Supervision And Extenders Of Care

Question 1

What is co-management?

Answer 1

The physical therapist shares responsibility for the individual with another professional who is also managing that individual.

Question 2

What is consultation?

Answer 2

PT renders professional expert opinion/advice or seeks consultative services from another provider to inform PT POC. PT shares responsibility for the individual with the consultant.

Question 3

4 options in referral for PT

Answer 3

1. Refer
2. Refer and treat
3. Receive an individual referred from another provider who chooses not to continue treating the individual
4. Receive an individual from another provider who continues to treat the individual
   * ** if active POC with patient the PT and other practitioner share responsibility for the patient

Question 4

Who do PTs direct and supervise?

Answer 4

PTAS and Aids/technicians

Question 5

How long is PTA education?

Answer 5

2 years

Question 6

PTA education programs are accredited by who?

Answer 6

CAPTE

Question 7

Licensure/certification and successful completion of the PTA NPTE is required where?

Answer 7

All jurisdictions.

Question 8

What does physical therapist assistant mean?

Answer 8

“Physical therapist assistant” means a natural person who is licensed pursuant to the provisions of this act and who assists a licensed physical therapist under his direct supervision in accordance with this act and regulations of the board.

Question 9

What is the acceptable ratio of PT/PTAS

Answer 9

Maximum of 2 PTAs for 1 PT

Question 10

Can you petition for an exception to increase the PT/PTA ratio?

Answer 10

Yea

Question 11

PTA may only work under the supervision of ________.

Answer 11

PT

Question 12

In the unanticipated absence of the PT how long can the PTA continue for?

Answer 12

One business day for patients with established POC and PTA has previously participated in intervention.

Question 13

The supervising PT must be how close to the PTA to be considered supervision

Answer 13

Must be in the same building or contiguous building, constantly available by electronic communication

Question 14

What must the PT supervisor do to the PTA notes?

Answer 14

1. Consign
2. Review plan of care-
   
   • before first visit
   • before implementing new or revised POC
   • with supervisor change
   • At least every 30 days

Question 15

Interventions that require immediate and continuous examination and evaluation throughout the interview are performed exclusively by whom?

Answer 15

The PT

Question 16

What are the 4 roles of the PTA?

Answer 16

1. Initiate treatment only at the direction and under supervision of PT
2. Documentation by the PTA which must be reviewed and co-signed the PT
3. May collect data for patient exam , may not interpret
4. PTA may not perform PT examination, evaluation, diagnosis or prognosis, develop or modify plan of care, or independently engage in PT instruction including recommendations of assistive devices and modification of patient’s physical environment

Question 17

Delegation to unlicensed personnel (AKA aides)

Answer 17

1. Routine tasks related to cleanliness, maintenance, physical plant and management of the business aspects of the practice.
2. Patient transport, assist with dressing/undressing, position

Question 18

What are PTA services reimbursed under? Is it paid at the same rate as the PT services?

Answer 18

PT’s identification number. Yes

Question 19

When are PTAS qualified under medicare?

Answer 19

PTAs are qualified providers when furnishing services under the direction and supervision of a qualified therapist, who is working within the state scope of practice in the state in which the services are furnished

Question 20

Medicare rules for PTAS (2) and rules on PT Aids (1)

Answer 20

1. General supervision is required for PTAs in all settings except private practice (which requires direct supervision) unless state practice requirements are more stringent, in which case state or local requirements must be followed.
2. The services of a PTA shall not be billed as services incident to a physician/NPP’s service, because they do not meet the qualifications of a therapist.
3. Cannot bill anything the PT aide does because it is not considered skilled care

Question 21

Medicaid, other payers and plans may have what in terms of PTA supervision and policy?

Answer 21

more specific policies on payment for services provided by a PTA, and supervision requirements