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Digital Seminar

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

Mark Huslig, PT, MHA
5 Hours 40 Minutes
Audio and Video
Sep 20, 2019
Product Code:
Media Type:
Digital Seminar - Also available: DVD


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

Position yourself to succeed in the era of bundled payment initiatives for the total joint episode of care!


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. 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, 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 your profession.  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 profession's standards.  

For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

CE Broker

Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.1 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.0 self-study continuing education credits.

CE Broker

California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.

Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Physical Therapists & Physical Therapist Assistants

This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.4 contact hours.

Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 6.0 clock hours of instruction that is applicable for physical therapists.

Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 6.0 clock hours of continuing education instruction.

Other Professions

This self-study activity qualifies for 6.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Mark Huslig, PT, MHA Related seminars and products

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.


Speaker Disclosures:

Financial: Mark Huslig is an adjunct faculty member at the Missouri State University.  He has an employment relationship with Mercy Hospital.  Mr. Huslig receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.

Non-financial: Mark Huslig has no relevant non-financial relationship to disclose. 

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  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


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Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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