FW: New Medicare Conditions of Participation Rehabilitation Guidelines for Hospital-based Outpatient Set

[Guest guest]

For those keeping up with the new Conditions of Participation for Hospitals

snafu, see news release from the APTA below:

M.Howell, P.T., M.P.T.

IPTA Payment Specialist

Meridian, Idaho

thowell@...

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From: Manzione

Sent: Tuesday, January 24, 2012 2:07 PM

To: thowell@...

Subject: New Medicare Conditions of Participation Rehabilitation Guidelines

for Hospital-based Outpatient Set

<http://www.vocus.com/images/gr/APTA_INFO_Bulletin.jpg>

New Medicare Conditions of Participation Rehabilitation Guidelines for

Hospital-based Outpatient Settings

APTA is working diligently to convince the Centers for Medicare and Medicaid

Services (CMS) to rescind and revise new interpretative guidelines

(Transmittal 72) <http://app3.vocusgr.com/Url.aspx?336x8434083x-1960921>

that were issued November 18, 2011 for rehabilitation services provided in

hospitals. The language in the Transmittal states that rehabilitation

services must be ordered by a qualified practitioner who is responsible for

the care of the patient and who has medical staff privileges to write orders

for these services. The policies set forth in this Transmittal are

far-reaching as they apply to both inpatient and outpatient hospital based

settings and apply not only to Medicare beneficiaries but to all patients

who receive services at the hospital.

As stated in our News Now communication

(http://www.apta.org/PTinMotion/NewsNow/2012/1/4/CMSGuidelines/

<http://app3.vocusgr.com/Url.aspx?336x8434082x-1961430> ), APTA believes

that these interpretative guidelines are inconsistent with current

regulation and that they pose serious problems for patients in

hospital-based settings. CMS has indicated that they are having internal

discussions and do plan to take some action soon to address the issues

raised by providers. In addition, APTA has reached out to other associations

to work together for a resolution.

Resolving this issue is a high priority for APTA and we will keep members

updated as soon as more information is available. In the meantime, we

recommend that hospitals work with their hospital compliance department to

determine the best approach regarding the patients affected by this policy.

<http://app3.vocusgr.com/Url.aspx?336x8434084x-1960412>