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Medicare A Regulations

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Dear List-serve,

I am looking for a reference regarding the use of PT techs or PT aides for

treating Medicare A patients. Our facility treats Med A patients in the acute

care setting, SNF setting and Inpatient Acute Rehab setting. Several therapists

have indicated that they have worked at other clinics where they have been told

they can bill for the services of PT Techs, provided those services are

completed while the supervising therapist is in line-of-sight of the PT tech.

I have been unsuccessful in trying to disprove this, as I cannot find any

Medicare A guidelines specifically addressing this issue. Does anyone have a

resource for Medicare's guidelines for the billing of Medicare A patients when a

tech performs a PT service under line-of-sight supervision of a therapist. We

are practicing in the state of Virginia and I do not see anything in the by-laws

that discusses the billing of therapy patients.

Thanks in advance for any assistance with this matter.

Sincerely,

Koplin, PT Supervisor

Augusta Medical Center

Fishersville, VA

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