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Re: One on One therapy

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Kathi,

In reference to the cap.? A big issue here-NY, at least around us, is the

physician owned facilities and non PT owned offices.? I feel confident that if

this wasn't?the case their wouldn't have to?be a cap.? There is signifiant

overuse of non-PT entities when it comes to Medicare (and the issue is larger

than us).? The right target is the removal of the cap and then the non-PT

providers.? I realize that we're talking about fraudulent coding

(which?shouldn't be done across the board), but the cap is a, I?believe, draws

the issue to?non-PT providers that?require our legislative push?to eliminate and

I wanted to make sure that this point was heard.?

Vinod Somareddy, DPT?

One on One therapy

While we are at it can we clarify for the group that 1:1 CPT codes and

the manner at which they are managed apply to the LTC settings as well.

I am hearing of PT/PTA seeing 22 patients in a day and charging 70

minutes of 1:1 therapy. Now unless somewhere we changed from 24 hours

in a day to 25.6 i'm not seeing how this is possible. And we wonder

why Medicare wants a cap. Please correct me if I am wrong.

Kathi Lee PT

Carson City MI

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