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  • Telehealth in Physical Therapy in Light of COVID-19

     

    [NOTE: No updates will be made to this article after April 16, 2020. Updated information can be found at this dedicated webpage.]

     

     

     The coronavirus pandemic demands that health care providers rethink how they deliver care in ways that reduce risk of further spreading infection.(Note: this article is also presented as a recorded webinar and accompanying slides).

    The use of telehealth is one approach that can help keep both patients and providers safe, but PTs and PTAs need to understand the current regulatory and payer telehealth landscape to decide whether telehealth is right — or even a possibility — for them.

    The information below can help you get a better sense of the issues surrounding physical therapy and telehealth, particularly related to the current viral outbreak. Keep in mind that circumstances are constantly changing and this information is current as of the publication date.

    In General

    • We recently updated our resources on telehealth related to areas such as legislation and regulation, risk management considerations, billing and coding considerations, and implementing telehealth in practice. You will find these on the APTA Telehealth webpage.
    • We also published a blog post, "Challenges and Opportunities in Telehealth: a Q&A."
    • We have received several questions related to Congress' coronavirus legislation signed into law last week. It gives the Department of Health and Human Services authority to waive certain Medicare telehealth restrictions (with stipulations) and continues to limit provider types who can furnish telehealth to Medicare beneficiaries. Physical therapists are not included as a provider type that can furnish telehealth as a covered service to Medicare beneficiaries under this legislation. Due to a number of questions related to this legislation, APTA issued a March 9 news advisory on telehealth.
    • A CMS fact sheet describes regulatory flexibilities and other actions the agency implemented in March to help health care providers and states respond to and contain COVID-19. The actions did not include expanding Medicare coverage to include telehealth services furnished by physical therapists. The actions did include temporarily waiving Medicare and Medicaid requirements that out-of-state providers hold licenses in the state where they are providing services. The requirement is waived as long as the provider has an equivalent license from another state — but keep in mind this does not waive state or local licensure requirements. Also, the waiver does not allow for payment for otherwise non-covered services — such as telehealth services provided by physical therapists.
    • In addition, the Center for Connected Health Encounters offers "Billing for Telehealth Encounters: An Introductory Guide on Fee-for-Service (.pdf)," a 21-page document that outlines billing procedures.
    • Note that other terms, such as telerehabilitation, telerehab, telemedicine, and telepractice are being used by various entities. They all can refer to use by PTs and PTAs; this article generally uses "telehealth."

    Practice via Telehealth

    Regardless of the payer or policy, PTs and PTAs must ensure that when providing telehealth services or billing for them, they are practicing legally and ethically, and are adhering to state and federal practice guidelines and payer contract agreements. You review and understand your state's practice act regarding the delivery of physical therapist services via telehealth.

    Per APTA's ethics documents (www.apta.org/Ethics/), we recommend that physical therapists use their discretion as to the nature and frequency of using telehealth, and do so within their scope of practice while abiding by any state practice act restrictions as well as their obligations to the physical therapy profession.

    Although telehealth is not specifically codified within the APTA "Code of Ethics for the Physical Therapist" or the "Standards of Ethical Conduct for the Physical Therapist Assistant," the entirety of the code applies to telehealth services delivered by PTs and PTAs. Ethical practice in telehealth must account for the biological, social, psychological, and cultural needs of the patient while working to improve their health. Additionally, knowing when to urge and how to persuade the patient to seek a face-to-face level of care is key. Before providing telehealth, ensure that you meet all local, state, and federal laws and regulations. To achieve the potential for patient benefit, you must consider the associated ethical issues; specifically, carefully assess the effect on relations between clinicians, patients and clients, and their families and/or caregivers.

    Telehealth provision or use does not alter a covered entity's obligations under HIPAA, nor does HIPAA contain any special section devoted to telehealth. Therefore, if a covered entity is utilizing telehealth that involves PHI, the entity must meet the same HIPAA requirements that it would if the service was provided in-person.

    The House of Delegates position on telehealth (.pdf), last updated in 2019, recognizes telehealth as a well‐defined and established method of health services delivery that enhances patient and client interactions. APTA also recognizes the value of advocating for state and federal telehealth policies to reduce cost, disparities, and shortages of care, and to enhance physical therapist practice, education, and research.

    PT Compact
    Through the Physical Therapy Compact, a compact privilege allows the holder to provide physical therapist services in a remote state under the scope of practice of the state where the patient or client is located, whether the practice is in-person or via telehealth. Compact privilege holders should consult the rules and laws for the state in which they seek to provide services to determine the specific telehealth requirements.

    Payer Policy

    Medicare
    Physical therapists are not statutorily authorized providers of telehealth under Original Medicare, and physical therapy services are not on the list of services covered under the Medicare physician fee schedule when furnished via telehealth. (See the Private Payer section below for information on services provided under Medicare Advantage plans.) APTA has continued to advocate for the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 (H.R. 4932/S. 2741), legislation that would expand the use of telehealth services and ease restrictions on telehealth coverage under the Medicare program. Our position paper outlines APTA's stance on the legislation (.pdf). The COVID-19 pandemic makes our position all the more relevant; health care providers and payers must reconsider how care is delivered to reduce the risk of further spreading infection. Access to telehealth has become of paramount importance to ensure the safety of patients and their physical therapy providers. We have developed a template letter you can send to your legislators (.pdf) asking them to cosponsor these bills.

    APTA also has compiled research studies on telehealth (.pdf) and testimonials from APTA members on how they have balanced in-person and telehealth visits.

    Private Payer
    Check with individual payers to verify what is and is not permitted and what will be reimbursed. Confirm with each payer whether the originating site can be a private home or office, if services must be real-time or can be asynchronous, and any other limitations to your use of telehealth. Before reporting CPT codes you traditionally use for clinical visits, check with your payer. A payer also may require an addendum attached to the bill that identifies the service as being provided via telehealth, along with an explanation of the charges, so be prepared to outline your reasoning for using telehealth. Also be aware if your state has parity laws that require insurers to pay the same amount for telehealth services as they would for an in-person visit.

    Note: Under CMS guidance issued to Medicare Advantage organizations (.pdf), CMS is affording MAOs the flexibility to expand coverage of telehealth services.

    APTA developed a template letter for you to use in advocating to your payers--private, Medicare Advantage, and Medicaid (both fee for service and MCOs) for coverage of telehealth furnished by PTs and PTAs to ensure that patients continue to have access to the rehabilitative care they need amid the COVID-19 pandemic. Instructions are included at the top of the page.

    Medicaid
    States have the option to determine whether or not to cover telehealth services; what types of telehealth services to cover; where in the state such services can be covered; how services are provided and covered; which types of providers may be reimbursed for telehealth services (as long as they are "recognized" and qualified according to the state's Medicaid statute or regulation); and how much to reimburse for telehealth services, as long as payment does not exceed federal upper limits.

    Medicaid guidelines require all providers to practice within the scope of their state practice act. Some states' legislation requires providers using telehealth technology across state lines to have a valid state license in the state where the patient is located, and these requirements are binding under current Medicaid rules.

    Before you bill for telehealth services under Medicare, always check the regulations and policies of your state Medicaid fee-for-service (FFS) program and Medicaid managed care organizations to confirm whether or not the FFS program and/or MCOs reimburse for telemedicine services.

    The Center for Connected Healthcare Policy identified the following in a 2019 summary of state telehealth policies, including telerehabilitation:

    • 9 states (Arkansas, Connecticut, Delaware, Idaho, Kentucky, Minnesota, Missouri, New York and Oregon) explicitly reimburse for telerehab services.
    • 11 states (Iowa, Maine, Montana, Nebraska, New Mexico, North Dakota, Rhode Island, Tennessee, Utah, Vermont and Washington) contain open language in state regulation or reimbursement policies that may allow for Medicaid to reimburse for telerehab services.

    Medicaid policies on the originating site setting (private home or office) and real-time vs. asynchronous services also differ among states, so check your state's policy as well as each payer's policy.

    The Center for Connected Healthcare Policy has a good resource that identifies where the law stands with telehealth in the states (.pdf).

    Coding
    There are not specific CPT codes for telehealth services furnished by physical therapists. Some therapists use codes in the 97000 series that best describe the services being provided and then use the place-of-service code "02" to indicate that the services were provided remotely. Because the CPT codes are direct contact codes it is important to verify that the payer allows you to use these codes when services are provided via telehealth, or if you must use a specific modifier. We also encourage you to check with each payer about using place-of-service code "02" when billing for telehealth services to specify the entity where service(s) were rendered.

    Learn More
    In addition to the links to resources above, we will continue to develop education related to delivery of services via telehealth. For one thing, APTA staff will prerecord a webinar in early April with members of the Health Policy and Administration Section's Tech SIG. The webinar, Digital Telehealth Practice - Connect for Best Practice, Compliance, and Healthcare, will then be followed by a live online Q&A session later in the month.

    These resources should answer most of your questions on billing and coding, practice considerations, legislation and regulation, and other issues related to telehealth. If you still have a question that wasn't addressed, send it to advocacy@apta.org. We will update our resources accordingly to ensure we're providing the information the profession needs.

    Comments

    • can patients still be treated in the rehab gym if they are socially distanced?

      Posted by Janet Rothman -> =OTb? on 3/16/2020 1:32 PM

    • Per WebPT there are CPT codes to bill for telehealthcare: 98966 5-10 minutes 98967 11-20 minutes 98968 21-30 minutes

      Posted by Julie Corralejo on 3/16/2020 3:34 PM

    • How would PTA supervisory visits be handled considering telehealth use?

      Posted by Christine Molnar on 3/16/2020 4:31 PM

    • Do something right for us. Come on. One thing. I believe in you.

      Posted by Meaghan Colleran on 3/16/2020 11:45 PM

    • Just another service we can't perform being doctors. So frustrated with this discipline, even social workers can use telehealth; my wife does. Chiropractors can use telehealth all day. Me the DPT, nope. What are you guys doing to advance this profession, we are in a crisis and even begging doesn't work. Mark my words, nothing will change, we still require babysitting by those with script pads.

      Posted by Mike Reinhold on 3/17/2020 8:51 AM

    • Please keep our patients protected and safe

      Posted by Denise Hanson on 3/17/2020 9:12 AM

    • In the current state of the world I think that Telehealth for PT is appropriate.

      Posted by Lisa D. Brosnon on 3/17/2020 11:39 AM

    • I’m 52 with COPD if I get sick does my Medicare /Medicaid can I use ur company to b able to get an ok for covid 19 testing I don’t have a pcp and I live in north canton Ohio I am confused by the info I’m hearing Thank you Kat

      Posted by Kat Jeffray on 3/17/2020 12:48 PM

    • I’m in OC California. Would you share with me: The Regulations, Legislation, Technology requirements, Compliance, associated costs and reimbursement. Thank you

      Posted by Maryam Hamidi on 3/17/2020 1:51 PM

    • I work as a physical therapist in a public school as a contracted employer. I work with a wide variety of students including those with multiple disabilities and autism. When school close, were were asked to put together paper and online exercises and resources to help us service or students. Then we were told that we wouldn't be paid for our services while school is closed. Ant suggestions how we could use telehealth to help service our students and also be ensure that we are being reimbursed for our time

      Posted by Andrea Varellie on 3/17/2020 2:13 PM

    • I am a health homes care manager. i would like to know how we could use telehealth to help service our students and also be ensure that we are being reimbursed for our time

      Posted by Monique Prioleau -> DNT]BO on 3/17/2020 11:04 PM

    • I work at a PT and OT facility and I think it would be of great benefit for our patients that they be able to access TeleHealth and make sure the therapist are being reimbursed for their time.

      Posted by Susan on 3/18/2020 10:09 AM

    • Hi, just a question in terms of tele-rehab does the physical therapist has to be physically in a facility to provide tele-rehab? or they could be at home?

      Posted by Josephine S Dolera on 3/18/2020 10:45 AM

    • hi. question about school based PT and telehealth in NY. what does our practice act say about this? TIA

      Posted by Lori Augugliaro on 3/18/2020 1:59 PM

    • As a school based therapist, I would also like to know the latest decisions about telehealth that would enhance my treatment packets which were sent home. I will find out from our contracted therapists if they are being reimbursed if they are sending work and communicating with the students' families.

      Posted by Lorayne Castiglione on 3/18/2020 8:26 PM

    • What specific electronic platforms are available and being utilized for PTs to practice via TeleHealth during the COVID-19 crisis? This is not something we have previously had in place in my outpatient practice but are looking at utilizing this technology moving forward.

      Posted by Callie Mabry -> AFW_BK on 3/19/2020 9:11 PM

    • Can CA Physical Therapists bill Medicare Part B patients for telehealth services with the new waiver?

      Posted by Heather Bianchi on 3/20/2020 3:25 PM

    • As an Early Intervention Therapist, all face to face visits have been postponed. But First Steps is allowing us to have consultative phone calls or video chats and to bill for them. While I'm thankful for that, I'm wondering if when I get a new referral if I can assess them through video, and develop a PoC? It's so strange not to be able to touch them!

      Posted by Shelly A Schlueter on 3/20/2020 6:57 PM

    • Is it HIPPA compliant to provide telehealth service from your home with family members present. IL is currently following shelter in place and schools are shut down until at least 4/8 therefore my own children are home. There has been a push for telehealth however nothing has been approved by EI. I’m just trying to think ahead!

      Posted by Elizabeth Komnick on 3/20/2020 11:27 PM

    • HIPAA is waived for use Skype and FaceTime per the CMS Fact sheet pasted on it’s News Room five days ago: https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

      Posted by Tim Richardson on 3/22/2020 12:41 AM

    • Really don’t understand how this works? Please contact me.

      Posted by Cheryl Brokaw on 3/23/2020 2:04 PM

    • PTA practicing in Pennsylvania Can PTA provide e visit or telehealth ?

      Posted by Dawn Hoeger on 3/24/2020 12:06 AM

    • I am a school based PT contracted with many different school districts. Like several other people mentioned, I sent home activity packets with my students. I am trying to research whether telehealth is an option in NJ and if we will be reimbursed? Please advise

      Posted by Debra Lischak on 3/24/2020 1:35 PM

    • Can physical therapy be provided via telehealth in the state of Pennsylvania? Also, is PT a billable service via telehealth?

      Posted by Carol Stasicha, PT Office Manager on 3/25/2020 10:26 AM

    • A lot to read through, but does anyone know if I can perform Telehealth on NON medicare/medicaid patients if I am not licensed in their state? Licensed in NY, clients used to travel from NJ and now want telehealth options. Thanks!

      Posted by Devon Dinegar -> CIQZ?K on 3/25/2020 12:17 PM

    • Many great questions above, however, where are the responses? Thanks.

      Posted by Jackie Canzano on 3/25/2020 1:37 PM

    • PTA practicing in Pennsylvania Can PTA provide e visit or telehealth ?

      Posted by Cinda Dirlam on 3/25/2020 2:00 PM

    • Is there a differentiation between Telehealth and "services provided virtually"? I am a PT provider in a school setting and in some of our school systems we are being asked to conduct services via virtual platforms. Does this = Telehealth or is there some grey area of "virtual services" that does not constitute teletherapy? Thanks!

      Posted by Kira Memery on 3/25/2020 8:57 PM

    • Can a Licensed PTA with indirect supervision treat a patient via Telemedicine or just a PT?

      Posted by Heidi Wonderling on 3/25/2020 10:55 PM

    • Can a LPTA provide telehealth sessions from an outpatient clinic to a patient at home in the state of Illinois, which is currently sheltered in place due to COVID-19?

      Posted by Sharon Klupar, LPTA on 3/26/2020 10:43 AM

    • BCBSTX is telling me PT is not covered. I have been seeing people via telehealth since Late last week. Please help us, what are the CPT codes, modifiers to utilize. Currently using GT and GP with 97110 and 97530 because modifier 95 was denied from visits last week (3/24/2020) Who is advocating for us while we are helping patients and doing our part to stop the spread?

      Posted by cullen nigrini on 3/26/2020 2:55 PM

    • Can PTAs bill for telehealth in Colorado?

      Posted by Ashley on 3/26/2020 3:20 PM

    • Can a LPTA in an outpatient setting in WI provide telehealth?

      Posted by Gina Droessler on 3/27/2020 1:22 PM

    • someone mentioned on 3/17/20 "Chiropractors can use telehealth all day. Me the DPT, nope. .....Mark my words, nothing will change, we still require babysitting by those with script pads." So, wait a minute! You see, THIS is why it is important to PROPERLY apply credentials to particular professions ..especially in healthcare. a Chiropractor is D.C. (Doctor of Chiropractic) ..long before PT's can "now become doctors" (very recently). So, have some respect for your predecessors, who had to fight the good fight to breakthrough many obstacles including the AMA's attempt to usurp the ENTIRE profession, but, was found GUILTY (the AMA) in a Supreme court of law ..lest we forget! ..Also, "Mr DPT," a DC can also become a QME ..and last time I checked, they aren't just handing those out at the carnival to every tom, dick, and harry who call themselves doctors (insert head explosion here). Here's the TOP of the problem: READY? Allopaths should stop calling themselves MD's ..TO USURP THE WORD "MEDICINE/MEDICAL" is semantics ..wordplay AT ITS BEST! My medicine happens to be music, while others could be knitting, or playing w their children/grandchildren. From a Dentist (D.D.), to a Chiropractor (D.C.) to an Acupuncturist (DAOM), to Homeopath (DHt), to a Physical Therapist (DPT) to ANY PhD ..everyone's credential is identified by their SYSTEM OF DELIVERY OR APPROACH!!! So, why AREN'T Allopath's called A.D.'s ..please enlighten me! ..anyways, I don't have that much time (to be enlightened) as ANY attempt to "answer this question" will be fueled by either ignorance, dogma, or plane ole' "brown nosing." The bigger faux pas, is that most people don't even know what allopathic means! But I digress. Bottom line, Iatrogenic DEATHS are almost exclusive to the allopathic profession, (and no doubt, some of you will take this the wrong way in thinking I fell this profession shouldn't exist) BUT, quite the contrary ..I'm just convinced, that with enough statistics available to anyone who has the gumption to even look, WE REALLY NEED TO STOP handing the keys over to the AD's who, in many instances, have less qualifications than others to even MAKE such calls in certain diagnoses or treatment approches etc ...again, Im not saying they AREN't qualified ,,but LESS qualified. WHEN WILL YOU GET PISSED OFF ABOUT IT? WHEN WILL DPT'S STOP EXISTING AT THE HANDS OF AN MD'S (AD's :P ) Script Pad? Lastly, the overwhelming majority of the world DOES NOT have MD, mostly the west ..yet, we rank low in health among Industrialized Nations ..figure that one out. Its time we end this Alternative Medical Care nonsense and come to the realization that NO ONE PROFESSION has access to information any more or less than the other ..if we put the patient at the center, they realize better outcomes, and multiple approaches seem to work best. ...enough with the hierarchy of professions/modalities ...Knowledge at a doctoral level is enough to qualify. PERIOD!!!

      Posted by Allen Thomas on 3/27/2020 2:55 PM

    • I am in need of PT for ankle tendon repair surgery, I'm looking for a virtual option as my doctor told me the facility I would use is closed due to the Covid-19.

      Posted by Kathleen St. Clair on 3/27/2020 11:44 PM

    • Is teletherapy legal for school based physical therapy in NJ? I'm struggling to find an answer to this. My district is asking me to provide services, but I'm concerned if this will jeopardize my license.

      Posted by Andrea Varellie on 3/29/2020 4:49 PM

    • I am a physical therapist working in New York with Helen Keller School for blinds pre school program. What should I do to get Easy Track training on Telehealth to work from home. I am in the house only with iPhone and no computer. How I can get this training?

      Posted by Naheed Naqvi on 3/30/2020 10:26 AM

    • Wondering where I can view the responses to these questions? I work in a school as well and have similar questions as stated above. Thank you!

      Posted by Tonyia on 3/30/2020 11:45 AM

    • I'm a PTA practicing in Ohio. How does the supervisory role of the PT work in telehealth?

      Posted by Peg Ehrlinger on 4/1/2020 11:00 AM

    • I am also wondering where I can find answers regarding whether a PTA can deliver tele-therapy services and how best to handle supervisory visits in New York state? Any help would be appreciated.

      Posted by Melissa Klas on 4/1/2020 6:07 PM

    • We have a FDA approved modality and patented techniques that we are willing to share which will make ANY remote PT therapy more effective for the patient. Currently, this is limited to commercial and workers comp patients. Contact us at www.trophyhealthcare.com

      Posted by Scott Damron on 4/2/2020 10:15 AM

    • I work in a school-based setting in NY and we are beginning tele-therapy on Monday. What are the recommendations for supervising a PTA who is providing tele-therapy.

      Posted by Karen Albergo-Tevez on 4/2/2020 10:44 AM

    • I am trying to find out if PTA's in Colorado can perform Telehealth visits.

      Posted by Ken McKenzie on 4/2/2020 12:00 PM

    • Hi, I have heard mixed things about if Medicare covered evals and re-evals performed via Telehealth. Can you clarify if we are able to perform evaluations for medicare patients or if these need to be done in clinic?

      Posted by Brittany Kimbrell on 4/2/2020 2:53 PM

    • As to PTAs and telehealth: Please examine your state's physical therapy licensure law (State Practice Acts) and corresponding state licensure board regulations/rules to determine if telehealth is allowed under your state practice – PT or PTA. In many states, the state physical therapy practice act is silent on the use of telehealth. If this is the case in your state, you may wish to contact your state licensure board to ensure there are no limitations or restrictions for practicing telehealth. Currently, 19 states have regulation, either within the state practice acts or otherwise, that explicitly recognize that telehealth is within the physical therapist’s scope of practice. This is quickly evolving and it is possible that additional state practice acts now include telehealth in their language. Please check your state practice act. Also, please note that in light of COVID-19, we are starting to see additional states offering guidance on physical therapy practitioners using telehealth during the current crisis. Please check with the APTA state chapter for additional information. If your state physical therapy licensure law restricts the use of telehealth by physical therapists, your next best step is to contact your APTA state chapter and work alongside them to advocate for legislative change to allow the use telehealth by physical therapists in your state. If the use of telehealth by physical therapists and physical therapist assistants is allowed in your state, be sure to familiarize yourself with the appropriate use of telehealth, including current research, and information on payment and reimbursement for services delivered via telehealth.

      Posted by APTA staff on 4/2/2020 7:02 PM

    • Hi, can PTA's provide telehealth services in NC? can you send me the specifics for PTA ability to provide/bill for telehealth services in NC?? thank you

      Posted by amy frazier on 4/3/2020 9:08 AM

    • @Amy: Please see answer above. Please also see: https://ncpt.org/ and https://www.ncptboard.org/Announcements/Announcements.php#Telehealth%20Questions

      Posted by APTA staff on 4/4/2020 11:31 AM

    • If I am in NYS - Can I practice telehealth across state lines for someone in PA amidst the COVID-19 guidelines?

      Posted by Christine on 4/6/2020 1:47 PM

    • @Monique: Please send your question to advocacy@apta.org.

      Posted by APTA staff on 4/7/2020 8:16 AM

    • @Lorayne: Please see: http://www.apta.org/PatientCare/COVID-19/PatientManagementPediatric/

      Posted by APTA staff on 4/7/2020 8:16 AM

    • @Callie: please see https://www.aptahpa.org/resource/resmgr/communications/telehealth_platform_matrix2.xlsx APTA's Health Policy & Administration Section Technology SIG and the APTA FiRST Council have created a matrix of vendors that provide audio and video telecommunications services that could be used for telehealth and e-visits.

      Posted by APTA staff on 4/7/2020 8:18 AM

    • @Heather: Unfortunately, as of April 7, 2020, no. Medicare does not currently pay for telehealth services furnished by PTs.

      Posted by APTA staff on 4/7/2020 8:19 AM

    • @Elizabeth: Although HHS has indicated they will exercise enforcement discretion with HIPAA (see: https://www.hhs.gov/about/news/2020/03/17/ocr-announces-notification-of-enforcement-discretion-for-telehealth-remote-communications-during-the-covid-19.html), your state may have more stringent requirements. See: https://www.apta.org/HIPAA/. Please check your state law and if you have any additional questions, please email advocacy@apta.org.

      Posted by APTA staff on 4/7/2020 8:20 AM

    • @Debra: Please refer to: http://www.apta.org/PatientCare/COVID-19/PatientManagementPediatric/ and email your question to advocacy@apta.org.

      Posted by APTA staff on 4/7/2020 8:20 AM

    • I am a PTA in New York inquiring about regulations regarding telehealth in the preschool setting. Are there other preschools providing this service?

      Posted by Robin Folk on 4/7/2020 12:04 PM

    • In Washington State can PTA's provide tele therapy?

      Posted by Carla Donohue on 4/8/2020 12:46 PM

    • I agree with a lot of you pointing out how dissatisfying this profession has become. How we continue to be at the Mercy of the script pads signed by MD’s when everyone else is using this platform. We are so archaic. Maybe this pandemic will shake up our status. In home health setting we are facing COVID19 encounter at every house we enter. It’s impossible to follow perfect sanitation procedures. When we leave the house we can drag any virus into our car and drive it to another house. This has not been addressed effectively yet.

      Posted by Beata Zegarowski on 4/8/2020 11:25 PM

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