Re: (unknown)

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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!

[Guest guest]

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!

[Guest guest]

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!

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

>

[Guest guest]

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

>

[Guest guest]

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

>

[Guest guest]

. 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

>

[Guest guest]

. 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

>

[Guest guest]

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

     

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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

[Guest guest]

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