Supervision And Extenders Of Care Flashcards
What is co-management?
The physical therapist shares responsibility for the individual with another professional who is also managing that individual.
What is consultation?
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.
4 options in referral for PT
- Refer
- Refer and treat
- Receive an individual referred from another provider who chooses not to continue treating the individual
- 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
Who do PTs direct and supervise?
PTAS and Aids/technicians
How long is PTA education?
2 years
PTA education programs are accredited by who?
CAPTE
Licensure/certification and successful completion of the PTA NPTE is required where?
All jurisdictions.
What does physical therapist assistant mean?
“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.
What is the acceptable ratio of PT/PTAS
Maximum of 2 PTAs for 1 PT
Can you petition for an exception to increase the PT/PTA ratio?
Yea
PTA may only work under the supervision of ________.
PT
In the unanticipated absence of the PT how long can the PTA continue for?
One business day for patients with established POC and PTA has previously participated in intervention.
The supervising PT must be how close to the PTA to be considered supervision
Must be in the same building or contiguous building, constantly available by electronic communication
What must the PT supervisor do to the PTA notes?
- Consign
- Review plan of care-
- before first visit
- before implementing new or revised POC
- with supervisor change
- At least every 30 days
Interventions that require immediate and continuous examination and evaluation throughout the interview are performed exclusively by whom?
The PT
What are the 4 roles of the PTA?
- Initiate treatment only at the direction and under supervision of PT
- Documentation by the PTA which must be reviewed and co-signed the PT
- May collect data for patient exam , may not interpret
- 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
Delegation to unlicensed personnel (AKA aides)
- Routine tasks related to cleanliness, maintenance, physical plant and management of the business aspects of the practice.
- Patient transport, assist with dressing/undressing, position
What are PTA services reimbursed under? Is it paid at the same rate as the PT services?
PT’s identification number. Yes
When are PTAS qualified under medicare?
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
Medicare rules for PTAS (2) and rules on PT Aids (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.
- 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.
- Cannot bill anything the PT aide does because it is not considered skilled care
Medicaid, other payers and plans may have what in terms of PTA supervision and policy?
more specific policies on payment for services provided by a PTA, and supervision requirements
