Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Ohhh what a wonderful thing to know. HUGS, Challis Re: (unknown)  Oh Akiba...both you and Rob surely are in my heart and my thoughts right now. Wishing and hoping for peace and a healing heart right now for Rob. My mom sounds just like Rob's; she would have said the same thing. He needs to know she is going through alot right now, and will try and push others away in her pain--she probably feels all alone right now; my mom tends to wallow in that and tells people to leave her be when she is going through a difficult time. big, soft, warm cuddly hugs for Rob! always, kate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Ohhh what a wonderful thing to know. HUGS, Challis Re: (unknown)  Oh Akiba...both you and Rob surely are in my heart and my thoughts right now. Wishing and hoping for peace and a healing heart right now for Rob. My mom sounds just like Rob's; she would have said the same thing. He needs to know she is going through alot right now, and will try and push others away in her pain--she probably feels all alone right now; my mom tends to wallow in that and tells people to leave her be when she is going through a difficult time. big, soft, warm cuddly hugs for Rob! always, kate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Yeah, I dosed him up with 5HTP and magnesium and he is sleeping like a baby now, I'll let him as long as I can (playing RS) before I go to bed and snore... Hugs Akiba -- Re: (unknown) Ohhh what a wonderful thing to know. HUGS, Challis Re: (unknown)  Oh Akiba...both you and Rob surely are in my heart and my thoughts right now. Wishing and hoping for peace and a healing heart right now for Rob. My mom sounds just like Rob's; she would have said the same thing. He needs to know she is going through alot right now, and will try and push others away in her pain--she probably feels all alone right now; my mom tends to wallow in that and tells people to leave her be when she is going through a difficult time. big, soft, warm cuddly hugs for Rob! always, kate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Dear Akiba, Condolences to you, Rob and his mother. May comfort, strength and peace surround you at this time. Rob's mother may just need some time. My husband passed away 6 weeks ago...I was pretty numb for the first few weeks and was just 'hanging on' to make it through all the things that needed to be done during the immediate period after his death. Dying is a very private and personal event, not only for the person who is dying, but also for those who accompany him through the whole process until the end. Our daughter, son-in-law and I grew very close through the six years we travelled this road with him. It was difficult at first, to welcome others into our little circle. We needed a little time to grieve privately and glue together the broken pieces of our hearts, before we could reach out to include others - even other members of our family. I hope I have not thoughtlessly hurt others through my pain. You have certainly given me something to reflect on - thank you! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Dear Akiba, Condolences to you, Rob and his mother. May comfort, strength and peace surround you at this time. Rob's mother may just need some time. My husband passed away 6 weeks ago...I was pretty numb for the first few weeks and was just 'hanging on' to make it through all the things that needed to be done during the immediate period after his death. Dying is a very private and personal event, not only for the person who is dying, but also for those who accompany him through the whole process until the end. Our daughter, son-in-law and I grew very close through the six years we travelled this road with him. It was difficult at first, to welcome others into our little circle. We needed a little time to grieve privately and glue together the broken pieces of our hearts, before we could reach out to include others - even other members of our family. I hope I have not thoughtlessly hurt others through my pain. You have certainly given me something to reflect on - thank you! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Dear Akiba, Condolences to you, Rob and his mother. May comfort, strength and peace surround you at this time. Rob's mother may just need some time. My husband passed away 6 weeks ago...I was pretty numb for the first few weeks and was just 'hanging on' to make it through all the things that needed to be done during the immediate period after his death. Dying is a very private and personal event, not only for the person who is dying, but also for those who accompany him through the whole process until the end. Our daughter, son-in-law and I grew very close through the six years we travelled this road with him. It was difficult at first, to welcome others into our little circle. We needed a little time to grieve privately and glue together the broken pieces of our hearts, before we could reach out to include others - even other members of our family. I hope I have not thoughtlessly hurt others through my pain. You have certainly given me something to reflect on - thank you! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2010 Report Share Posted January 12, 2010 I think the idea that you have to start young with bioned to show impronements is one of the biggest myths of all. To: mb12 valtrex Sent: Tue, January 12, 2010 9:37:13 AMSubject: (unknown) Pam: We stared our son on Biomedical Treatment at 18months as well. He is now 4 1/2 and is in mainstream preschool. Still has quirks and I'm not ready to call him recovered at all, but what a difference from where we started! He started off classified as Severe Autism and we were told he would never be responsive. He was making noises by 20mo, started singing around 24-26months, started talking around 3 years, and is now speaking in a least 3-4 continuous sentences. Speech is still delayed but he is asking questions, arguing and trying to negotiate with us. We still have a long way too go and there have been many steps backwards! You are absolutely doing the right thing by starting so young. I kick myself every time I look back and didn't start earlier, knowing what we know now. This chat group has been very helpful. I keep a notepad by the computer and jot down ideas, supplements, etc. all the time - then I go out and research that certain item to see if it would benefit our son. Hang in there! Liz Caleb's Mom Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2010 Report Share Posted January 12, 2010 I think the idea that you have to start young with bioned to show impronements is one of the biggest myths of all. To: mb12 valtrex Sent: Tue, January 12, 2010 9:37:13 AMSubject: (unknown) Pam: We stared our son on Biomedical Treatment at 18months as well. He is now 4 1/2 and is in mainstream preschool. Still has quirks and I'm not ready to call him recovered at all, but what a difference from where we started! He started off classified as Severe Autism and we were told he would never be responsive. He was making noises by 20mo, started singing around 24-26months, started talking around 3 years, and is now speaking in a least 3-4 continuous sentences. Speech is still delayed but he is asking questions, arguing and trying to negotiate with us. We still have a long way too go and there have been many steps backwards! You are absolutely doing the right thing by starting so young. I kick myself every time I look back and didn't start earlier, knowing what we know now. This chat group has been very helpful. I keep a notepad by the computer and jot down ideas, supplements, etc. all the time - then I go out and research that certain item to see if it would benefit our son. Hang in there! Liz Caleb's Mom Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2010 Report Share Posted January 12, 2010 I think the idea that you have to start young with bioned to show impronements is one of the biggest myths of all. To: mb12 valtrex Sent: Tue, January 12, 2010 9:37:13 AMSubject: (unknown) Pam: We stared our son on Biomedical Treatment at 18months as well. He is now 4 1/2 and is in mainstream preschool. Still has quirks and I'm not ready to call him recovered at all, but what a difference from where we started! He started off classified as Severe Autism and we were told he would never be responsive. He was making noises by 20mo, started singing around 24-26months, started talking around 3 years, and is now speaking in a least 3-4 continuous sentences. Speech is still delayed but he is asking questions, arguing and trying to negotiate with us. We still have a long way too go and there have been many steps backwards! You are absolutely doing the right thing by starting so young. I kick myself every time I look back and didn't start earlier, knowing what we know now. This chat group has been very helpful. I keep a notepad by the computer and jot down ideas, supplements, etc. all the time - then I go out and research that certain item to see if it would benefit our son. Hang in there! Liz Caleb's Mom Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2010 Report Share Posted January 12, 2010 Liz, May I repost this? Also.**.my daughter is 15 (almost 16) and is making great improvements daily! Shanna > > I think the idea that you have to start young with bioned to show impronements is one of the biggest myths of all. > > >  > > > > > > ________________________________ > > To: mb12 valtrex > Sent: Tue, January 12, 2010 9:37:13 AM > Subject: (unknown) > >  > Pam: We stared our son on Biomedical Treatment at 18months as well. He is now 4 1/2 and is in mainstream preschool. Still has quirks and I'm not ready to call him recovered at all, but what a difference from where we started! He started off classified as Severe Autism and we were told he would never be responsive. He was making noises by 20mo, started singing around 24-26months, started talking around 3 years, and is now speaking in a least 3-4 continuous sentences. Speech is still delayed but he is asking questions, arguing and trying to negotiate with us. We still have a long way too go and there have been many steps backwards! > > You are absolutely doing the right thing by starting so young. I kick myself every time I look back and didn't start earlier, knowing what we know now. This chat group has been very helpful. I keep a notepad by the computer and jot down ideas, supplements, etc. all the time - then I go out and research that certain item to see if it would benefit our son. > > Hang in there! > > Liz > Caleb's Mom > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2010 Report Share Posted January 12, 2010 Liz, May I repost this? Also.**.my daughter is 15 (almost 16) and is making great improvements daily! Shanna > > I think the idea that you have to start young with bioned to show impronements is one of the biggest myths of all. > > >  > > > > > > ________________________________ > > To: mb12 valtrex > Sent: Tue, January 12, 2010 9:37:13 AM > Subject: (unknown) > >  > Pam: We stared our son on Biomedical Treatment at 18months as well. He is now 4 1/2 and is in mainstream preschool. Still has quirks and I'm not ready to call him recovered at all, but what a difference from where we started! He started off classified as Severe Autism and we were told he would never be responsive. He was making noises by 20mo, started singing around 24-26months, started talking around 3 years, and is now speaking in a least 3-4 continuous sentences. Speech is still delayed but he is asking questions, arguing and trying to negotiate with us. We still have a long way too go and there have been many steps backwards! > > You are absolutely doing the right thing by starting so young. I kick myself every time I look back and didn't start earlier, knowing what we know now. This chat group has been very helpful. I keep a notepad by the computer and jot down ideas, supplements, etc. all the time - then I go out and research that certain item to see if it would benefit our son. > > Hang in there! > > Liz > Caleb's Mom > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2010 Report Share Posted January 12, 2010 Liz, May I repost this? Also.**.my daughter is 15 (almost 16) and is making great improvements daily! Shanna > > I think the idea that you have to start young with bioned to show impronements is one of the biggest myths of all. > > >  > > > > > > ________________________________ > > To: mb12 valtrex > Sent: Tue, January 12, 2010 9:37:13 AM > Subject: (unknown) > >  > Pam: We stared our son on Biomedical Treatment at 18months as well. He is now 4 1/2 and is in mainstream preschool. Still has quirks and I'm not ready to call him recovered at all, but what a difference from where we started! He started off classified as Severe Autism and we were told he would never be responsive. He was making noises by 20mo, started singing around 24-26months, started talking around 3 years, and is now speaking in a least 3-4 continuous sentences. Speech is still delayed but he is asking questions, arguing and trying to negotiate with us. We still have a long way too go and there have been many steps backwards! > > You are absolutely doing the right thing by starting so young. I kick myself every time I look back and didn't start earlier, knowing what we know now. This chat group has been very helpful. I keep a notepad by the computer and jot down ideas, supplements, etc. all the time - then I go out and research that certain item to see if it would benefit our son. > > Hang in there! > > Liz > Caleb's Mom > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2010 Report Share Posted January 12, 2010 . I don't think anyone is saying that biomed will only work if you start young and it won't if you start older. I think all the children are individuals and each one will respond differently no matter what age. Some people might have just noticed things earlier in thier child then others but no matter it reallly doesn't make a differance, Liz just had a similar situation to mine that's it. I'm sure everyone is doing the best they can for thier children. I thought this group was to share experience and share each others stories and knowledge. Your comment just seemed a little negative to me, thats all. > > I think the idea that you have to start young with bioned to show impronements is one of the biggest myths of all. > > >  > > > > > > ________________________________ > > To: mb12 valtrex > Sent: Tue, January 12, 2010 9:37:13 AM > Subject: (unknown) > >  > Pam: We stared our son on Biomedical Treatment at 18months as well. He is now 4 1/2 and is in mainstream preschool. Still has quirks and I'm not ready to call him recovered at all, but what a difference from where we started! He started off classified as Severe Autism and we were told he would never be responsive. He was making noises by 20mo, started singing around 24-26months, started talking around 3 years, and is now speaking in a least 3-4 continuous sentences. Speech is still delayed but he is asking questions, arguing and trying to negotiate with us. We still have a long way too go and there have been many steps backwards! > > You are absolutely doing the right thing by starting so young. I kick myself every time I look back and didn't start earlier, knowing what we know now. This chat group has been very helpful. I keep a notepad by the computer and jot down ideas, supplements, etc. all the time - then I go out and research that certain item to see if it would benefit our son. > > Hang in there! > > Liz > Caleb's Mom > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2010 Report Share Posted January 12, 2010 . I don't think anyone is saying that biomed will only work if you start young and it won't if you start older. I think all the children are individuals and each one will respond differently no matter what age. Some people might have just noticed things earlier in thier child then others but no matter it reallly doesn't make a differance, Liz just had a similar situation to mine that's it. I'm sure everyone is doing the best they can for thier children. I thought this group was to share experience and share each others stories and knowledge. Your comment just seemed a little negative to me, thats all. > > I think the idea that you have to start young with bioned to show impronements is one of the biggest myths of all. > > >  > > > > > > ________________________________ > > To: mb12 valtrex > Sent: Tue, January 12, 2010 9:37:13 AM > Subject: (unknown) > >  > Pam: We stared our son on Biomedical Treatment at 18months as well. He is now 4 1/2 and is in mainstream preschool. Still has quirks and I'm not ready to call him recovered at all, but what a difference from where we started! He started off classified as Severe Autism and we were told he would never be responsive. He was making noises by 20mo, started singing around 24-26months, started talking around 3 years, and is now speaking in a least 3-4 continuous sentences. Speech is still delayed but he is asking questions, arguing and trying to negotiate with us. We still have a long way too go and there have been many steps backwards! > > You are absolutely doing the right thing by starting so young. I kick myself every time I look back and didn't start earlier, knowing what we know now. This chat group has been very helpful. I keep a notepad by the computer and jot down ideas, supplements, etc. all the time - then I go out and research that certain item to see if it would benefit our son. > > Hang in there! > > Liz > Caleb's Mom > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2010 Report Share Posted June 3, 2010 You are interpreting it correctly. " Techs " are just aides with another title and are not licensed professional staff. ________________________________ To: ptmanager Cc: PTManager Sent: Wed, June 2, 2010 10:33:23 PM Subject: (unknown)  I got this from Trail Blazers today. If I am interpreting it correctly, PT/OT cannot bill for supervising techs that provide treatment as well?    New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010)  Medicare covers therapy services personally performed only by one of the following:  ·        Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). ·        Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. ·        Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. ·        Medical Doctors (MDs) and Doctors of Osteopathy (DOs). ·        Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses’ scope of practice and their training and competency. ·        Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses’ scope of practice and their training and competency (ANP, PA, CNS). ·        “Qualified†personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services “incident to†a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a “qualified†person, the services are not covered and must not be reported for Medicare payment.   Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional.  Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information:  ·        Name and therapy degree of performing therapy professional. ·        Name of academic institution having conferred therapy degree. ·        Date of graduation. ·        Name and professional degree of supervising physician/NPP.  Please include the information above in the comment field of electronic claims and include as an attachment to paper claims.   Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince    Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2010 Report Share Posted June 3, 2010 Hi, Tamara - What " provider type " is this? Acute? IP Rehab? OP? PTIP? ORF? HHA? Public school? VA? SNF? Military? Physician office? There are still providers who still hope that there's a way to receive PT payments for work done by non-PTs. It may be legal in my State, but it's not reimbursable by Medicare. I'm not aware of any contemporary provider type in which Medicare pays for work done by a PT aide, " Tech " or other non-real-PT as being skilled physical therapy. As close as any of them get is that work done by a PTA who is under the supervision and direction of a PT may be considered " skilled " and get reimbursed. For a non-PT (such as a nurse's aide or patient's mother or daughter) to carry out the exercises or activities prescribed by a PT is not " doing her PT " . It is analogous to a son who gives his Dad medications as prescribed by his other doctors. Regards, Dr. Dick Hillyer Dr. W. Hillyer,PT,DPT,MBA,MSM Hillyer Consulting Cape Coral, FL 33914 _____ From: PTManager [mailto:PTManager ] On Behalf Of Bounds Tamera Sent: Wednesday, June 02, 2010 10:33 PM To: ptmanager Cc: PTManager Subject: (unknown) I got this from Trail Blazers today. If I am interpreting it correctly, PT/OT cannot bill for supervising techs that provide treatment as well? New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010) Medicare covers therapy services personally performed only by one of the following: .. Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). .. Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. .. Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. .. Medical Doctors (MDs) and Doctors of Osteopathy (DOs). .. Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses' scope of practice and their training and competency. .. Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses' scope of practice and their training and competency (ANP, PA, CNS). .. " Qualified " personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services " incident to " a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a " qualified " person, the services are not covered and must not be reported for Medicare payment. Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional. Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information: .. Name and therapy degree of performing therapy professional. .. Name of academic institution having conferred therapy degree. .. Date of graduation. .. Name and professional degree of supervising physician/NPP. Please include the information above in the comment field of electronic claims and include as an attachment to paper claims. Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2010 Report Share Posted June 3, 2010 content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services Thanks Guys- Please read the info below- I copied this from TrailBlazers Notices board off of their Listserv . It pertains to Medicare. I have always know that it pertainied to MCB, but was unaware that it now pertains to Medicare A. I beleive that it means that a PT/OT can no longer supervise a tech under MCA and bill for those services. I know that a tech is unlicensed, but under Medicare A ( And states that recognize that a tech can be supervised by a PT/OT under certain criteria), PT/OT could supervise a tech and bill for those services.   content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services Notices  Medicare Home Page  Notices  New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010)  Medicare covers therapy services personally performed only by one of the following:  ·        Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). ·        Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. ·        Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. ·        Medical Doctors (MDs) and Doctors of Osteopathy (DOs). ·        Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses’ scope of practice and their training and competency. ·        Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses’ scope of practice and their training and competency (ANP, PA, CNS). ·        “Qualified†personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services “incident to†a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a “qualified†person, the services are not covered and must not be reported for Medicare payment.   Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional.  Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information:  ·        Name and therapy degree of performing therapy professional. ·        Name of academic institution having conferred therapy degree. ·        Date of graduation. ·        Name and professional degree of supervising physician/NPP.  Please include the information above in the comment field of electronic claims and include as an attachment to paper claims. This content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Subject: RE: (unknown) To: PTManager Date: Thursday, June 3, 2010, 9:31 AM  Hi, Tamara - What " provider type " is this? Acute? IP Rehab? OP? PTIP? ORF? HHA? Public school? VA? SNF? Military? Physician office? There are still providers who still hope that there's a way to receive PT payments for work done by non-PTs. It may be legal in my State, but it's not reimbursable by Medicare. I'm not aware of any contemporary provider type in which Medicare pays for work done by a PT aide, " Tech " or other non-real-PT as being skilled physical therapy. As close as any of them get is that work done by a PTA who is under the supervision and direction of a PT may be considered " skilled " and get reimbursed. For a non-PT (such as a nurse's aide or patient's mother or daughter) to carry out the exercises or activities prescribed by a PT is not " doing her PT " . It is analogous to a son who gives his Dad medications as prescribed by his other doctors. Regards, Dr. Dick Hillyer Dr. W. Hillyer,PT,DPT,MBA,MSM Hillyer Consulting Cape Coral, FL 33914 _____ From: PTManager [mailto:PTManager ] On Behalf Of Bounds Tamera Sent: Wednesday, June 02, 2010 10:33 PM To: ptmanager Cc: PTManager Subject: (unknown) I got this from Trail Blazers today. If I am interpreting it correctly, PT/OT cannot bill for supervising techs that provide treatment as well? New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010) Medicare covers therapy services personally performed only by one of the following: .. Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). .. Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. .. Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. .. Medical Doctors (MDs) and Doctors of Osteopathy (DOs). .. Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses' scope of practice and their training and competency. .. Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses' scope of practice and their training and competency (ANP, PA, CNS). .. " Qualified " personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services " incident to " a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a " qualified " person, the services are not covered and must not be reported for Medicare payment. Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional. Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information: .. Name and therapy degree of performing therapy professional. .. Name of academic institution having conferred therapy degree. .. Date of graduation. .. Name and professional degree of supervising physician/NPP. Please include the information above in the comment field of electronic claims and include as an attachment to paper claims. Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2010 Report Share Posted June 3, 2010 content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services Thanks Guys- Please read the info below- I copied this from TrailBlazers Notices board off of their Listserv . It pertains to Medicare. I have always know that it pertainied to MCB, but was unaware that it now pertains to Medicare A. I beleive that it means that a PT/OT can no longer supervise a tech under MCA and bill for those services. I know that a tech is unlicensed, but under Medicare A ( And states that recognize that a tech can be supervised by a PT/OT under certain criteria), PT/OT could supervise a tech and bill for those services.   content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services Notices  Medicare Home Page  Notices  New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010)  Medicare covers therapy services personally performed only by one of the following:  ·        Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). ·        Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. ·        Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. ·        Medical Doctors (MDs) and Doctors of Osteopathy (DOs). ·        Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses’ scope of practice and their training and competency. ·        Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses’ scope of practice and their training and competency (ANP, PA, CNS). ·        “Qualified†personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services “incident to†a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a “qualified†person, the services are not covered and must not be reported for Medicare payment.   Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional.  Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information:  ·        Name and therapy degree of performing therapy professional. ·        Name of academic institution having conferred therapy degree. ·        Date of graduation. ·        Name and professional degree of supervising physician/NPP.  Please include the information above in the comment field of electronic claims and include as an attachment to paper claims. This content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Subject: RE: (unknown) To: PTManager Date: Thursday, June 3, 2010, 9:31 AM  Hi, Tamara - What " provider type " is this? Acute? IP Rehab? OP? PTIP? ORF? HHA? Public school? VA? SNF? Military? Physician office? There are still providers who still hope that there's a way to receive PT payments for work done by non-PTs. It may be legal in my State, but it's not reimbursable by Medicare. I'm not aware of any contemporary provider type in which Medicare pays for work done by a PT aide, " Tech " or other non-real-PT as being skilled physical therapy. As close as any of them get is that work done by a PTA who is under the supervision and direction of a PT may be considered " skilled " and get reimbursed. For a non-PT (such as a nurse's aide or patient's mother or daughter) to carry out the exercises or activities prescribed by a PT is not " doing her PT " . It is analogous to a son who gives his Dad medications as prescribed by his other doctors. Regards, Dr. Dick Hillyer Dr. W. Hillyer,PT,DPT,MBA,MSM Hillyer Consulting Cape Coral, FL 33914 _____ From: PTManager [mailto:PTManager ] On Behalf Of Bounds Tamera Sent: Wednesday, June 02, 2010 10:33 PM To: ptmanager Cc: PTManager Subject: (unknown) I got this from Trail Blazers today. If I am interpreting it correctly, PT/OT cannot bill for supervising techs that provide treatment as well? New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010) Medicare covers therapy services personally performed only by one of the following: .. Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). .. Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. .. Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. .. Medical Doctors (MDs) and Doctors of Osteopathy (DOs). .. Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses' scope of practice and their training and competency. .. Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses' scope of practice and their training and competency (ANP, PA, CNS). .. " Qualified " personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services " incident to " a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a " qualified " person, the services are not covered and must not be reported for Medicare payment. Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional. Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information: .. Name and therapy degree of performing therapy professional. .. Name of academic institution having conferred therapy degree. .. Date of graduation. .. Name and professional degree of supervising physician/NPP. Please include the information above in the comment field of electronic claims and include as an attachment to paper claims. Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2010 Report Share Posted June 3, 2010 content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services Thanks Guys- Please read the info below- I copied this from TrailBlazers Notices board off of their Listserv . It pertains to Medicare. I have always know that it pertainied to MCB, but was unaware that it now pertains to Medicare A. I beleive that it means that a PT/OT can no longer supervise a tech under MCA and bill for those services. I know that a tech is unlicensed, but under Medicare A ( And states that recognize that a tech can be supervised by a PT/OT under certain criteria), PT/OT could supervise a tech and bill for those services.   content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services Notices  Medicare Home Page  Notices  New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010)  Medicare covers therapy services personally performed only by one of the following:  ·        Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). ·        Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. ·        Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. ·        Medical Doctors (MDs) and Doctors of Osteopathy (DOs). ·        Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses’ scope of practice and their training and competency. ·        Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses’ scope of practice and their training and competency (ANP, PA, CNS). ·        “Qualified†personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services “incident to†a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a “qualified†person, the services are not covered and must not be reported for Medicare payment.   Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional.  Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information:  ·        Name and therapy degree of performing therapy professional. ·        Name of academic institution having conferred therapy degree. ·        Date of graduation. ·        Name and professional degree of supervising physician/NPP.  Please include the information above in the comment field of electronic claims and include as an attachment to paper claims. This content pertains to... Programs: Part A,Part B Topics: Appeals, Facility Types, Policies, Specialty Services Subtopics: Contractor Medical Directors, OPPS, ORF/CORF, Redeterminations, RHC, Therapy Services .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Subject: RE: (unknown) To: PTManager Date: Thursday, June 3, 2010, 9:31 AM  Hi, Tamara - What " provider type " is this? Acute? IP Rehab? OP? PTIP? ORF? HHA? Public school? VA? SNF? Military? Physician office? There are still providers who still hope that there's a way to receive PT payments for work done by non-PTs. It may be legal in my State, but it's not reimbursable by Medicare. I'm not aware of any contemporary provider type in which Medicare pays for work done by a PT aide, " Tech " or other non-real-PT as being skilled physical therapy. As close as any of them get is that work done by a PTA who is under the supervision and direction of a PT may be considered " skilled " and get reimbursed. For a non-PT (such as a nurse's aide or patient's mother or daughter) to carry out the exercises or activities prescribed by a PT is not " doing her PT " . It is analogous to a son who gives his Dad medications as prescribed by his other doctors. Regards, Dr. Dick Hillyer Dr. W. Hillyer,PT,DPT,MBA,MSM Hillyer Consulting Cape Coral, FL 33914 _____ From: PTManager [mailto:PTManager ] On Behalf Of Bounds Tamera Sent: Wednesday, June 02, 2010 10:33 PM To: ptmanager Cc: PTManager Subject: (unknown) I got this from Trail Blazers today. If I am interpreting it correctly, PT/OT cannot bill for supervising techs that provide treatment as well? New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010) Medicare covers therapy services personally performed only by one of the following: .. Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). .. Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. .. Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. .. Medical Doctors (MDs) and Doctors of Osteopathy (DOs). .. Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses' scope of practice and their training and competency. .. Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses' scope of practice and their training and competency (ANP, PA, CNS). .. " Qualified " personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services " incident to " a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a " qualified " person, the services are not covered and must not be reported for Medicare payment. Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional. Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information: .. Name and therapy degree of performing therapy professional. .. Name of academic institution having conferred therapy degree. .. Date of graduation. .. Name and professional degree of supervising physician/NPP. Please include the information above in the comment field of electronic claims and include as an attachment to paper claims. Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2010 Report Share Posted June 3, 2010 The release only applies to outpatient therapy under Medicare Part B benefits. Aides can't provide TX under SNF Part A or IRF if you want to bill/count those minutes as therapy minutes. Rick Gawenda, PT President/CEO Gawenda Seminars http://www.gawendaseminars.com No-I realize this is not new for Medicare B. My Question was for PT/OT supervising a tech under Medicare A services- Thanks Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Subject: (unknown) To: ptmanager Cc: PTManager Date: Wednesday, June 2, 2010, 10:33 PM I got this from Trail Blazers today. If I am interpreting it correctly, PT/OT cannot bill for supervising techs that provide treatment as well? New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010) Medicare covers therapy services personally performed only by one of the following: · Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). · Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. · Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. · Medical Doctors (MDs) and Doctors of Osteopathy (DOs). · Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses’ scope of practice and their training and competency. · Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses’ scope of practice and their training and competency (ANP, PA, CNS). · “Qualified†personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services “incident to†a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a “qualified†person, the services are not covered and must not be reported for Medicare payment. Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional. Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information: · Name and therapy degree of performing therapy professional. · Name of academic institution having conferred therapy degree. · Date of graduation. · Name and professional degree of supervising physician/NPP. Please include the information above in the comment field of electronic claims and include as an attachment to paper claims. Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2010 Report Share Posted June 3, 2010 The release only applies to outpatient therapy under Medicare Part B benefits. Aides can't provide TX under SNF Part A or IRF if you want to bill/count those minutes as therapy minutes. Rick Gawenda, PT President/CEO Gawenda Seminars http://www.gawendaseminars.com No-I realize this is not new for Medicare B. My Question was for PT/OT supervising a tech under Medicare A services- Thanks Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Subject: (unknown) To: ptmanager Cc: PTManager Date: Wednesday, June 2, 2010, 10:33 PM I got this from Trail Blazers today. If I am interpreting it correctly, PT/OT cannot bill for supervising techs that provide treatment as well? New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010) Medicare covers therapy services personally performed only by one of the following: · Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). · Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. · Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. · Medical Doctors (MDs) and Doctors of Osteopathy (DOs). · Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses’ scope of practice and their training and competency. · Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses’ scope of practice and their training and competency (ANP, PA, CNS). · “Qualified†personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services “incident to†a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a “qualified†person, the services are not covered and must not be reported for Medicare payment. Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional. Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information: · Name and therapy degree of performing therapy professional. · Name of academic institution having conferred therapy degree. · Date of graduation. · Name and professional degree of supervising physician/NPP. Please include the information above in the comment field of electronic claims and include as an attachment to paper claims. Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2010 Report Share Posted June 3, 2010 The release only applies to outpatient therapy under Medicare Part B benefits. Aides can't provide TX under SNF Part A or IRF if you want to bill/count those minutes as therapy minutes. Rick Gawenda, PT President/CEO Gawenda Seminars http://www.gawendaseminars.com No-I realize this is not new for Medicare B. My Question was for PT/OT supervising a tech under Medicare A services- Thanks Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Subject: (unknown) To: ptmanager Cc: PTManager Date: Wednesday, June 2, 2010, 10:33 PM I got this from Trail Blazers today. If I am interpreting it correctly, PT/OT cannot bill for supervising techs that provide treatment as well? New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010) Medicare covers therapy services personally performed only by one of the following: · Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). · Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. · Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. · Medical Doctors (MDs) and Doctors of Osteopathy (DOs). · Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses’ scope of practice and their training and competency. · Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses’ scope of practice and their training and competency (ANP, PA, CNS). · “Qualified†personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services “incident to†a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a “qualified†person, the services are not covered and must not be reported for Medicare payment. Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional. Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information: · Name and therapy degree of performing therapy professional. · Name of academic institution having conferred therapy degree. · Date of graduation. · Name and professional degree of supervising physician/NPP. Please include the information above in the comment field of electronic claims and include as an attachment to paper claims. Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Rick, I concur, and to be more specific it is addressing the " loophole " in the incident-to billing provisions that allowed therapists to be non-licensed if they met all the other requirements for licensure. This only applies to Trailblazer claims (it is not a CMS directive), and it provides to Trailblazer proof of qualification under the current provider qualifications requirements for 1. Therapy provided by physicians/NPP - the claim must include name and professional degree of physician/NPP. 2. Therapy billed incident-to the physician - the claim must contain the name and therapy degree of performing therapy professional, the name of academic institution having conferred therapy degree, the date of graduation, and the name and professional degree of supervising physician/NPP. These are not new rules, Trailblazer is seeking evidence with claim submission that the existing rules have been followed, and it is for claims that are reported for payment by physicians/NPP. J. Beckley, MB, MBA, CHC Bloomingdale Consulting Group, Inc The Rehab Compliance ExpertsSM http://BloomingdaleConsulting.com http://BloomingdaleConsulting.com/blog D: _____ From: PTManager [mailto:PTManager ] On Behalf Of Rick Gawenda Sent: Thursday, June 03, 2010 8:46 PM To: PTManager Subject: Re: (unknown) The release only applies to outpatient therapy under Medicare Part B benefits. Aides can't provide TX under SNF Part A or IRF if you want to bill/count those minutes as therapy minutes. Rick Gawenda, PT President/CEO Gawenda Seminars http://www.gawendaseminars.com On Jun 3, 2010, at 3:32 PM, Bounds Tamera <pta41@... <mailto:pta41%40yahoo.com> > wrote: No-I realize this is not new for Medicare B. My Question was for PT/OT supervising a tech under Medicare A services- Thanks Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince From: Bounds Tamera <pta41@... <mailto:pta41%40yahoo.com> > Subject: (unknown) To: ptmanager <mailto:ptmanager%40yahoogroups.com> Cc: PTManager <mailto:PTManager%40yahoogroups.com> Date: Wednesday, June 2, 2010, 10:33 PM I got this from Trail Blazers today. If I am interpreting it correctly, PT/OT cannot bill for supervising techs that provide treatment as well? New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010) Medicare covers therapy services personally performed only by one of the following: .. Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). .. Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. .. Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. .. Medical Doctors (MDs) and Doctors of Osteopathy (DOs). .. Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses' scope of practice and their training and competency. .. Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses' scope of practice and their training and competency (ANP, PA, CNS). .. " Qualified " personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services " incident to " a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a " qualified " person, the services are not covered and must not be reported for Medicare payment. Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional. Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information: .. Name and therapy degree of performing therapy professional. .. Name of academic institution having conferred therapy degree. .. Date of graduation. .. Name and professional degree of supervising physician/NPP. Please include the information above in the comment field of electronic claims and include as an attachment to paper claims. Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Rick, I concur, and to be more specific it is addressing the " loophole " in the incident-to billing provisions that allowed therapists to be non-licensed if they met all the other requirements for licensure. This only applies to Trailblazer claims (it is not a CMS directive), and it provides to Trailblazer proof of qualification under the current provider qualifications requirements for 1. Therapy provided by physicians/NPP - the claim must include name and professional degree of physician/NPP. 2. Therapy billed incident-to the physician - the claim must contain the name and therapy degree of performing therapy professional, the name of academic institution having conferred therapy degree, the date of graduation, and the name and professional degree of supervising physician/NPP. These are not new rules, Trailblazer is seeking evidence with claim submission that the existing rules have been followed, and it is for claims that are reported for payment by physicians/NPP. J. Beckley, MB, MBA, CHC Bloomingdale Consulting Group, Inc The Rehab Compliance ExpertsSM http://BloomingdaleConsulting.com http://BloomingdaleConsulting.com/blog D: _____ From: PTManager [mailto:PTManager ] On Behalf Of Rick Gawenda Sent: Thursday, June 03, 2010 8:46 PM To: PTManager Subject: Re: (unknown) The release only applies to outpatient therapy under Medicare Part B benefits. Aides can't provide TX under SNF Part A or IRF if you want to bill/count those minutes as therapy minutes. Rick Gawenda, PT President/CEO Gawenda Seminars http://www.gawendaseminars.com On Jun 3, 2010, at 3:32 PM, Bounds Tamera <pta41@... <mailto:pta41%40yahoo.com> > wrote: No-I realize this is not new for Medicare B. My Question was for PT/OT supervising a tech under Medicare A services- Thanks Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince From: Bounds Tamera <pta41@... <mailto:pta41%40yahoo.com> > Subject: (unknown) To: ptmanager <mailto:ptmanager%40yahoogroups.com> Cc: PTManager <mailto:PTManager%40yahoogroups.com> Date: Wednesday, June 2, 2010, 10:33 PM I got this from Trail Blazers today. If I am interpreting it correctly, PT/OT cannot bill for supervising techs that provide treatment as well? New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010) Medicare covers therapy services personally performed only by one of the following: .. Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). .. Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. .. Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. .. Medical Doctors (MDs) and Doctors of Osteopathy (DOs). .. Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses' scope of practice and their training and competency. .. Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses' scope of practice and their training and competency (ANP, PA, CNS). .. " Qualified " personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services " incident to " a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a " qualified " person, the services are not covered and must not be reported for Medicare payment. Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional. Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information: .. Name and therapy degree of performing therapy professional. .. Name of academic institution having conferred therapy degree. .. Date of graduation. .. Name and professional degree of supervising physician/NPP. Please include the information above in the comment field of electronic claims and include as an attachment to paper claims. Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Rick, I concur, and to be more specific it is addressing the " loophole " in the incident-to billing provisions that allowed therapists to be non-licensed if they met all the other requirements for licensure. This only applies to Trailblazer claims (it is not a CMS directive), and it provides to Trailblazer proof of qualification under the current provider qualifications requirements for 1. Therapy provided by physicians/NPP - the claim must include name and professional degree of physician/NPP. 2. Therapy billed incident-to the physician - the claim must contain the name and therapy degree of performing therapy professional, the name of academic institution having conferred therapy degree, the date of graduation, and the name and professional degree of supervising physician/NPP. These are not new rules, Trailblazer is seeking evidence with claim submission that the existing rules have been followed, and it is for claims that are reported for payment by physicians/NPP. J. Beckley, MB, MBA, CHC Bloomingdale Consulting Group, Inc The Rehab Compliance ExpertsSM http://BloomingdaleConsulting.com http://BloomingdaleConsulting.com/blog D: _____ From: PTManager [mailto:PTManager ] On Behalf Of Rick Gawenda Sent: Thursday, June 03, 2010 8:46 PM To: PTManager Subject: Re: (unknown) The release only applies to outpatient therapy under Medicare Part B benefits. Aides can't provide TX under SNF Part A or IRF if you want to bill/count those minutes as therapy minutes. Rick Gawenda, PT President/CEO Gawenda Seminars http://www.gawendaseminars.com On Jun 3, 2010, at 3:32 PM, Bounds Tamera <pta41@... <mailto:pta41%40yahoo.com> > wrote: No-I realize this is not new for Medicare B. My Question was for PT/OT supervising a tech under Medicare A services- Thanks Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince From: Bounds Tamera <pta41@... <mailto:pta41%40yahoo.com> > Subject: (unknown) To: ptmanager <mailto:ptmanager%40yahoogroups.com> Cc: PTManager <mailto:PTManager%40yahoogroups.com> Date: Wednesday, June 2, 2010, 10:33 PM I got this from Trail Blazers today. If I am interpreting it correctly, PT/OT cannot bill for supervising techs that provide treatment as well? New Reporting Requirements for Therapy Services Performed By Persons Other Than Licensed Therapy Professionals (5/28/2010) Medicare covers therapy services personally performed only by one of the following: .. Licensed therapy professionals: licensed Physical Therapists (PTs), Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs). .. Licensed Physical Therapy Assistants (PTAs) when supervised directly by a licensed PT. .. Licensed Occupational Therapy Assistants (OTAs) when supervised directly by a licensed OT. .. Medical Doctors (MDs) and Doctors of Osteopathy (DOs). .. Doctors of Optometry (ODs) and Podiatric Medicine (DPMs) when performing services within their licenses' scope of practice and their training and competency. .. Qualified Non-Physician Practitioners (NPPs), including Advanced Nurse Practitioners (ANPs), Physician Assistants (PAs) or Clinical Nurse Specialists (CNS) when performing services within their licenses' scope of practice and their training and competency (ANP, PA, CNS). .. " Qualified " personnel when directly supervised by a physician (MD, DO, OD, DPM) or qualified NPP, and when all conditions of billing services " incident to " a physician have been met. Qualified personnel have met the educational and degree requirements of a licensed therapy professional (PT, OT, SLP) but are not required to be licensed. Please note that unless these therapy services are performed by a " qualified " person, the services are not covered and must not be reported for Medicare payment. Claims for therapy services personally performed by physicians and qualified NPPs, and reported for Medicare payment on or after July 1, 2010, must contain the name and professional degree of the performing professional. Claims for therapy services reported for Medicare payment by physicians and qualified NPPs, but not personally performed by the physician or NPP, and reported for Medicare payment on or after July 1, 2010, must contain the following information: .. Name and therapy degree of performing therapy professional. .. Name of academic institution having conferred therapy degree. .. Date of graduation. .. Name and professional degree of supervising physician/NPP. Please include the information above in the comment field of electronic claims and include as an attachment to paper claims. Tamera J. Bounds Regional Rehab Director, RehabPro 817- 683-2445 The purpose of life is to matter, to be productive, to have it make some difference that you lived at all--Arthur Prince Quote Link to comment Share on other sites More sharing options...
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