tci Medicare Compliance & Reimbursement - 2005 Issue 42

REHAB: CMS Comes Through With More Incident-To Protection

New qualification standards should help facilities get paid.Even though the National Association of Athletic Trainers continues to fight the new requirements in court, the Centers for Medicare and Medicaid Services recently implemented its revisions governing the qualifications of those who provide physical and occupational therapy as "incident-to" a physician's services.In short, these revisions prohibit physicians from billing Medicare and other payers for physical therapy services unless a professionally educated PT provides them. A PT assistant may also provide the services as long as a PT provides direct supervision.Remember: The PT doesn't have to be licensed for...

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