Guest guest Posted June 12, 2001 Report Share Posted June 12, 2001 I am looking for alternate and additional justification suggestions on the utilization of the PTA v. the Rehab Aide; in terms of the inability of the Rehab Aide to perform any part of the treatment regardless of the level of supervision (specifically Med. Part . We are an outpatient setting with a department in Assisted Living Facilities each setting treating a case mix that includes Med. Part B beneficiaries. Mages, PTANorth Texas Rehab CenterWichita Falls TXmgmages@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2001 Report Share Posted June 12, 2001 In a message dated 6/13/01 12:20:37 AM Eastern Daylight Time, mgmages@... writes: << in terms of the inability of the Rehab Aide to perform any part of the treatment regardless of the level of supervision >> In my state (PA), support personnel (Aides) are not able to perform any skilled portions of the treatment -- and this goes for Medicare and non-Medicare alike. Check your State Practice Act. a Smaligo D'Achille, MS, PT Director of Rehabilitation Monongahela Valley Hospital, Inc. Monongahela, PA 15063 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2001 Report Share Posted June 13, 2001 1. Look at your practice act first of all 2. If you bill by CPT codes for these treatments, you cannot bill for services other than those provided by a PT or PTA - There is no "work value" to a PT or Rehab Aide, therefore, this is not a reimbursable service IF you bill by CPT code. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2001 Report Share Posted June 13, 2001 > > In my state (PA), support personnel (Aides) are not able to perform any > skilled portions of the treatment -- and this goes for Medicare and > non-Medicare alike. Check your State Practice Act. > > a Smaligo D'Achille, MS, PT > Director of Rehabilitation > Monongahela Valley Hospital, Inc. > Monongahela, PA 15063 This question is rather 'out there' regarding this topic... BUT, in a state where PTAs had more privelege than medicare currently allows, how are you coping with the morale of the PTA, which I have noticed dropped precipitously here in land when PTAs were no longer able to provide services in the absence of a PT for up to eight sessions or for 30 days, as the PT needs to be within line of site for the medicare patients. Kind of like PA always was! - Simonetti Chestertown, MD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2001 Report Share Posted June 13, 2001 > > In my state (PA), support personnel (Aides) are not able to perform any > skilled portions of the treatment -- and this goes for Medicare and > non-Medicare alike. Check your State Practice Act. > > a Smaligo D'Achille, MS, PT > Director of Rehabilitation > Monongahela Valley Hospital, Inc. > Monongahela, PA 15063 This question is rather 'out there' regarding this topic... BUT, in a state where PTAs had more privelege than medicare currently allows, how are you coping with the morale of the PTA, which I have noticed dropped precipitously here in land when PTAs were no longer able to provide services in the absence of a PT for up to eight sessions or for 30 days, as the PT needs to be within line of site for the medicare patients. Kind of like PA always was! - Simonetti Chestertown, MD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2001 Report Share Posted June 13, 2001 We have ATC's in one of our clinics. Can anyone direct me to where it is documented that only PTA's can provide treatment. We have ATC's that work under direct supervision of PT's and have previously not had any difficulty. We do bill by CPT codes. We always assure that a PT is on site. Anyone elso have ATC's in the clinic? >>> 06/13 9:43 AM >>> 1. Look at your practice act first of all 2. If you bill by CPT codes for these treatments, you cannot bill for services other than those provided by a PT or PTA - There is no " work value " to a PT or Rehab Aide, therefore, this is not a reimbursable service IF you bill by CPT code. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2001 Report Share Posted June 13, 2001 We have ATC's in one of our clinics. Can anyone direct me to where it is documented that only PTA's can provide treatment. We have ATC's that work under direct supervision of PT's and have previously not had any difficulty. We do bill by CPT codes. We always assure that a PT is on site. Anyone elso have ATC's in the clinic? >>> 06/13 9:43 AM >>> 1. Look at your practice act first of all 2. If you bill by CPT codes for these treatments, you cannot bill for services other than those provided by a PT or PTA - There is no " work value " to a PT or Rehab Aide, therefore, this is not a reimbursable service IF you bill by CPT code. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2001 Report Share Posted June 13, 2001 Can someone please provide references to the aide or tech not being able to provide skilled services to Medicare patients? We have followed this interpretation and pulled our techs from patient care, but are now unable to find any concrete references to support this decision. I know it's out there somewhere, but I am unable to find it. Thank you! Vinson, MPA, PT Rehabilitation Supervisor Ingham Regional Medical Center Lansing, Michigan >>> kssailaway@... 06/13/01 09:43AM >>> 1. Look at your practice act first of all 2. If you bill by CPT codes for these treatments, you cannot bill for services other than those provided by a PT or PTA - There is no " work value " to a PT or Rehab Aide, therefore, this is not a reimbursable service IF you bill by CPT code. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2001 Report Share Posted June 13, 2001 Can someone please provide references to the aide or tech not being able to provide skilled services to Medicare patients? We have followed this interpretation and pulled our techs from patient care, but are now unable to find any concrete references to support this decision. I know it's out there somewhere, but I am unable to find it. Thank you! Vinson, MPA, PT Rehabilitation Supervisor Ingham Regional Medical Center Lansing, Michigan >>> kssailaway@... 06/13/01 09:43AM >>> 1. Look at your practice act first of all 2. If you bill by CPT codes for these treatments, you cannot bill for services other than those provided by a PT or PTA - There is no " work value " to a PT or Rehab Aide, therefore, this is not a reimbursable service IF you bill by CPT code. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2001 Report Share Posted June 13, 2001 > Can someone please provide references to the aide or tech not being able to provide skilled services to Medicare patients?>> If you have a RAI (Resident assessment instrument) handbook, such as the one from Briggs, you can get a clear picture that aide may be billed as skilled if under the direct eye-to-eye supervision on the PT or OT (not PTA or COTA), however, as said in another e-mail, if billing by CPT code this is not allowed as the transmittals to clarify the CPT billing indicates services provided by PT, OT, PTA, COTA only--no aide. While we are reimbursed by RUGS category for med A, we do bill at our SNF by CPT codes, so no aides are used. Marge Hockenberry, Rehab Manager Martha T. Berry, MCF Quote Link to comment Share on other sites More sharing options...
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