Re: 1999 Fee Schedule - Personal Supervision

[Guest guest]

Just wanted to say thank you!  This site has been a great resource to

help me stay informed.

1999 Fee Schedule - Personal Supervision

1999 Fee Schedule - Issue #3 Supervision

Specifically identified in the rule is the requirement of " personal

supervision " by therapists of work produced by extenders (Page 58869)

" Personal supervision requires that the therapist be in the room during

the performance of the service. "

R. Kovacek, MSA, PT

Email Pkovacek@...

Visit < www.PTManager.com>

TOGETHER WE CAN MAKE A DIFFERENCE !

  _____  

[Guest guest]

If I'm not mistaken, I think personal supervision by a PT or OT is required

when the assistants or aides are employed by an independent PT or OT (or

private as HCFA refers to them now) in their practice -- not in cases such as

rehab agencies, etc. As always, let me know if your interpretations are

different.

I would like someone's interpretation of " services indicent to the physician's

professional services " . HCFA states:

The fee schedule is applied outpatient therapy or rehab services without

regard to the practitioner who furnishes the service. Physical and

occupational therapy services furnished by physicians and certain other

recognized practitioners are payable under the physician fee schedule. A

nonphysician practitioner who provides services that would be physicians'

services if furnished by a physician under a specific enumerated benefit in

the statute would be consdered as the physician treating the beneficiary.

Thus, a nonphysician practitioner would be considered as the physician

treating the beneficiary when he or she furnishes outpatient physical and

occupational therapy services. Nonphysician practitioners who meet this

definition are physician assistants, nurse practitioners and clinical nurse

specialists operating within the scope of their State licenses.

Does this mean these three types of practitioners can provide therapy? I'm

wondering what ya'll think.

Kathy Shields

Professional Therapy Providers

St. Louis, Missouri

------------------------------------------------------------------------

[Guest guest]

,

Thanks for the great information.

Regarding Issue #3, does this (or any other HCFA document) address

supervision of students?

Kovacek wrote:

> 1999 Fee Schedule - Issue #3 Supervision

>

> Specifically identified in the rule is the requirement of " personal

> supervision " by therapists of work produced by extenders (Page 58869)

>

> " Personal supervision requires that the therapist be in the room

> during the performance of the service. "

> R. Kovacek, MSA, PTEmail Pkovacek@...

> <www.PTManager.com> TOGETHER WE CAN MAKE A DIFFERENCE !

> -----------------------------------------------------------------------

>

[Guest guest]

my read is that this affects students only as it would others to whom we

delegate care. Nothing special from the clinical education perspective, I

wonder if others interpret differently though???

At 12:02 PM 11/9/1998 -0500, you wrote:

>,

>Thanks for the great information.

>

>Regarding Issue #3, does this (or any other HCFA document) address

>supervision of students?

>

> Kovacek wrote:

>

>> 1999 Fee Schedule - Issue #3 Supervision

>>

>> Specifically identified in the rule is the requirement of " personal

>> supervision " by therapists of work produced by extenders (Page 58869)

>>

>> " Personal supervision requires that the therapist be in the room

>> during the performance of the service. "

>> R. Kovacek, MSA, PTEmail Pkovacek@...

>> <www.PTManager.com> TOGETHER WE CAN MAKE A DIFFERENCE !

>> -----------------------------------------------------------------------

>>

[Guest guest]

It seems to be related to " within the scope of their state license. " Wow!!

What a turn of events! It always pays to read the regs. Sara

At 03:08 PM 11/9/98 EST, you wrote:

>If I'm not mistaken, I think personal supervision by a PT or OT is required

>when the assistants or aides are employed by an independent PT or OT (or

>private as HCFA refers to them now) in their practice -- not in cases such as

>rehab agencies, etc. As always, let me know if your interpretations are

>different.

>

>I would like someone's interpretation of " services indicent to the physician's

>professional services " . HCFA states:

>

>The fee schedule is applied outpatient therapy or rehab services without

>regard to the practitioner who furnishes the service. Physical and

>occupational therapy services furnished by physicians and certain other

>recognized practitioners are payable under the physician fee schedule. A

>nonphysician practitioner who provides services that would be physicians'

>services if furnished by a physician under a specific enumerated benefit in

>the statute would be consdered as the physician treating the beneficiary.

>Thus, a nonphysician practitioner would be considered as the physician

>treating the beneficiary when he or she furnishes outpatient physical and

>occupational therapy services. Nonphysician practitioners who meet this

>definition are physician assistants, nurse practitioners and clinical nurse

>specialists operating within the scope of their State licenses.

>

>Does this mean these three types of practitioners can provide therapy? I'm

>wondering what ya'll think.

>

>Kathy Shields

>Professional Therapy Providers

>St. Louis, Missouri

>------------------------------------------------------------------------

>

[Guest guest]

If the services they furnish are within their scope of licensure.

> Re: 1999 Fee Schedule - Personal Supervision

>

>If I'm not mistaken, I think personal supervision by a PT or OT is

>required

>when the assistants or aides are employed by an independent PT or OT

>(or

>private as HCFA refers to them now) in their practice -- not in cases

>such as

>rehab agencies, etc. As always, let me know if your interpretations

>are

>different.

>

>I would like someone's interpretation of " services indicent to the

>physician's

>professional services " . HCFA states:

>

>The fee schedule is applied outpatient therapy or rehab services

>without

>regard to the practitioner who furnishes the service. Physical and

>occupational therapy services furnished by physicians and certain other

>recognized practitioners are payable under the physician fee schedule.

>A

>nonphysician practitioner who provides services that would be

>physicians'

>services if furnished by a physician under a specific enumerated

>benefit in

>the statute would be consdered as the physician treating the

>beneficiary.

>Thus, a nonphysician practitioner would be considered as the physician

>treating the beneficiary when he or she furnishes outpatient physical

>and

>occupational therapy services. Nonphysician practitioners who meet

>this

>definition are physician assistants, nurse practitioners and clinical

>nurse

>specialists operating within the scope of their State licenses.

>

>Does this mean these three types of practitioners can provide therapy?

>I'm

>wondering what ya'll think.

>

>Kathy Shields

>Professional Therapy Providers

>St. Louis, Missouri

>------------------------------------------------------------------------

>

>

[Guest guest]

>

> The " personal " supervision for PTAs applies only in the PTIP (PT in

> Independent Practice) setting

>

> Sandy McCuen

Does anyone know where this arbitrary bit of thinking came from in the

wonderful realm of medicare (like champus) unreality?

:::sheesh:::

------------------------------------------------------------------------

[Guest guest]

please change my mail to the digest plan.

Thanks

Janet Weinburg@...

----------

From: mccuen@...[sMTP:mccuen@...]

Sent: Wednesday, November 11, 1998 1:23 PM

To: ptmanageregroups

Subject: Re: 1999 Fee Schedule - Personal Supervision

VSTilley@... wrote:

>

> I have a question? Has anyone figured out the PTA /OTA supervision issue as

> it relates to LTC. Medicare currently reimburses for rx by PTAs,and OTAs

> working independently in the skilled nursing setting (if the state practice

> act allowed)(after an established plan of care had been done) Is this

> changing? Is Medicare going to req. direct, onsite supervision? If so, this

> will kill the nursing home industry for therapy. LTC companies are going to

> have a difficult time surviving if they have to hire PT's and OT's and reduce

> use of PTAs and OTAs in the new PPS environment. Any input would be grreat!!

>

> Thanks

> Vicki Tilley PT,GCS

> Vencare Ancillary Services

> Durham, NC

Hi Vicki,

The " personal " supervision for PTAs applies only in the PTIP (PT in

Independent Practice) setting

Sandy McCuen

> ------------------------------------------------------------------------

>