Re: need for written information

[Guest guest]

Your state law is first. Medicare manuals state licesed personnel to provide

Physical Therapists. Who is licensed to provide physical therapyn in your

state. See the medicare manuals. PTManager.com has them on the site.

Pat

Pat Corrigan Jobes, PT

Director of Rehabilitation Services

Methodist Healthcare-North Hospital

3960 New Covington Pike

Memphis, Tn 38128

Phone: (901)384-5320

Fax: (901)384-5099

E-Mail: jobesm@...

>>> Kaster Dennis 08/29/00 11:48AM >>>

To the group;

I need to find written reference information on the following topics to

present to my hospital administration. Would appreciate some help on this.

1. I need to find out if whether or not a PT clinic can charge Medicare

for any care where an ATC/aide is involved in a patients care (outpatient

setting).

2. Can ATC/aides document in patient charts?

Thanks,

Dennis Kaster P.T.

Rehab Pro - The New Way...A Better Way to Rehab Success! Call for details -(800)

540-0774.

Rehab Management Solutions can solve your cash flow problems -

Coming September 22,2000 - Helene Fearon on Coding and Reimbursement - Rochester

Michigan. Register at today.

How to Start a Private Practice with Dick Hillyer - 9/23-24, 2000 Register at

.

Visit our EStore at www.RehabBusiness.com

[Guest guest]

The first place to look is your state practice act!

Elmer Platz, PT

418 Route 515

Vernon, NJ 07462-3027

fax

http://www.platzpt.com

" Every man owes part of his time and money to the business or industry in

which he is engaged. No man has the moral right to withhold his support from

an organization that is striving to improve conditions within his sphere. "

President Theodore Roosevelt

need for written information

To the group;

I need to find written reference information on the following topics to

present to my hospital administration. Would appreciate some help on this.

1. I need to find out if whether or not a PT clinic can charge Medicare

for any care where an ATC/aide is involved in a patients care (outpatient

setting).

2. Can ATC/aides document in patient charts?

Thanks,

Dennis Kaster P.T.

Rehab Pro - The New Way...A Better Way to Rehab Success! Call for

details -.

Rehab Management Solutions can solve your cash flow problems - (877)

552-2996

Coming September 22,2000 - Helene Fearon on Coding and Reimbursement -

Rochester Michigan. Register at today.

How to Start a Private Practice with Dick Hillyer - 9/23-24, 2000 Register

at .

Visit our EStore at www.RehabBusiness.com

[Guest guest]

According to the APTA " Physical therapists are the only professionals and

physical therapist assistants, under the direction of the physical

therapist, are the only paraprofessionals who provide physical therapy

interventions. "

http://www.apta.org/PT_Practice/administrationofphysical/useofpersonnel/posi

tiononptintervention

Also consider that Medicare and most other reimbursement sources require

that physical therapy interventions be skilled in nature, and this requires

the abilities of a PT or PTA to perform the intervention. The Health Care

Financing Administration defines fraud as " the intentional deception or

misrepresentation that an individual knows to be false or does not believe

to be true and makes, knowing that the deception could result in some

unauthorized benefit to himself/herself or some other person. The most

frequent kind of fraud arises from a false statement made, or caused to be

made, that is material to entitlement or payment under the Medicare program "

(www.hcfa.gov). The department of Health and Human Services Office of the

Inspector General (www.dhhs.gov) includes in its definition of fraud

altering a claim form to obtain a higher payment. If Medicare is reimbursing

based on a designated physical therapy intervention/service and the service

is completed by an aide, the physical therapist of record is committing

fraud.

This was best stated by Dale Avers: " As a physical therapist in any setting,

you have the moral, legal, and ethical responsibility of being aware of and

understanding the guidelines that govern physical therapy. Ignorance is no

excuse. Your license to practice is yours and yours alone, and is subject to

forfeiture if you are convicted of fraud or abuse or other ethical or legal

violations. The excuse of 'my supervisor made me do it' will fall on deaf

ears of a panel of your peers and government officials whose job it is to

protect the public from misuse of public funds " (Gerinotes, 1998;5(6):1-4).

Jim , PT

need for written information

To the group;

I need to find written reference information on the following topics to

present to my hospital administration. Would appreciate some help on this.

1. I need to find out if whether or not a PT clinic can charge Medicare

for any care where an ATC/aide is involved in a patients care (outpatient

setting).

2. Can ATC/aides document in patient charts?

Thanks,

Dennis Kaster P.T.

Rehab Pro - The New Way...A Better Way to Rehab Success! Call for details

-.

Rehab Management Solutions can solve your cash flow problems - (877)

552-2996

Coming September 22,2000 - Helene Fearon on Coding and Reimbursement -

Rochester Michigan. Register at today.

How to Start a Private Practice with Dick Hillyer - 9/23-24, 2000 Register

at .

Visit our EStore at www.RehabBusiness.com

[Guest guest]

You might also the Athletic Trainer Licensing Board in your state.

Caren

- need for written information

To the group;

I need to find written reference information on the following topics to

present to my hospital administration. Would appreciate some help on this.

1. I need to find out if whether or not a PT clinic can charge Medicare

for any care where an ATC/aide is involved in a patients care (outpatient

setting).

2. Can ATC/aides document in patient charts?

Thanks,

Dennis Kaster P.T.

Rehab Pro - The New Way...A Better Way to Rehab Success! Call for details

-.

Rehab Management Solutions can solve your cash flow problems - (877)

552-2996

Coming September 22,2000 - Helene Fearon on Coding and Reimbursement -

Rochester Michigan. Register at today.

How to Start a Private Practice with Dick Hillyer - 9/23-24, 2000 Register

at .

Visit our EStore at www.RehabBusiness.com

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[Guest guest]

Dennis,

Would suggest you could find those resources at

PTManager.com

1. I believe you will find that outpatient services,

to be reimbursable by Medicare, must be provided by a

PT or PTA. Your state practice act should help you to

determine appropriate tasks which may be delegated to

an atc/aide. Your individual insurance contracts will

help you determine how services may be

billed/reimbursed. (Your hospital administration will

have access to these contracts). You can find

Medicare guidelines as above, or at hcfa.gov. I'm

sure there are more recent references, but check out

the bottom of pg 7 of Transmittal AB-00-14 from 3/2000

for " coding guidance "

2. If you determine there are tasks appropriate to

delegate to an atc, and they are interacting with a

client, it is suggested that they document in the

chart their interaction. (From recent documentation

course).

Footnote: If your atc is covering a school, NOW would

be a good time to let that AD know that it will need

to be a shared expense, and that the price will be

going up...

Hope you find this helpful, and if you find out

differently, please let me know. Thanks!

--- Kaster Dennis wrote:

> To the group;

> I need to find written reference information on the

> following topics to

> present to my hospital administration. Would

> appreciate some help on this.

> 1. I need to find out if whether or not a PT clinic

> can charge Medicare

> for any care where an ATC/aide is involved in a

> patients care (outpatient

> setting).

> 2. Can ATC/aides document in patient charts?

>

> Thanks,

> Dennis Kaster P.T.

>

> Rehab Pro - The New Way...A Better Way to Rehab

> Success! Call for details -.

> Rehab Management Solutions can solve your cash flow

> problems -

> Coming September 22,2000 - Helene Fearon on Coding

> and Reimbursement - Rochester Michigan. Register at

> today.

> How to Start a Private Practice with Dick Hillyer -

> 9/23-24, 2000 Register at .

> Visit our EStore at www.RehabBusiness.com

>

>

=====

Rintamaa, PT

Lake Hospital System

Painesville, OH

phone

fax

.Rintamaa@...

__________________________________________________

[Guest guest]

Our intermediary is Trispan and I asked this question specifically and was

told NO. The specific question I asked is: Can services provided by non

licensed support staff i.e. ATC's, techs, exercise physiologist performed

within the line of site supervision of a physical therapist be billed to

medicare? The answer was only minutes provided by PT or PTA could be

billed.

Ruth Rosenkrans

Hannibal, MO

need for written information

> To the group;

> I need to find written reference information on the following topics to

> present to my hospital administration. Would appreciate some help on

this.

> 1. I need to find out if whether or not a PT clinic can charge Medicare

> for any care where an ATC/aide is involved in a patients care (outpatient

> setting).

> 2. Can ATC/aides document in patient charts?

>

> Thanks,

> Dennis Kaster P.T.

>

> Rehab Pro - The New Way...A Better Way to Rehab Success! Call for

details -.

> Rehab Management Solutions can solve your cash flow problems - (877)

552-2996

> Coming September 22,2000 - Helene Fearon on Coding and Reimbursement -

Rochester Michigan. Register at today.

> How to Start a Private Practice with Dick Hillyer - 9/23-24, 2000 Register

at .

> Visit our EStore at www.RehabBusiness.com

>

>

>

[Guest guest]

You might want to confer with your facility risk manager as well. Look at the

medicare regs regarding payment for physical therapy services. Thew people

you mention are not P.T.s therefore...their service is not PT .....therefore

it would raise a red flag regarding billing for services not rendered by a

licensed person in that profession

Jim Dunleavy PT, MS

Administrative Director, Rehab Services

Holy Name Hospital

Teaneck, New Jersey