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Student Supervision and Medicare
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Practice Setting
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PT Student
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PTA Student
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Part A
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Part B
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Part A
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Part B
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Physical Therapist in
Private Practice
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N/A
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X1
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N/A
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X1
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Certified Rehabilitation Agency
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N/A
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X1
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N/A
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X1
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Comprehensive Outpatient Rehabilitation
Facility
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N/A
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X1
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N/A
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X1
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Skilled Nursing Facility
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4 1
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X 1
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4 2
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X 1
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Hospital
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4 3
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X 1
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4 3
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X 1
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Home Health Agency
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NAR
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X 1
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NAR
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X 1
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Inpatient Rehabilitation Facility
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4 4
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N/A
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4 4
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N/A
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Key
4 : Reimbursable
X: Not Reimbursable
N/A: Not Applicable
NAR: Not Addressed in Regulation. Please defer to state
law.
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4 1: Reimbursable: The minutes of student
services count on the Minimum Data Set. However, Medicare requires that
the professional therapist (the PT) provide line-of-sight supervision of
PT student services.
Federal Register (Volume 64, Number 213)
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4 2:
Reimbursable: The minutes of student services count on the Minimum
Data Set. However,
Medicare requires that the professional therapist (the PT) provide
line-of-sight supervision of physical therapist assistant (PTA )student
services. Federal Register (Volume 64,
Number 213)
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4 3: Although not specifically addressed
in the regulations, the Part A hospital diagnosis related group (DRG)
payment system is similar to that of a skilled nursing facility (SNF).
Thus, if state laws do not specify requirements, it is reasonable to use
the SNF Part A requirements as guidance.
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4 4: Although not specifically addressed
in the regulations, the inpatient rehabilitation hospital prospective
payment system is similar to that of a SNF. Thus, if state laws do not
specify requirements, it is reasonable to use the SNF Part A
requirements as guidance.
X 1: According to program memorandum
AB-01-56, Medicare does not reimburse for student services provided
under Medicare Part B. However, in a letter to the American
Speech-Hearing-Language Association (ASHA), Medicare clarified that the
service would be billable even though the student is participating in
the delivery of the service as long as "the qualified practitioner is
directing the service, making the skilled judgment, and is responsible
for the assessment and treatment."
CR 6/2002
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