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Routine Therapy in SNF's

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I am looking for any information regarding Routine Therapy in SNF's.

I previously consulted with a large rehabilitation and long term care company

who utilized Routine Therapy. Routine Therapy was defined as a non-skilled

treatment, performed by a Routine Therapy Aide (RTA), under the direct

supervision of a Physical Therapist. The RTA was a CNA with additional

training by a Physical Therapist, and was an employee of the Rehab Department.

Routine Therapy was a function of PT and could be only utilized for those

residents " skilled " under Medicare A. (i.e.: receiving OT, SLP or " skilled " by

nursing). It was generally recommended after a discharge from PT or when PT

was not appropriate (i.e.: resident either too high functioning or too low).

Routine Therapy was billed (at a lesser rate) to Medicare A based on the

number of units received.

My questions are:

Is this a common practice in other SNF's?

How can Medicare be billed for a " treatment " performed by a non-licensed aide?

Is there any written information regarding this topic? (i.e.: regulations,

limitations, Medicare Billing, etc.)

Any input would be greatly appreciated.

Thank you.

Dolores Montero, PT

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