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Author: Dr. Kevin G. Kenefick
Kevin@KenefickPhysicalTherapy.com
The Physical Therapy Exercise Library pioneers the most patient-centric and clinician-centric resource that simplifies the approach of physical therapy to optimize functional independence.
The Physical Therapy Exercise Library, powered by Point Motion and United-TI, can be used for anyone looking to improve their overall strength and balance to maintain their functional independence. The PTEL is great for clinics and clinicians looking to work with patients with neurological syndromes like Parkinson’s Disease, Alzheimer’s Disease, Autism Spectrum Disorder, post-stroke, and any orthopedic conditions.
The PTEL is great for physical therapists, occupational therapists, personal trainers, health care workers, caregivers, and patients with any muscular dysfunction who are interested in utilizing a dynamic home exercise program that tracks the quality of completion of each exercise in a patient’s home exercise program. The PTEL can support students, novice clinicians, and experienced clinicians by providing an extensive library of high-quality exercises to improve the quality of movement, strength, and balance for patients with any musculoskeletal disorders or neuromuscular syndromes.
“The masters do the basics really well”. With that said, the PTEL focuses on the proper muscular activation of basic key muscles such as (but not limited to): glutes, quads, transverse abdominis muscles, lower traps, and middle traps. By going back to the basics, we can rebuild the proper motor patterns for rehabilitating patients with several different dysfunctions. The proper activation of these basic muscles can allow ANYONE to perform more complex movements by optimizing the primary and axillary muscles to assist with everything from rolling over and getting out of bed in the morning, to walking from the bedroom throughout their home, to pushing open the bedroom door, pulling the refrigerator door open, and turning around with proper stability to allow patients to better retain their independence. Which would also take some burden off the caregiver.
The Physical Therapy Exercise Library, powered by Point Motion and United-TI, can be used for anyone looking to improve their overall strength and balance to maintain their functional independence. The PTEL has expertly curated exercises and verbal descriptions routed in neuromuscular re-education principles to allow patients to master the basics of movement to maintain quality of life. This program is great for physical therapists, occupational therapists, personal trainers, health care workers, caregivers, and patients who are interested in utilizing a dynamic home exercise program that tracks the quality of completion of each exercise in a patient’s home exercise program. The trackable data is quantified in a user-friendly dashboard for a physical therapist to assess the progress of a patient’s goals for their entire patient caseload. The quantified data can be easily submitted to the insurance company to demonstrate measurable improvement. This dynamic home exercise program also allows a physical therapy practice to submit CPT codes/claims to the insurance company for asynchronous care to then yield a significant increase in revenue for a physical therapy practice.
The PTEL is an expertly curated library that simplifies the approach of physical therapy by returning to the basics and creating the most stable foundation for all of life’s complex movements. The simplification of the PTEL will be paired with the empowering Helping Friends Toolset for motion capture feedback activating world-class orchestrated music. Together, this program promotes a feedforward mechanism of motor planning by producing positive reinforcement for correct exercise execution. The PTEL pioneers the most patient-centric and clinician-centric resource where patients and clinicians can utilize the tools needed to progress their quality of life and optimize functional independence.
Tech Reasons
The PTEL is powered by Point Motion and United-TI. The simplification of the PTEL will be paired with the empowering Helping Friends Toolset for motion capture feedback activating world-class orchestrated music. Together, this program promotes a feedforward mechanism of motor planning by producing positive reinforcement for correct exercise execution. The PTEL is great for physical therapists, occupational therapists, personal trainers, health care workers, caregivers, and patients who are interested in utilizing a dynamic home exercise program that tracks the quality of completion of each exercise in a patient’s home exercise program. The trackable data is quantified in a user-friendly dashboard for a physical therapist to assess the progress of a patient’s goals for their entire patient caseload.
Financial Reasons
The PTEL program, powered by Point Motion + Unitus TI, can unlock several billable CPT codes that are approved by Medicare, Medicaid, and other major insurance companies. Getting Reimbursed – PT/Rehab presents detailed information about such billable codes, but not limited to: 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215.
The Medicare Physician Fee Schedule final rule for 2022 adds five CPT codes for remote therapeutic monitoring (RTM) that PTs may bill as of Jan. 1, 2022. RTM codes report management of medical devices that collect nonphysiological patient data. This article notes the APTA Practice Advisory: RTM Codes Under Medicare practice advisory to help you understand the specifics on when and how to apply each code for a PT or PTA. This article notes the CPT codes 98975, 98976, 98977, 98980, 98981 have been added to the 2022 Medicare Fee Schedule.
New CPT Codes Allow PTs to Conduct, Bill for Remote Monitoring notes the codes 99457, 99453, 99454 apply to chronic care, and they allow physicians, clinical staff, or “other qualified healthcare professionals” to conduct remote monitoring in certain circumstances. Because PTs are included in the American Medical Association’s definition of “qualified healthcare professionals” they are able to participate in the remote monitoring to the extent allowed by state and scope-of-practice laws.
The ability to ethically utilize additional remote therapeutic monitoring CPT codes will allow a rehab practice to optimize billing strategies to then yield a significant INCREASE in REVENUE for ANY REHAB PRACTICE.
Position Paper: Expanded Telehealth Access Act of 2021 outlines the American Physical Therapy Association’s support of the Expanded Telehealth Access Act of 2021 that would add PTs and PTAs in private practice, and facility-based outpatient therapy settings as permanent authorized providers of telehealth under the Medicare program.
The quantified data can be easily submitted to the insurance company to demonstrate measurable improvement for patients to necessitate the authorization for further skilled therapy. This can allow a clinician AND/OR practice to enhance their Visits Per Referral (VPR) by maximizing patient adherence to their home exercise program to complement the patient’s plan of care for skilled physical therapy (or occupational therapy) treatment.
If a physical therapist or occupational therapist has the ability to ethically MAXIMIZE the VPR per episode of care, the overall PATIENT VOLUME WILL DRASTICALLY INCREASE to improve revenue for the practice.
If a patient has tangible and measurable functional improvements, then their overall quality of life will improve to maintain their functional independence. The PTEL is influenced by key neuromuscular training routed in primary movements needed to maintain a higher quality of life. If a patient is experiencing these functional improvements, then they will be happy returning customers who may INCREASE their REFERRALS to the practice.
The Point Motion EMR system is HIPAA compliant to keep a patient’s PHI safe and secure and it can create notes that are viable to be submitted to the insurance company for claim reimbursement. The PTEL EMR system can have an API plugin integration with your current EMR system to assist with note writing for insurance submissions. Not only will the PTEL system compliment your patient’s experience, but the Point Motion EMR system will also be your one-stop-shop solution for communicating with the insurance company.
Physical Therapy Content Reasons
The exercise program is rooted in strength and conditioning principles that are meant to engage the most typical and weakest muscles. Vladimir Janda has a strong influence on my treatment style as he identified the lower body crossed syndrome and upper body crossed syndrome patterns that are so commonly seen with patients. Throughout my practice with orthopedic and neurologic patients, I noticed the weakness of patients’ glutes, core, lower traps, middle traps, and deep cervical flexors. The poor motor patterns that were adopted by these patients can lead to common injuries that unfortunately can drastically limit a patient’s functional independence.
The proper activation of these basic muscles can allow any individual to perform more complex movements by optimizing the primary and axillary muscles to assist with everything from rolling over and getting out of bed in the morning, to walking from the bedroom throughout their home, to pushing open the bedroom door, pulling the refrigerator door open, and turning around with proper stability to allow patients to better retain their independence.
The PTEL powered by Point Motion and the Helping Friends Toolset is a cloud-based system that supplies the clinician and patient with a dynamic home exercise program (HEP) that utilizes motion capture feedback to activate world-class orchestrated music with proper execution of the movements. The cloud-based system can be utilized truly on any smart device to support patients to better adhere to their HEP. Together, this program promotes a feedback and feedforward mechanism of motor planning by utilizing positive reinforcement for correct exercise execution.
As the executive author, I have utilized my extensive background in physical therapy, biomechanics, and strength and conditioning to create the world’s most patient-centric and clinician-centric resource to support a patient’s individual rehabilitation plan of care to retain their functional independence.
The PTEL solves these Janda-based categories of dysfunctional movement patterns and facilitates a patient to master the basics for the strongest foundation for everyday movements. My treatment approach is a pyramid-based structure:
Level 1 – Reduce the pain, it is hard to do anything when the patient is in pain
Level 2 – Increase the range of motion
Level 3 – Increase strength throughout the full range of motion
Level 4 – Increase the speed and power to enhance the reactive capability of a patient
The PTEL can be modified by a clinician to individualize the progressive resistance exercises appropriately in order to facilitate the optimal strength, endurance, and balance gain. I.e.:
3×10, 3×12, 3×15
Increase the weight, 3×10, 3×12, 3×15Micro cycles are built-in to prevent plateaus by changing the frequency, rep scheme, rep and set volume, and alternating the weight intensities for varying the individual session goals to improve overall range of motion, strength, endurance, and balance.
The PTEL pioneers the most patient-centric and clinician-centric resource where patients and clinicians can utilize the tools to go through the multiple levels to improve their overall functional independence and maintain their quality of life. The PTEL combines traditional strength and conditioning principles and with LSVT BIG and LOUD-like movements to improve patients with neurological syndromes such as Parkinson’s Disease, Alzheimer’s Disease, Autism, Post-CVA.
Physical Therapy Exercise Library reintroduces the basics to create a strong foundation of key everyday movements that are routed in neuromuscular techniques, strength and conditioning principles.
Owner at Kenefick Physical Therapy | Creator of the Physical Therapy Exercise Library | Director of Physical Therapy at Eden Health | Fellow-In-Training Manual Therapy | Physical Therapy Non-Profit Business Consultant | Technology Enthusiast
Pleasure to meet you. I am Dr. Kevin Kenefick, a NY/NJ licensed Physical Therapist with Kenefick Physical Therapy PLLC. I am from Brooklyn, New York, and attended The University of Scranton for my undergraduate in Exercise Science, The University of Northern Colorado for a Masters in Biomechanics, and The University of Scranton for my Doctorate in Physical Therapy.I am a Fellow in Training with the North American Institute of Orthopedic Manual Therapy to obtain a credential held by the top 1% of all 312,000+ practicing physical therapists in the country.
My specialties include Advanced Manual Therapy techniques, Half-marathon and marathon training, Soccer conditioning and rehab, Baseball and other overhead athletes, Powerlifting and Olympic style Strength and Conditioning, Yoga, Pilates, utilization of the McKenzie Method with his spine patients, and PNF neuromuscular re-education with patients with Parkinson’s Disease, Alzheimer’s Disease, post-stroke, and Multiple Sclerosis.
My extensive clinical background has led me to create the Physical Therapy Exercise Library to pioneer the most patient-centric and clinician-centric resource where patients and clinicians can utilize the tools needed to progress their quality of life and optimize their functional independence.
Financial Links
1. APTA Practice Advisory: Remote Therapeutic Monitoring Codes Under Medicare
2. 2022 Changes to outpatient evaluation and management codes (Tipsheet/download) 3min read
3. 2022 Changes to Outpatient Evaluation and Management Codes
4. Position Paper: Expanded Telehealth Access Act of 2021
5. New CPT Codes Allow PTs to Conduct, Bill for Remote Monitoring