Co-signing Notes Written by Assistants
A question I am often asked are notes written by physical therapist assistants and occupational therapy assistants need to be cosigned by the supervising physical therapist or occupational therapist? To fully answer this question, we must look in two places, your state practice act and the rules and regulations of the insurance carrier. In this article, I will answer the following questions:
- Does the Medicare program require notes written by assistants be cosigned by the supervising therapist?
- Do private insurance carriers require notes written by assistants be cosigned by the supervising therapist?
- How may my state practice act impact co-signature requirements?
First Question
Does the Medicare program require notes written by assistants be cosigned by the supervising therapist?
Answer
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Do these questions apply to a brand new PT, that we are waiting to get provider numbers for? Like Medicare and Carefirst.
It takes forever to get credentialed.
Janet Libertini
This article is specific to physical therapist assistants and occupational therapy assistants.
Is there a requirement that PTA notes must contain documentation by the primary therapist every few visits to verify consultation with PT?
You would need to refer to your state practice act to see if there are any such requirements.
How do you reimburse the physical therapist for the time taken to co sign the PTAs notes?
It’s part of their work day whether you pay them hourly or a salary.
ok if a Pta opens a home health agency and uses a PT per diem for evals and treatment plan that also includes the cosigns or would that be paid extra?
I do not discuss payment arrangements within a company.