PT Aide/Tech Performing Group Therapy for Medicare Patients

[Guest guest]

Dear List,

In follow-up to my original question regarding whether BCBSLA follows the

same guidelines as Medicare with regard to PT aides/techs treating

patients, another question has been posed by my client. He states that he was

informed by his former billing company that PT aids/techs could perform group

therapy and bill Medicare because group therapy did not require the skilled

services of a PT or PTA. Regarding group therapy, our Local Coverage

Determination Policy in Louisiana states, " Since many group procedures do not

require the professional skills of a provider, coverage of this procedure

will be determined on a case-by-case. "

I am not having any luck finding a specific ruling on the LA Medicare

(Pinnacle) website regarding group therapy performed by a PT aide/tech. Any

one out there have any information they can provide regarding this matter?

Thanks in advance,

Vickie

D. Cavitt, President

Rehab Billing Specialists, L.L.C.

600 Guilbeau Road, Suite A

Lafayette, LA 70506

(Phone)

(Fax)

mlavcavitt@...

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