Helene M. Fearon, PT, FAPTA

Helene M. FearonHelene M. Fearon, PT, FAPTA
Partner, Fearon & Levine

Helene Fearon is a partner in Fearon & Levine, a national consulting firm focusing on practice management and payment policy in the outpatient rehabilitation setting, with particular expertise in the areas of documentation, coding, billing, and compliance. Fearon & Levine has a client base in over 35 states and the District of Columbia, and she and her partner, Stephen M. Levine, PT, DPT, MSHA, have taught seminars and lectured in more than 46 states. She is a development partner in OptimisPT®, a revolutionary end-to-end electronic health record platform designed, initially, for the outpatient physical therapy industry, that incorporates software guided clinical decision support protocols, automated documentation of therapist-patient interactions, evidence-based practice guidelines, and documentation, billing, and regulatory compliance in an efficient web-based platform. She is a graduate of Marquette University’s Physical Therapy program, and is co-owner of Fearon Physical Therapy, a private practice in Phoenix, Arizona since 1986 that specializes in orthopedic manual therapy. Her private practice provides work injury management services through contracts with employers, payers and case management firms. These services include the review and development of functional job descriptions, development and implementation of ADA compliant pre-work screening programs and functional capacity evaluations. She is a contributing author to several publications and training manuals utilized to train physical therapists in providing for work injury management programs. Ms. Fearon is also President and partner of Physical Therapy Provider Network (PTPN) of Arizona, a physical therapist owned provider network that includes over 100 private practices in Arizona.

Ms. Fearon shares her expertise through consulting in the areas of reporting of clinical services through the lens of the diagnosis, evaluations and interventions as well as fiscal management and health policy development as it relates to rehabilitation services. She consults nationally in the areas of CPT coding, diagnosis coding, fee schedule development, utilization review and audits, as well as program policy, procedure and quality assurance program development and review. She draws on her background of having been involved in the development and/or operation of her private practice, three Medicare-Certified Rehab Agencies, a home care contracting business, two specialty practices delivering work injury management services and a physical therapy provider network. In addition, Ms. Fearon has provided expert testimony in cases involving fraud and abuse in the provision of physical therapy services in the outpatient setting. She consults to several national medical review and insurance companies, providing assistance in the development of utilization review and payment policies as they pertain to rehabilitation services.

Ms. Fearon is involved in the American Physical Therapy Association (APTA) both at the state and national level. She was appointed as APTA’s representative to the American Medical Association’s CPT HealthCare Professionals Advisory Committee (HCPAC) in 1992, and served as co-chair of the HCPAC through 2008. In this role she participated as a member of the AMA’s CPT Editorial Panel and its’ Executive Committee 2004-2008. Since 1993, Ms. Fearon has been intimately involved in the process of developing, and revising CPT code nomenclature primarily used in the description of services provided by healthcare professionals in the area of physical medicine and rehabilitation. In this role she frequently is called upon for her expertise in development of payment policy and training materials utilizing these CPT codes.

Her activities in the APTA include serving on the Board of Directors of the Private Practice Section - APTA and is currently chair of the Section's Government Affairs Committee. She is active as a member of the Arizona Chapter of the APTA and its’ Payer Relations committee. Ms. Fearon also served as a governor appointee to the State of Arizona’s Board of Physical Therapy Licensure from 1999 - 2007, and served as president of this regulatory board from 2003 - 2007.

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