Supervision Requirements of Assistants in the Private Practice Setting

July 25, 2016
Rick Gawenda


Under Medicare Part B, what are the supervision requirements of a physical therapist assistant and occupational therapy assistant in the private practice setting?


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  1. In any situation, can a PT supervise an OTA? For instance, we were thinking of opening another location in a rural area (Arkansas) and were wondering if a PT and OT could go to that location 1 day a week, then a PT/OTA go over another day with the PT seeing PT patients and the OTA seeing the OT follow-ups. Thank You and I love your articles!

  2. Hello,
    Can you help me clarify the rules for supervising therapist assistants in a private practice, that provides services in patient’s home, under Medicare Part B?

    I see in your article

    that you wrote, “home health agencies providing Part B therapy services in the Medicare beneficiaries home”
    What is considered a home health agency that provides part B therapy? Would that be a house-call Part B practice, or a CHHA?

    Thank you very much

    1. A home health agency is an organization that provides healthcare services in a persons home and is credentialed as a home health agency by the Medicare program. A therapist who starts a private practice can see Medicare beneficiaries in their home for outpatient therapy and all the documentation, coding and billing rules would apply the same as if the Medicare beneficiary came to a clinic. This therapist would be considered a private practice and not a home health agency.

      1. Thank you!
        And to clarify, a private practice that sees Medicare beneficiaries in the home of patients, cannot send PTAs or COTAs?