Mitch Kaye, PT, oversees all aspects of utilization review and case management for the entire PTPN network, and trains and supervises PTPN’s Quality Assurance and Utilization Management staff. In addition, he is responsible for creating and updating case management, utilization management, quality assurance, clinical integration and outcomes guidelines for the network.
Kaye also assists PTPN regional offices with Quality Assurance program management through ongoing training and support, and he meets with members, physicians and payers as needed for program development and problem resolution.
Kaye earned his Bachelor of Science degree with a certificate in physical therapy at University of Southern California. He then worked at Los Angeles County/USC Medical Center for 7 years and later served as a physical therapy consultant and surveyor for the Los Angeles County Health Department, and then as director of physical therapy and director of imaging services at a 180-bed community hospital. He also worked for Zenith Insurance as a reviewer/coordinator and previously had his own private physical therapy practice for 14 years.
As a recognized expert in the field, Kaye has been a member of the Federation of State Boards of Physical Therapy’s Standard Setting Task Force, as well as the Center for Medicare and Medicaid Services’ Short Term Alternatives for Therapy Services project. He has worked with the Physical Therapy Board of California, both as a Subject Matter Expert and as a member of the board’s Assistive Personnel Task Force.
Kaye is also an active member of the California Physical Therapy Association. He has served on the organization’s Board of Directors, House of Delegates, Quality Practice Committee, Nominating Committee and Annual Conference Committee. He has represented the association’s Greater Los Angeles District as treasurer and a member of the Assembly of Representatives. In 2011, the CPTA awarded him the Clarence W. Hultgren Service Award. Mitch has authored articles and presented webinars and lectures for organizations including the CPTA and the APTA Private Practice Section, focusing on subjects like Medicare, documentation and coding.