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24 Cards in this Set
- Front
- Back
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What setting is a PT student Y1 reimbursable and what does this level involve
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SNF
The PT provides skilled services & direction to a student who is participating in the service under line-of-sight supervision |
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In order to record PT as individual therapy under Y1
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1. Only one resident can be treated bu the therapy student at a time (Part A & B)
2. The supervising therapist or assistant cannot be treating or supervising other individuals and must be able to immediately intervene or assist the student as needed while student and resident are both within line of sight 3. PT could be attending to paperwork while supervising the student |
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Minutes may be coded as concurrent therapy under Med A when
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1. Therapy student is treating one resident and the supervising therapist or assistant is treating another resident in line of sight
2. PT student is treating 2 residents, both of whom are in line of sight of the PT student and PT --& the PT is not treating or supervising any residents 3. PT is treating two residents at a time, both of whom are in line of sight and PT student is treating nobody |
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Minutes may be coded as group therapy under Med A when
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1. PT student is providing group txt and all residents participating in therapy and the student are in line of sight of the PT who is not treating any residents
2. The PT is providing the group txt and the PT student is not providing any txt to the residents |
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Describe Y2 reimbursement and what settings its approp
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PTA student @ SNF
Same rules as Y1 except PT and/or PTA need to sign the note |
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What setting is Y3 reimbursement referring to
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PT and PTA students in hospital setting
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What setting is Y4 reimbursement referring to
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PT and PTA students in inpatient rehab setting
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How is reimbursement different for medicare part B
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Only the services of the PT can be billed and paid under Part B
Services of the PT student are not reimbursed even if the PT is in line of sight supervision--but the presence of the student in the room doesnt make the services unbillable |
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Requirements for ability to bill under Med Part B
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PT is present in the room for the entire session
Student can participate in the delivery of services when the PT is direction the service, making the skilled judgement, and responsible for assessment and treatment PT is not treating another pt or engaged in another task at the same time |
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What is the cap for part B medicare pt
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About $1,800 can be reimbursed to pt total for PT and ST services combined
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97110
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Therapeutic Activities--15 min for all
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97112
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Neuromuscular Reeducation
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97116
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Gait Training
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97530
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functional activities
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97535
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Self Care/Home Management training
Assessment of Fall risk and conditioning program |
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97750
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Physical Performance test and measurement with written report
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97001
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PT Eval
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97002
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Re Evaluation
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97150
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Group Therapy
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97140
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Manual Therapy--15min
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97114
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E-Stim supervision
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97032
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E-Stim constant attendance
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97035
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Ultrasound
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Can recent grads awaiting licensure exam participate more than students with PT txt of medicare pts
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No
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