OATA NEWSLETTER SEPTEMBER 2017 Print

OATA MEMBER SPOTLIGHT

SEPTEMBER'S OATA MEMBER SPOTLIGHT IS

Tom Iannetta ATC, CSCS

Tom has served our profession for 27 years as an Athletic Trainer.  He has also been a Certified Strength and Conditioning Specialist for the past 12 years.

Tom attended the University of Akron and upon graduation began his career at Ohio Physical Therapy and Sports Medicine and served as an outreach athletic trainer at his alma mater Bedford High School.  In 2006, he had the honor of being inducted into The Distinguished Alumni Hall of Fame. 

In 2000, he began working at the Cleveland Clinic and currently serves as an athletic trainer in a physician's practice as well as an athletic trainer at Brecksville-Broadview Heights High School.

He has had diverse experience in working with the Cleveland Fusion women’s professional football team as well as the Cleveland City Stars soccer team.

He states, "I’ve been fortunate to have the opportunity to speak at the local, state, district and national level on a variety of topics pertaining to athletic training and sports medicine."

Advice for young athletic trainers:

Be willing to step outside your comfort zone and always be eager to advance your knowledge.

In his spare time, Tom enjoys golfing, reading and spending time with his family and friends.

Thank you Tom for all that you do for our profession!

 

 

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THOUGHTS FROM THE PRESIDENT-ELECT

On Monday, September 25th, the Ohio Attorney General’s Office offered a state-wide opportunity to attend “Ideas in Practice – A Closer Look at the Continuum of Addiction Treatment.” Many athletic trainers attended the sessions across the state and gained valuable resources on programs that are working to benefit individuals with substance use disorder. If you were unable to attend, I highly encourage you to go to the Ohio Attorney General’s Facebook page and watch the “live” videos of these sessions posted that day. https://www.facebook.com/OhioAttorneyGeneral/

These resources can continue to help us as we endeavor to provide the most comprehensive care to our patients. Thank you, all, for continuing to find ways to impact the communities you serve.

Two shorten the road,

Siobhan  

VIDEO LINK

 

 

 

 

 

 

 

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THIRD PARTY REIMBURSEMENT

UPDATE FROM
THE THIRD-PARTY REIMBURSEMENT PROJECT

We are winding up the third and final year of the TPR project.  As you know, this project was a joint effort between the NATA and the states of Ohio, Indiana and Wisconsin.  

Following is a summary of the 4 main metrics on which the committee focused:

Metric and Goal Reporting

1)   Increase the # of Athletic Trainers in WI that have an NPI number thru website verification.

                                                              2013           2017

ATs with NPI in OH                              1341           1930

 

2)   Increase from 2014 baseline, the # of AT providers billing 3rd party payers (any 3rd party payer) for services provided by an AT.

       i)      Criteria - Billing under the AT's NPI &/or employer is billing as AT services under employer NPI; AT is not billing under another clinical providers NPI.

                                                                 2013           2017

Athletic Trainers billing BWC               10-30            22

Based on survey ranges                                                              

Caveat:  only two ATs billing BWC in the final survey results completed the initial survey

Top BWC MCOs in Ohio (not all inclusive):

*Careworks (largest)

*Comp Management Systems

*Spooner Medical Administrators

*888 Ohio Comp

*University Comp Care

*Health Management Solutions

*Ault Comp

*Sheakley

*KKSG

*Compensable Benefits

3)   Increase from 2014 baseline the # of employers of ATs billing 3rd party payers (any 3rd party payer) for services provided by AT.

i)      Criteria - Billing under the AT's NPI &/or employer is billing as AT services under employer NPI; AT is not billing under another clinical providers NPI.

                                                                 2013           2017

Employers billing 3rd party payers         5                  8

Caveat: Only one of the 8 employers billing completed the initial survey 

Only one employer is billing commercial insurance, 7 employers are billing BWC                       

4)   Increase from 2014, the number of Commercial Payers reimbursing for AT services billed under the AT or employer NPI number

Number of Commercial Payers reimbursing AT services billed under the AT or employer NPI number

2013                    2017

   2                          7

Commercial payers reimbursing for AT services billed under the AT or employer NPI number:

  •       Anthem
  •       Anthem BC/BS
  •       United Health Care
  •       Aetna
  •       Medical Mutual
  •       Cigna
  •       CoreSource/OSU

 

Key Learnings in Ohio from the TPR project: 

  1.    Everyone involved in the project can have an influence on the outcome.

There are so many people who can be involved with the success of this project.  It is important to utilize your assets, and assets come from many different areas in the Athletic Training family.  Athletic Trainers working in the College/University setting can have a huge influence on the attitudes as well as the education of their students regarding the importance of all areas of not only third-party reimbursement, but the big picture items of showing our value, value-based care, and the like.  ATs in Secondary Schools can be supportive through their attitude as well as obtaining their NPI number, even if they feel they won’t use it.  ATs employed in a clinical setting can push and educate non-ATs as to the value of an AT and the importance of being reimbursed for their services.   ALL ATs can participate in the grassroots effort to educate the public by teaching people what an athletic trainer does, where they work, and the services they provide.  

  1.    State practice act language is crucial to the ultimate goal of payer recognition of athletic trainers as providers.

Ohio’s practice act is not restrictive but could be improved regarding progressing with the reimbursement efforts.  Per OATA Legislative Committee Chair, “there are currently two years left on a 10-year moratorium of any legislation on the insurance industry.”  This would affect Ohio’s immediate ability to introduce anti-discrimination language into the AT practice act. 

  1.    Bureau of Worker’s Compensation in Ohio is “low hanging fruit.”

However, it is fruit that is not being consistently picked.  Many ATs in Ohio who are billing BWC for rehabilitation services provided by an athletic trainer are billing under the physician’s NPI number even though athletic trainers in Ohio are listed as providers for the Ohio Bureau of Worker’s Compensation. This is found in the Billing Reimbursement Manual, chapter 3, B, 1, I.  Education of ATs as well as employers to this fact needs to improve. 

  1.    Ohio employers of athletic trainers are often not willing to share information publicly

The original survey of all members of the OATA regarding the TPR pilot project gave a good foundation of information on which to grow.  In the end, we were unable to compare the original survey numbers to the final survey numbers due to the unwillingness of the employers who participated in the original survey to have their metrics shared publicly.  Due to the first Ohio State Business Development Coordinator leaving prior to the completion of the pilot, the metrics were unable to be compared pre-to-post.   64 of the 90 individuals that completed the survey at the end of the pilot did not fill out the original survey. 

  1.     Members of the Ohio Athletic Trainers’ Association need education about the importance of pursuing reimbursement for rehabilitation services provided by athletic trainers

I have received many questions from ATs across the state that show that there still is a lack of understanding regarding appropriate billing practices and how to begin/proceed with billing. 

  1.    Employers of athletic trainers in Ohio need education on how to proceed forward with billing and reimbursement of rehabilitation services provided by athletic trainers

Many athletic trainers provide services in physician clinics or in rehab clinics without being reimbursed for the services they provide.  Employers can learn proper pre-certification and coding techniques that will bring in additional revenue.  This will increase the overall value and revenue the AT brings to the company.  

  1. Athletic trainers need education regarding proper documentation and coding procedures for billing third party

Education regarding coding and documentation for reimbursement needs to be increased in AT education and continuing education for licensed/certified ATs needs to be offered.

    8.  AT’s in the state of Ohio need to implement outcome studies into their practice.

Most ATs do not utilize outcome studies and many do not understand the importance of collecting this data.  Having more outcome data can only help prove value which in turn will improve everything from working conditions to salaries.

 

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SECONDARY SCHOOL COMMITTEE

News from the Secondary School Committee

 

                                                 

 The ATLAS survey has been updated and it is very important for the data from this project to be as up-to-date as possible so that we have accurate information pertaining to Athletic Training in the state of Ohio. Please go to http://ksi.uconn.edu/nata-atlas/  and complete the survey. The Atlas survey must be completed each year. 

 

RULE CHANGES:

The National Federation of State High School Association's 2018 high school boys lacrosse rules changes include clarifications to stick alignment and the use of visibly contrasting gloves and shafts, which are expected to ease the game’s officiating. For an explanation of these changes please go to: https://www.nfhs.org/articles/officiating-risk-minimization-remain-key-in-high-school-boys-lacrosse-rules-changes/

Did you know?

"In an effort to re-emphasize that Friday nights in the fall should be reserved for high school football, the National Federation of State High School Associations (NFHS) has adopted a resolution that urges schools and teams at the college and professional levels to honor that longstanding tradition and schedule games on other days."

 

                                          

AWARDS

There are many awards available for deserving Secondary School Athletic Trainers. Go to NATA.orgGLATA.org and OATA.org to review the awards and please nominate a deserving colleague.

 

 

 

 

 

 

 

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AWARDS

Nominations for the
OATA HALL OF FAME
due by November 1, 2017.  

If you know of anyone deserving of consideration please go to www.oata.org and fill out a HOF nomination form.  

Please remember that only those formal nominations received by November 1st can be considered for for next year's class.

DEADLINES EXTENDED TO SUNDAY, OCTOBER 1ST

FOR GATORADE AND TIM KERIN AWARDS! 

2018 Gatorade

Secondary School Athletic Trainer Award

 The Gatorade Secondary School AT Award recognizes a certified athletic trainer from each NATA district who has made outstanding contributions in furthering his or her high school’s athletic care program or the overall profession of Secondary School Athletic Training.

 Check out these videos to learn more about what sets a great nomination application apart from the rest.

 

Awards

Winners receive:

 

  • (1) $1,000 grant toward the program featured in the winner’s submission
  • (1) Selection ofGatorade G Series Performance Package Items
  • (1) Gatorade Sidelines Cart
  • (1) Branded Athletic SSAT Award Winner Jacket
  • All-expense paid trip to 2018 NATA Clinical Symposia & AT Expo (including flight, accommodations and registration)
  • Additionally, the nominator will win $200 cash or Gatorade product.

 

 

Limited items will be selected from the offerings above

 

Criteria

  • An active certified athletic trainer and a current member of NATA.
  • Current NPI #
  • BOC certified.
  • A full-time or part-time employee in the secondary schools
  • Individuals cannot self-nominate

 

Application Process

  • Nominations may be submitted by one of the following:
    • School Athletic Director
    • Fellow Team Practitioner (Athletic Trainer, Physician, Registered Dietitian, Strength & Conditioning Coach)
    • Recognized Athletic Training Associations
    • Athletic Conferences
  • Nominators must submit 750-1,000 words on the candidate’s contribution to furthering their high school’s athletic care program or the overall profession of athletic training at the secondary school level, which includes but is not limited to the implementation of the protocols and programs related to:
    • Heat Safety
    • Concussions
    • Sudden Cardiac Death
    • Sickle Cell Trait
    • Diabetes
    • Athletes with Disabilities
    • Anaphylactic Shock
    • Emergency Action Plans
  • Nominators must submit evidence to support description (photos, videos, collateral, etc.).
  • Nominators must provide a letter of recommendation from at least three individuals on the below list. (Letter of recommendation cannot come from the nominator and at least one letter of recommendation must come from an employee at the candidate’s school.)
    • School Athletic Director
    • Team Practitioner (Fellow Athletic Trainer, Physician, Registered Dietitian, Strength & Conditioning Coach)
    • Recognized Athletic Training Associations
    • Athletic conferences
    • Principal (and other School Administrators)
    • Parents

 

Nomination Form

 

Deadlines

Nominations for the Gatorade Secondary School Athletic Trainer Award are open from August 1 - September 15. 

 

Award Winner Announcement

Winners will be notified approximately one month in advance of their respective NATA district meeting.
Each winner will be announced at his/her district meeting and will be recognized during the NATA Convention at the Secondary School Athletic Trainers’ Committee session and reception.

 

Tim Kerin Award

The annual Tim Kerin Award for Excellence celebrates the memory of Tim Kerin and supports the profession of athletic training. Symbolized with a three-leaf clover, the honor is given to an athletic trainer who embodies Tim Kerin’s finest qualities: service, dedication and integrity. Starting in 2016, Gatorade is expanding the legacy of this distinguished honor by holding an open call for nominations.

 

CRITERIA:

  • Active certified Athletic Trainer and a current member of NATA
  • NPI #
  • BOC certified
  • Previously or currently works as a full-time athletic trainer (in any health care setting) for at least 10 years
  • Currently holds or has held a leadership position within NATA at the National or District level
  • Individuals cannot self-nominate

 

Nominations will be accepted from August 1 – September 15.

 

WHAT THIS AWARD MEANS TO FORMER RECIPIENTS

“I am very thrilled to hold the Tim Kerin Award close to my heart.”
Ronnie Barnes, New York Giants, New York, NY - 1998 Tim Kerin Award for Excellence Recipient

 

“To me, the Tim Kerin Award stands for service, unselfish service. That’s what Tim Kerin was all about”
Marje Albohm, Former NATA President - 1997 Tim Kerin Award for Excellence Recipient

 

View video clips of former award winners.

 

About Tim Kerin

Tim Kerin is remembered by many for his distinguished career as well as his service to his community, university and profession. He served as the Head Athletic Trainer at the University of Tennessee for 15 years until his sudden death from an aortic aneurysm in August, 1992.

Tim Kerin served on the NATA Program and Convention Committees from 1979-1991, was a founding member of Knoxville’s Metropolitan Drug Commission, for which he served as president from 1987-1989, and chaired the SEATA Awards Committee from 1988-1992. He received a Chancellor’s Citation from the University of Tennessee in 1990, and the Southeast Athletic Trainers’ Association Award of Merit in 1992.

In 1993, Kerin was inducted into the NATA Hall of Fame. Later that year the University of Tennessee officially dedicated “The Tim Kerin Training Room” in his honor and memory. In 2001, Tim Kerin’s memory was again honored when he was inducted into the Tennessee Sports Hall of Fame.

 

 

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