tci Medicare Compliance & Reimbursement - 2004 Issue 34

Loosened Supervision Requirements A Boon For Therapists

Here's what it means for the rehab industryWhile tightening incident-to billing requirements in physicians' offices, the Centers for Medicare & Medicaid Services throws therapists another bone by loosening supervision requirements in therapy practices.CMS proposes to loosen supervision requirements for PTAs and COTAs in private practice settings under the 2005 physician fee schedule. Under current regulations, Medicare covers these services only if the PT or OT provides "personal supervision," which means she must be in the room while the assistant provides services.The proposed change from personal to direct supervision for private therapy practices is in line with...

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