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 a significant contributor to disability worldwide and is one of the most common conditions for which patients seek care. Treatment approaches can often be confusing due to dogmatic classification systems, which can be overly complicated and difficult to apply in a clinically meaningful way. However, patients with regional disorders often present with similar clinical presentations. These clinical presentations can often guide clinicians towards the best treatment options.

                  This course is designed to be eclectic in its delivery to best suit the needs the busy clinician. Treatment approaches are organized based on categories that are consistent with how patients that report low back pain are likely to present. Patients presenting with chronic low back pain, referred leg pain, SI dysfunction or even stenosis will often respond to similar treatment approaches. This course will provide treatment options in a multimodal context that are grouped to address the most common clinical presentations. Finally, treatment approaches are organized in a logical way providing examples of how the treatments could be integrated.

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                    The Cervico-Thoracic Complex

                    Neck pain leads to significant disability and limits functional abilities for patients at all levels. Treatment approaches can often be confusing due to dogmatic classification systems, which can be overly complicated and difficult to apply in a clinically meaningful way. However, patients with regional disorders often present with similar clinical presentations. These clinical presentations can often guide clinicians towards the best treatment options.

                    This course is designed to be eclectic in its delivery to best suit the needs the busy clinician. Treatment approaches are organized based on categories that are consistent with how patients that report neck pain are likely to present. Clinical presentations such as chronic neck pain, radiculopathy, traumatic onset, asymmetric movements, headache or myofascial pain are common in clinical practice. This course will provide treatment options in a multimodal context that are grouped to address the most common clinical presentations. Finally, treatment approaches are organized in a logical way providing examples of how the treatments could be integrated.

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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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                          Muscle Energy and Soft Tissue Techniques for the Upper Quadrant

                          This lab intensive course presents both Soft Tissue Mobilization (STM) and Muscle Energy Techniques (MET) for the cervical and upper thoracic spines, upper ribs and shoulder regions.

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                          Course Dates & Locations:

                          • Dec 7, 2019 – Dec 8, 2019

                            600 NW Murray Rd, Kansas City (Lee's Summit), MO 64081

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                            Lee's Summit Medical Center – Summit Ridge campus
                            600 NW Murray Rd, Kansas City (Lee's Summit), MO 64081

                            Lee's Summit Medical Center – Summit Ridge campus
                            600 NW Murray Rd.
                            Lee's Summit , MO 64081
                            Second Floor - Elm Room

                            Parking: Free in either lot on both sides of the building

                            Area Accommodations
                            Fairfield Inn Kansas City Lee's Summit
                            1301 Ne Windsor Dr, Lees Summit, MO 64086
                            (816) 524-7572

                            Hampton Inn Kansas City Lees Summit
                            1751 NE Douglas Street , Lee's Summit, MO 64086
                            (816) 347-8600

                            Courtyard Marriott - Kansas City South
                            500 East 105th Street , Kansas City, MO 64131
                            (816)-941-3333

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

                            View Google Maps for Location and Nearby Accommodations

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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 using clinical examination to identify key components causing balance dysfunction and develop interventions. Utilization of functional outcome measures as a tool for creating effective balance and fall prevention programs will be emphasized. Evidence-based treatment strategies provide participants with a variety of skills to address different aspects of balance dysfunction across 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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