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I am working for POPT, urgent question
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I am working for POPT, urgent question - October 7, 2008 4:47:39 PM
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geoPT
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Joined: October 7, 2008
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I am here as an independent contractor working for a POPT. There prior setup has been that that had 2 PT aides who are both foreign tranined RPTs but with no licensure in US ofcourse, treat all pt.'s including MEdicare B. There is no documentation. I told them I refuse to sign any old documentation and MD will have to do it. My question is that can an MD or a physician assistatn bill medicar e B for PT services provided by aide services? Do they have any limitations on how many aides they can supervise? I know that RPT cannot bill for supervised aide treatment to med B. In California I also can only supervise one aide. Any clarification will help. Thanks
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RE: I am working for POPT, urgent question - October 7, 2008 7:38:05 PM
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geoPT
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Joined: October 7, 2008
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OK, maybe I didn't clarify myself. The PT aides at this clinic are performing ...ahem....everything! under the sun a PT does....the doc here gave me an explanation that "oh, everything is being billed under physical therapy corporation, nothing is being billed under your name" so my question is ... is that even possible? Look I have owned a physical therapy private practice for 4 yrs in NJ. I have CA, and NY licenses. I am not a fresh grad... I have 8 years PT experience....but this the first time I have ever worked for a POPT. So now I have 2 questions: How can they fill out a CMS 1500 or submit any billing without a PT signature... does an MD or a PA signs instead....and can they truly use aides to perform PT services and sign off all on the notes, evals and submit bills....then why the hell would they need a PT? I have been researching the medical board of california site but I cannot find any PT services under MD supervision guidelines. Please share any experience, or opinions.
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RE: I am working for POPT, urgent question - October 7, 2008 9:02:42 PM
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TexasOrtho
Posts: 556
Joined: December 22, 2007
Status: online
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Why are you even there? Get out and ask these questions once you know your connection with them is completely severed.
_____________________________
Rod Henderson, PT
Board Certified Orthopedic Specialist (or Super-Freak)
Certified Strength and Conditioning Specialist
www.texasorthopedics.blogspot.com
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RE: I am working for POPT, urgent question - October 7, 2008 10:48:59 PM
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geoPT
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Joined: October 7, 2008
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Well that is obvious. I have already submitted my letter to dissolve the contract asap. Plus may I mention that in my defense I had only been there 1 day, but that still does not answer my questions. Can someone ask any DO/ MD/ PA friends of there's if there practice acts allow them to hire anyone to perform physical therapy under there supervision. If that is true then that is the biggest issue we need to lobby on.
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RE: I am working for POPT, urgent question - October 8, 2008 1:33:53 AM
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geoPT
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Joined: October 7, 2008
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http://www.chiroeco.com/news/chiropractic-news.php?id=5088
Here is an article I found which did answer some of my questions, and as I had suspected MDs must have a PT present in building to see Medicare B pt., and pt. can only be seen by PT or PTA, or MD/ DO himself for services, no one else. I called medicare earlier about this and they could not answer my question. They said to ask the medical board of your state. hmmm
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RE: I am working for POPT, urgent question - October 8, 2008 9:27:23 AM
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orthotherapist
Posts: 218
Joined: February 6, 2007
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You have a license now but get out before you have no license to practice
< Message edited by orthotherapist -- October 8, 2008 9:31:55 AM >
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RE: I am working for POPT, urgent question - October 8, 2008 1:33:42 PM
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SJBird55
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Joined: May 10, 2004
From: Michigan
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The answer to your question is... it depends on the time period in which you are referring. The regulations are always changing.
No one can give you an accurate answer unless you know 1) how the PT business was set up 2) how the claims are being sent to third party payors.
Billing "incident to" has different supervisory regulations than billing with a physical therapist's NPI.
Here's a little summary from an attorney: http://library.findlaw.com/1998/Mar/1/127123.html
From AAPM&R: http://www.aapmr.org/hpl/pracguide/pmrprac/therapyservices.htm
"Incident to" billing form AAPM&R: http://www.aapmr.org/hpl/pracresrce/billingfaqs.htm
From CMS directly: http://www.cms.hhs.gov/manuals/Downloads/bp102c15.pdf
Page 181 might be helpful... page 187 defines "qualified" for the personnel that are allowed to treat Medicare beneficiaries.
Current regulations are basically that for Medicare beneficiaries, services can only be provided by a PT or a PTA. Other third party payors may have different regulations. If there are no other defined third party regulations, then you would defer to your State Practice Act.
Happy reading...
< Message edited by SJBird55 -- October 8, 2008 1:41:35 PM >
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RE: I am working for POPT, urgent question - October 11, 2008 2:06:09 PM
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jma
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Joined: August 24, 2000
From: NY
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That was a very informative post with very good information to pass down to others.
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