Seminar Detail

Joint Replacements + Bundled Payments: What Every Therapist & Nurse Needs to Know for Optimal Treatment and Reimbursement
Joint Replacements + Bundled Payments: What Every Therapist & Nurse Needs to Know for Optimal Treatment and Reimbursement


When:  Friday, October 25, 2019 at 8:00 AM - 4:00 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:

The challenges you face with patients undergoing outpatient total joint arthroplasty are steadily growing, especially in the era of Medicare’s bundled payment initiatives.

Ever evolving surgical techniques mean not every LE arthroplasty can be treated the same. There’s less time in the hospital, so you must be diligent to recognize and manage comorbidity dangers. You’re pushed to find opioid-sparing approaches for your patients. Add to this Medicare’s new bundle payment model and you might find yourself overwhelmed, stressed, and ready to make a job change.

Don’t let the new Medicare value-based paradigm get the best of you and your practice. Learn the best strategies for optimizing the episode of care by improving patient safety and outcomes. Better recognize and manage high-risk patients, avoiding readmission or a lapse in his or her recovery. Find creative ways to stay within your budget under the 90 days allotted to your care. Learn all the ins and outs of how you and your facility can overcome the challenges and experience the reward from bundled payments.

Take your care and ultimately your facility to the next level in this timely seminar. Sign up today to position yourself to succeed in the era of bundled payment initiatives for the total joint episode of care!
  1. Examine how to transition to outpatient total joint replacements and the economics, protocols, and payment challenges you face.
  2. Classify the impact of technology in total LE joint arthroplasties on how you treat your patient.
  3. Design a plan of care in the face of comorbidity dangers to avoid readmission or lapse in recovery time.
  4. Analyze the restrictions for return to sports in hip and knee arthroplasty.
  5. Classify how reimbursement works for total joint arthroplasty under bundled payment initiatives.
  6. Utilize ways to avoid hip instability and limb length discrepancy after total hip arthroplasty.
  7. Apply new strategies for managing problematic stiff knee replacement.


  • Manage extensor mechanism complication
  • Manage the stiff knee
  • Etiology of post-op extension and flexion deficits
  • Unicompartmental knee arthroplasty (UKA) outcomes
  • Long fixation components for valgus stress knee replacements
  • Muscle activation patterns during walking and associations with TKA tibial implant migration
  • CPM (Continuous Passive Motion) and implications under bundled payments
  • Use of cryoneurolysis in multimodal pain management protocol
  • Psychological comorbidity factors associated with non-compliance
  • Restriction for return to sport
  • Direct anterior approach’s effect on readmissions rates
  • Reversible thalamic atrophy
  • Avoid hip instability and limb length discrepancy
  • Gait asymmetry
  • Spinal instrumentation and impact on hip dislocation
    • THA patients with fixed spinopelvic alignment from standing to sitting at higher risk
    • Lumbar fusion involving the sacrum increases dislocation risk 8-fold
  • Effects of piriformis tendon repair failure
  • Electormyographic analysis implications
    • Effects on gluteus medius and gluteus maximus
  • Restriction for return to sport
  • Breaking down Bundled Payments for Care Improvement initiative (BPCI) and Comprehensive Care for Joint Replacement (CCJR)
  • Breaking down Medicare’s role in value-based reimbursement
    • Is your area of the country in the selected Metropolitan Statistical Areas outlined by Medicare?
    • How your regional location affects the cost variation in Medicare spending for total joint replacements?
  • Impact on post-acute care practice settings
  • How to case cost analysis in bundled payments
    • What’s the relationship of implant cost to total surgical case cost?
  • Latest on performance benchmarking
  • Why hospital quality scores matter
  • How to create orthopedic physician report cards
  • What is allowed by Medicare in gain-sharing with hospitals
  • Minimize narcotic use with patients
  • The latest news in how CMS will pay for post-acute rehab services
  • The role of tele-rehab in total joint cases
  • Tools used in risk stratifying patients prior to surgery
  • Quality tools and templates
  • What outcome reporting does Medicare require
  • The American Joint Replacement Registry data to improve outcomes
  • How to influence hospitals into collaborating and gain-sharing
  • Medicare waivers under the bundled payment programs
  • Beneficiary rights
Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Rehab Managers
  • Case Managers
  • Nursing Home Administrators
  • Skilled Nursing Facility Administrators
  • Home Health Agency Administrators and Managers
  • Rehab Nurses


Mark Huslig, PT, MHA, is the administrative director for Mercy Central Region of Therapy Services. Mercy Health system ranks among the top five in Truven Health Analytics and is a medical destination site for total joint arthroplasty. Mr. Huslig has more than 30 years of experience in the management of occupational, physical, and speech therapy, and is a certified ASTYM provider. He is an expert in Medicare and Medicaid regulations, specifically on issues related to payment reform initiatives. Mr. Huslig has successfully integrated at-risk payment methodologies contracting into rehabilitative services. He is a member of the American Physical Therapy Association and section member for Health and Policy, Orthopedics and Private Practice, along with serving as adjunct faculty for Missouri State University’s Occupational Therapy Program.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.

Case Managers
CCM Logo
This course has been awarded 6.25 clock hours by the Commission for Case Manager Certification. Full attendance is required.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists
American Nurses Credentialing Center Logo
PESI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses in full attendance will earn 6.3 contact hours. Partial contact hours will be awarded for partial attendance.

Nursing Home Administrators
This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 6.25 clock hours and 6.25 participant hours. Full attendance is required; no partial credits will be offered for partial attendance.

Occupational Therapists & Occupational Therapy Assistants
PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. Full attendance at this course qualifies for 6.0 contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.

Physical Therapists & Physical Therapist Assistants
This activity consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary per state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Other Professions
This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

Credit Card Required for online registration | Contact us to redeem Gift Certificates