With Gratitude

By Terry C. Brown, PT, DPT

As my term as your president begins to wind down, I find myself reflecting on the past few years and all that has transpired. I’m not feeling so much nostalgic as grateful; this position has been a gift that has been given to me that no one really knew they were giving. I have had the pleasure of serving on the Private Practice Section (PPS) board of directors for the past 10 years: one year as a director, six as vice president, and now in my third year as president. As you can imagine and many of you have witnessed, much has changed over this time. The organization has grown and prospered, bringing new programs, ideas, and solutions to private practitioners in an ever-changing environment. The focus of PPS has broadened and become more inclusive, engaging nontraditional practices and entrepreneurs who are blazing new pathways. We as a Section have taken our place as leaders in vision and policy in the American Physical Therapy Association. We have come a long way in 10 years and we have just begun. I look forward to where you, our future leaders, will take us.

One on One


Does it only apply to Medicare?

By Rick Gawenda*
July 2017

I receive many questions that begin something like “I know we can’t have two Medicare patients being treated at the same time, but how about two patients with private insurance?” Or “I know I need to be one on one with Medicare patients, but that does not apply to patients with private insurance, right?” And “I know if I have two Medicare patients in my facility for one hour during the same time period, I have to split the time between them, but if the two patients had private insurance, I could bill each for the entire hour as one-on-one time, correct?”

Avoiding Burnout

By Stacy M. Menz, PT, DPT, PCS

This month’s issue is about burnout. I have to admit I have been looking forward to this issue. I’m sure I’m not alone as a business owner, a physical therapist, or a person going about my day-to-day life, in that I have experienced periods of burnout.

I remember listening to a session on burnout at a conference a year or so ago. I was eagerly awaiting the tidbits they were going to share because I wanted to apply them to myself and my employees. The talk, while well done, was mainly about employees. One of the factors that they said helped to prevent burnout was for employees to have a best friend at work. My first reaction was to question how this worked for employers because while it’s possible to be friendly with staff we don’t always have the luxury of having a best friend at work. If your business has partners, you have people on your same level, but if you are a sole business owner you may not. For employers, a peer-to-peer business group could be beneficial.

Do You Have a “Who” Problem or a “How” Problem?

By Paul Gough, BSC (HONS), MCSP, SRP, HPC

If you are a physical therapy business owner, manager, or clinic director, the feeling of burnout is something that you are likely to be familiar with. Can you relate?

If you are working too hard, which can lead to burnout, the first thing you have to ask yourself is this: Do you have a “Who” problem or a “How” problem going on in your business?

Regulatory Changes for 2017


Quality Payment Programs

By Alpha Lillstrom Cheng, JD, MA
July 7, 2017

As you know, the Centers for Medicare & Medicaid Services (CMS) is responsible for developing, proposing, and finalizing regulations in order to implement health care–related legislation that has been passed by Congress and signed into law. On behalf of the more than 4,200 members of the Private Practice Section, PPS regularly analyzes and provides stakeholder input in the form of “comments” to proposed rules that pertain to private practice physical therapy.

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