissue mobilization, modalities and specific therapeutic exercise techniques. The student will participate in lecture and small group discussion before implementing assessment and treatment strategies in laboratory sessions.

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                  Building Better Balance and Preventing Falls

                  This two-day course provides participants with skills and strategies to address the complex problems of balance dysfunction and falls in geriatric and neurologic clients. Participants will further develop their skills in identifying individuals at risk for falls and conducting a comprehensive evaluation to guide intervention. Assessment skills based on key risk factors for balance dysfunction and objective outcomes will be emphasized. Evidence-based and best practice treatment strategies provide participants with a variety of skills to address different aspects of balance dysfunction. The course will also focus on utilization of standardized assessment measures and treatment strategies across client functional levels. Assessment procedures and treatment techniques will be demonstrated and reinforced with hands on practice time and case studies to allow for integration of the material.

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