Re: Billing PT Codes for ATC

[Guest guest]

Helen Y wrote:

>

> When an ATC or other support personnel provide care under the direct

> supervision of a PT, and billing under PT charges, what CPT codes of the

> CPT 98 have you been using?

>

> Helen PT

> St. ph Mercy Hospital

> Ann Arbor, MI

>

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>

[Guest guest]

>While utilizing your Practice Act to " resist payer pressure " is

>interesting and on the face of it comforting, remember that changes to the

>practice act can be introduced by others who have different motives than

>ours. Nurses have already begun fighting this battle in several states.

>We need to use evidence-based practice to prove the point and enlist the

>consumer to resist payer pressure.

>

>>

>Janice Kuperstein, PT, MSEd

>Assistant Professor

>College of Allied Health Professions

> Avenue

>Lexington, KY 40536-0003

>Fax: 257-1816

>Phone: 323-1100 ext 261

Excellent point, Janice. And, of course, generating evidence of positive, cost-

effective outcomes can then be used, not only to resist payer pressure, but

also to preserve rights granted in the practice act, or amend it where

warranted.

Laurie

------------------------------------------------------------------------

[Guest guest]

> There is indeed pressure to delegate to the " least expensive "

> person. However, that doesn't make it appropriate in my mind.

> My concern is that the ATC will not be acting as an aide, they

> are professionals in their own right and should be making decisions.

> I don't believe they should be making PT decisions!

>

> Elmer Platz, PT

In a perfect world, the PT would clearly be the decisionmaker on PT issues

and pt. care, not the ATC, and that is something that would need to be

delineated. The decision to delegate any care out carries risk that roles

can become blurred and clear identification of roles to administrators,

consumers and other health care professionals needs to be done to avoid any

reflection that the PT is not a necessary link in administration of patient

care.

Sara A. Ehlert, PT

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