Search
Generic filters
Exact matches only
Search in title
Search in content
Search in excerpt

Gawenda Seminars

Seminars and Consulting

Don’t Be Surprised Regarding the Good Faith Estimate Requirement

This webinar will teach participants what they need to know regarding Part 149 – Surprise Billing and Transparency Requirements, Subpart G – Protection of Uninsured or Self-Pay Individuals of the No Surprises Act that went into effect on January 1, 2022. Subpart G – Protection of Uninsured or Self-Pay Individuals, does apply to outpatient physical, occupational and speech therapy services provided in all outpatient therapy settings, including private practices and does include cash-based therapy practices as well as out-of-network providers. Essentially, if you provide outpatient physical, occupational and/or speech therapy services, this Good Faith Estimate requirement applies to you. For additional information, click HERE.

occupational therapy assistant

Supervision Requirements of an Assistant in 2022

by Leave a Comment

In this article, I will answer the following questions regarding the supervision requirements of a physical therapist assistant (PTA) by a physical therapist (PT) and an occupational therapy assistant (OTA) by an occupational therapist (OT) under Medicare Part B outpatient therapy services for calendar year 2022:

  1. What are the supervision requirements of a PTA or OTA in a non-private practice setting (submit claims on a UB-04 claim form) when they are treating a Medicare Part B beneficiary for outpatient therapy services?
  2. What are the supervision requirements of a PTA or OTA in a private practice setting (submit claims on a 1500 claim form) when they are treating a Medicare Part B beneficiary for outpatient therapy services?

Lets begin!

Question
What are the supervision requirements of a PTA or OTA in a non-private practice setting (submit claims on a UB-04 claim form) when they are treating a Medicare Part B beneficiary for outpatient therapy services?

Answer

This content is for Gold Members only. Please log in above or Register

Question
What are the supervision requirements of a PTA or OTA in a private practice setting (submit claims on a 1500 claim form) when they are treating a Medicare Part B beneficiary for outpatient therapy services?

Answer

This content is for Gold Members only. Please log in above or Register

I hope you found this article informative and you now have a better understanding of the supervision requirements of an assistant in calendar year 2022 when the PTA or OTA is treating a Medicare Part B beneficiary for outpatient therapy services. Thank you for being a Gold Member!

All material posted on our website is intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without prior written approval of Gawenda Seminars & Consulting, Inc.

This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.

Supervision Requirements of an Assistant in 2021

by 11 Comments

In this article, I will answer the following questions regarding the supervision requirements of a physical therapist assistant (PTA) by a physical therapist (PT) and an occupational therapy assistant (OTA) by an occupational therapist (OT) under Medicare Part B outpatient therapy services for calendar year 2021:

  1. What are the supervision requirements of a PTA or OTA in a non-private practice setting (submit claims on a UB-04 claim form) when they are treating a Medicare Part B beneficiary for outpatient therapy services?
  2. What are the supervision requirements of a PTA or OTA in a private practice setting (submit claims on a 1500 claim form) when they are treating a Medicare Part B beneficiary for outpatient therapy services?

Lets begin!

Question
What are the supervision requirements of a PTA or OTA in a non-private practice setting (submit claims on a UB-04 claim form) when they are treating a Medicare Part B beneficiary for outpatient therapy services?

Answer

This content is for Gold Members only. Please log in above or Register

Question
What are the supervision requirements of a PTA or OTA in a private practice setting (submit claims on a 1500 claim form) when they are treating a Medicare Part B beneficiary for outpatient therapy services?

Answer

This content is for Gold Members only. Please log in above or Register

I hope you found this article informative and you now have a better understanding of the supervision requirements of an assistant in calendar year 2021 when the PTA or OTA is treating a Medicare Part B beneficiary for outpatient therapy services. Thank you for being a Gold Member!

Current Supervision Requirements of an Assistant

by 14 Comments

In the private practice setting, the Centers for Medicare and Medicaid Services (CMS) requires that the physical therapist (PT) provide direct supervision of the physical therapist assistant (PTA) and that the occupational therapist (OT) provide direct supervision of the occupational therapy assistant (OTA) when the PTA and OTA are furnishing covered services to a Medicare beneficiary receiving outpatient physical or occupational therapy services, respectively. This means the supervising PT or OT must be present in the office suite at the time the service(s) is provided by the PTA or OTA to the Medicare beneficiary.

What providers want to know is has anything changed with the direct supervision requirement as a result of the public health emergency (PHE) due to COVID-19? The simple answer is

This content is for Gold Members only. Please log in above or Register

I hope you found this article informative and helpful to your practice. Thank you for being a Gold Member!

Supervision Requirements of an Assistant in a Private Practice

by 8 Comments

Due to the Public Health Emergency (PHE) as a result of the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) has eased the supervision requirements of a physical therapist assistant (PTA) by a physical therapist (PT) and an occupational therapy assistant (OTA) by an occupational therapist (OT). In this article, I will answer the following questions:

  1. Normally, what are the supervision requirements of a PTA by a PT and an OTA by an OT in a private practice setting under traditional Medicare Part B?
  2. What are CMS’ current supervision requirements of a PTA by a PT and an OTA by an OT in a private practice setting due to the PHE under traditional Medicare Part B?
  3. What if my state practice act requires direct or personal supervision of a PTA or an OTA?

Question
Normally, what are the supervision requirements of a PTA by a PT and an OTA by an OT in a private practice setting under traditional Medicare Part B?

Answer

This content is for Gold Members only. Please log in above or Register

Question
What are CMS’ current supervision requirements of a PTA by a PT and an OTA by an OT in a private practice setting due to the PHE under traditional Medicare Part B?

Answer

This content is for Gold Members only. Please log in above or Register

Question
What if my state practice act requires direct or personal supervision of a PTA or an OTA?

Answer

This content is for Gold Members only. Please log in above or Register

I hope you found the answers to the above questions helpful to your private practice. Thank you for being a Gold Member!


Do Notes Written by an Assistant Need to be Co-signed?

by 2 Comments

A question I have been receiving lately is do notes written by an assistant need to be co-signed/counter-signed by the supervising therapist? For the answer to this question, you must look in 2 places and both must say either no and be silent on this question.

You must first look at your

This content is for Gold Members only. Please log in above or Register

I hope you found this article helpful. Thank you for being a Gold Member!

TRICARE Now Paying for Services Provided By an Assistant

by 9 Comments

On March 16, 2020, the Department of Defense issued the long awaited Final Rule titled “TRICARE; Addition of Physical Therapist Assistants and Occupational Therapy Assistants as TRICARE-Authorized Providers” with an effective date of April 16, 2020. This means that beginning with dates of services on and after April 16, 2020, a physical therapist assistant (PTA) and occupational therapy assistant (OTA) are now considered a TRICARE-Authorized Provider. I originally wrote about this change in an article I published on March 16, 2020 for my Gold Members.

On April 15, 2020, the American Physical Therapy Association (APTA) published an article discussing the addition of a PTA as a TRICARE-Authorized Provider. In this article, Kara Gainer, APTA’s Director of Regulatory Affairs states the following: “We’re telling providers that, yes, the change has occurred and that PTAs are eligible for reimbursement for services rendered beginning on April 16, 2020. However, contractors may not yet have made the necessary systems changes,” Gainer said. “It’s important that providers find out whether their contractors are ready to process the claims and if any new coding requirements are being applied to this change.”

Click HERE to read this article from APTA.