Guest guest Posted June 29, 2012 Report Share Posted June 29, 2012 only if you are a C.O.R.F, these facilities require a Medical Director becuase they have direct access to pt's w/o a referral. I am in florida so not sure if your state is the same. Good Day! Thank you for choosing The Flagler Institute for Rehabilitation! PLEASE READ THE ENTIRE MESSAGE: Please find attached to this email your intake paperwork for The Flagler Institute for Rehabilitation. The email contains documents that MUST be completed including a word document and a pdf for the intake information and optimal survey form. Optional documents that are also attached include a pdf of our brochure, staff photo, and directions to the facility. For ease of intake, please complete prior to your first visit. Please arrive 30 minutes prior to your first visit to clarify information and possibly complete additional insurance required paperwork. You will also receive a second email confirming receipt of our newsletter. If you have any questions regarding the paperwork please do not hesitate to ask our front desk at your first visit. Financial responsibility is always important to clarify as we do NOT want any misunderstandings. The policy of The Flagler Institute is to collect at the time of your visit any Co-Pay, Co-Insurance, and/or Portion of the Deductible on the date of service. We accept Visa, and Mastercard, HSA Visa Cards, Check and Cash. We look forward to providing you the optimal health care available. If you require adobe reader the link below will guide you for installation: http://get.adobe.com/reader/ Sincerely, Kunkel Phd, PT, MLD-CDT Administrator medical director Group, e are a newly established private PT practice. Are we required to obtain a edical director in some capacity? att Dvorak, PT ankton, SD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2012 Report Share Posted June 29, 2012 Hi, Adam -- After 30 years dealing with Rehab Agencies, that's news. Which of the Conditions of Participation for Outpatient Rehabilitation Agencies (ORF) clearly states that they must have a medical director? Dick Hillyer, PT, DPT, MBA, MSM Dr. Hillyer Hillyer Consulting Cape Coral, FL 33914 www.DickHillyer.com RHillyer@... @RHillyer KK4HQE _____ From: PTManager [mailto:PTManager ] On Behalf Of Apcarson Sent: Friday, June 29, 2012 4:26 PM To: PTManager Cc: ptmanager Subject: Re: medical director Rehab Agencies are required. We have one. Adam P. Carson, DPT, OCS 3231 Main Street, Suite 3 , AR 72022 www.carsonphysicaltherapy.com On Jun 28, 2012, at 2:55 PM, Matt Dvorak <fatguyonbike@... <mailto:fatguyonbike%40yahoo.com> > wrote: > Group, > We are a newly established private PT practice. Are we required to obtain a medical director in some capacity? > Matt Dvorak, PT > Yankton, SD > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2012 Report Share Posted June 29, 2012 Hi, Adam -- After 30 years dealing with Rehab Agencies, that's news. Which of the Conditions of Participation for Outpatient Rehabilitation Agencies (ORF) clearly states that they must have a medical director? Dick Hillyer, PT, DPT, MBA, MSM Dr. Hillyer Hillyer Consulting Cape Coral, FL 33914 www.DickHillyer.com RHillyer@... @RHillyer KK4HQE _____ From: PTManager [mailto:PTManager ] On Behalf Of Apcarson Sent: Friday, June 29, 2012 4:26 PM To: PTManager Cc: ptmanager Subject: Re: medical director Rehab Agencies are required. We have one. Adam P. Carson, DPT, OCS 3231 Main Street, Suite 3 , AR 72022 www.carsonphysicaltherapy.com On Jun 28, 2012, at 2:55 PM, Matt Dvorak <fatguyonbike@... <mailto:fatguyonbike%40yahoo.com> > wrote: > Group, > We are a newly established private PT practice. Are we required to obtain a medical director in some capacity? > Matt Dvorak, PT > Yankton, SD > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2012 Report Share Posted June 30, 2012 When we went through accreditation as a rehab agency in 2003, we were told by the Dept. of Health that we had to have one. I'd been warned of this and already had one lined up. When we had a site visit in 2003 and 2006, they asked each time to see the medical director agreement. We renew it yearly,and it's non-paying. Adam P. Carson, DPT, OCS 3231 Main Street, Suite 3 , AR 72022 www.carsonphysicaltherapy.com > Hi, Adam -- > > After 30 years dealing with Rehab Agencies, that's news. Which of the > Conditions of Participation for Outpatient Rehabilitation Agencies (ORF) > clearly states that they must have a medical director? > > Dick Hillyer, PT, DPT, MBA, MSM > > > > Dr. Hillyer > Hillyer Consulting > Cape Coral, FL 33914 > www.DickHillyer.com > RHillyer@... > @RHillyer > KK4HQE > > > _____ > > From: PTManager [mailto:PTManager ] On Behalf > Of Apcarson > Sent: Friday, June 29, 2012 4:26 PM > To: PTManager > Cc: ptmanager > Subject: Re: medical director > > Rehab Agencies are required. We have one. > > Adam P. Carson, DPT, OCS > 3231 Main Street, Suite 3 > , AR 72022 > www.carsonphysicaltherapy.com > > On Jun 28, 2012, at 2:55 PM, Matt Dvorak <fatguyonbike@... > <mailto:fatguyonbike%40yahoo.com> > wrote: > > > Group, > > We are a newly established private PT practice. Are we required to obtain > a medical director in some capacity? > > Matt Dvorak, PT > > Yankton, SD > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2012 Report Share Posted June 30, 2012 When we went through accreditation as a rehab agency in 2003, we were told by the Dept. of Health that we had to have one. I'd been warned of this and already had one lined up. When we had a site visit in 2003 and 2006, they asked each time to see the medical director agreement. We renew it yearly,and it's non-paying. Adam P. Carson, DPT, OCS 3231 Main Street, Suite 3 , AR 72022 www.carsonphysicaltherapy.com > Hi, Adam -- > > After 30 years dealing with Rehab Agencies, that's news. Which of the > Conditions of Participation for Outpatient Rehabilitation Agencies (ORF) > clearly states that they must have a medical director? > > Dick Hillyer, PT, DPT, MBA, MSM > > > > Dr. Hillyer > Hillyer Consulting > Cape Coral, FL 33914 > www.DickHillyer.com > RHillyer@... > @RHillyer > KK4HQE > > > _____ > > From: PTManager [mailto:PTManager ] On Behalf > Of Apcarson > Sent: Friday, June 29, 2012 4:26 PM > To: PTManager > Cc: ptmanager > Subject: Re: medical director > > Rehab Agencies are required. We have one. > > Adam P. Carson, DPT, OCS > 3231 Main Street, Suite 3 > , AR 72022 > www.carsonphysicaltherapy.com > > On Jun 28, 2012, at 2:55 PM, Matt Dvorak <fatguyonbike@... > <mailto:fatguyonbike%40yahoo.com> > wrote: > > > Group, > > We are a newly established private PT practice. Are we required to obtain > a medical director in some capacity? > > Matt Dvorak, PT > > Yankton, SD > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2012 Report Share Posted June 30, 2012 When we went through accreditation as a rehab agency in 2003, we were told by the Dept. of Health that we had to have one. I'd been warned of this and already had one lined up. When we had a site visit in 2003 and 2006, they asked each time to see the medical director agreement. We renew it yearly,and it's non-paying. Adam P. Carson, DPT, OCS 3231 Main Street, Suite 3 , AR 72022 www.carsonphysicaltherapy.com > Hi, Adam -- > > After 30 years dealing with Rehab Agencies, that's news. Which of the > Conditions of Participation for Outpatient Rehabilitation Agencies (ORF) > clearly states that they must have a medical director? > > Dick Hillyer, PT, DPT, MBA, MSM > > > > Dr. Hillyer > Hillyer Consulting > Cape Coral, FL 33914 > www.DickHillyer.com > RHillyer@... > @RHillyer > KK4HQE > > > _____ > > From: PTManager [mailto:PTManager ] On Behalf > Of Apcarson > Sent: Friday, June 29, 2012 4:26 PM > To: PTManager > Cc: ptmanager > Subject: Re: medical director > > Rehab Agencies are required. We have one. > > Adam P. Carson, DPT, OCS > 3231 Main Street, Suite 3 > , AR 72022 > www.carsonphysicaltherapy.com > > On Jun 28, 2012, at 2:55 PM, Matt Dvorak <fatguyonbike@... > <mailto:fatguyonbike%40yahoo.com> > wrote: > > > Group, > > We are a newly established private PT practice. Are we required to obtain > a medical director in some capacity? > > Matt Dvorak, PT > > Yankton, SD > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2012 Report Share Posted July 1, 2012 A Rehab Agency does not require a Medical Director by the Conditions of Participation, nor have the Interpretive Guidelines suggested that as a guidance for surveyors. The Interpretive Guideline for Condition of Participation 485.709(d) requires that the “facility should have written patient care policies, based on accepted standards of practice for all services provided, that govern the outpatient physical therapy and/or speech pathology services and related services that are provided. Patient care policies are established by the professional staff of the clinic or rehabilitation agency and, where appropriate, outside professionals who function as a patient care policy committee. The professional staff preparing the patient care policies should include at least one physician and at least one qualified physical therapist (if physical therapy services are provided) and at least one qualified speech pathologist (if speech pathology services are provided). “ Rehab agencies can fulfill this requirement by having a physician participate annually in the review and updating of policies, which does not require a medical directorship. Additionally the Rehab Agency requirement to have a physician on call for emergencies was eliminated several years ago, although the interpretive guidelines have not been updated to reflect that (and other )changes in the CoP. A CORF requires physician services as a core component by the Condition of Participation 485.58(a), and most CORFs as part of fulfilling this requirement (in part) by establishing a “medical director†relationship with the physician who is fulfilling the CORF core physician service requirement. It would appear that your State may have a requirement for a Medical Director, or that the State Agency survey team is interpreting the standard to require a medical director, which it does not! J. Beckley, MS, MBA, CHC | President Beckley & Associates LLC P | F <http://nancybeckley.com/> nancybeckley.com | <http://rehabcomplianceblog.com/> rehabcomplianceblog.com <http://nancybeckley.com/> Description: Description: Description: Logo for email signature3 <http://www.linkedin.com/in/nancybeckley> Description: Description: ZA102637857 Linked In Icon <http://www.twitter.com/nancybeckley> Description: Description: ZA102637858 Twitter Icon From: PTManager [mailto:PTManager ] On Behalf Of Apcarson Sent: Saturday, June 30, 2012 1:56 PM To: PTManager Cc: <PTManager > Subject: Re: medical director When we went through accreditation as a rehab agency in 2003, we were told by the Dept. of Health that we had to have one. I'd been warned of this and already had one lined up. When we had a site visit in 2003 and 2006, they asked each time to see the medical director agreement. We renew it yearly,and it's non-paying. Adam P. Carson, DPT, OCS 3231 Main Street, Suite 3 , AR 72022 www.carsonphysicaltherapy.com On Jun 29, 2012, at 7:26 PM, " Dick Hillyer " <RHillyer@... <mailto:RHillyer%40Comcast.net> > wrote: > Hi, Adam -- > > After 30 years dealing with Rehab Agencies, that's news. Which of the > Conditions of Participation for Outpatient Rehabilitation Agencies (ORF) > clearly states that they must have a medical director? > > Dick Hillyer, PT, DPT, MBA, MSM > > > > Dr. Hillyer > Hillyer Consulting > Cape Coral, FL 33914 > www.DickHillyer.com > RHillyer@... <mailto:RHillyer%40Comcast.net> > @RHillyer > KK4HQE > > > _____ > > From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf > Of Apcarson > Sent: Friday, June 29, 2012 4:26 PM > To: PTManager <mailto:PTManager%40yahoogroups.com> > Cc: ptmanager <mailto:ptmanager%40yahoogroups.com> > Subject: Re: medical director > > Rehab Agencies are required. We have one. > > Adam P. Carson, DPT, OCS > 3231 Main Street, Suite 3 > , AR 72022 > www.carsonphysicaltherapy.com > > On Jun 28, 2012, at 2:55 PM, Matt Dvorak <fatguyonbike@... <mailto:fatguyonbike%40yahoo.com> > <mailto:fatguyonbike%40yahoo.com> > wrote: > > > Group, > > We are a newly established private PT practice. Are we required to obtain > a medical director in some capacity? > > Matt Dvorak, PT > > Yankton, SD > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2012 Report Share Posted July 1, 2012 A Rehab Agency does not require a Medical Director by the Conditions of Participation, nor have the Interpretive Guidelines suggested that as a guidance for surveyors. The Interpretive Guideline for Condition of Participation 485.709(d) requires that the “facility should have written patient care policies, based on accepted standards of practice for all services provided, that govern the outpatient physical therapy and/or speech pathology services and related services that are provided. Patient care policies are established by the professional staff of the clinic or rehabilitation agency and, where appropriate, outside professionals who function as a patient care policy committee. The professional staff preparing the patient care policies should include at least one physician and at least one qualified physical therapist (if physical therapy services are provided) and at least one qualified speech pathologist (if speech pathology services are provided). “ Rehab agencies can fulfill this requirement by having a physician participate annually in the review and updating of policies, which does not require a medical directorship. Additionally the Rehab Agency requirement to have a physician on call for emergencies was eliminated several years ago, although the interpretive guidelines have not been updated to reflect that (and other )changes in the CoP. A CORF requires physician services as a core component by the Condition of Participation 485.58(a), and most CORFs as part of fulfilling this requirement (in part) by establishing a “medical director†relationship with the physician who is fulfilling the CORF core physician service requirement. It would appear that your State may have a requirement for a Medical Director, or that the State Agency survey team is interpreting the standard to require a medical director, which it does not! J. Beckley, MS, MBA, CHC | President Beckley & Associates LLC P | F <http://nancybeckley.com/> nancybeckley.com | <http://rehabcomplianceblog.com/> rehabcomplianceblog.com <http://nancybeckley.com/> Description: Description: Description: Logo for email signature3 <http://www.linkedin.com/in/nancybeckley> Description: Description: ZA102637857 Linked In Icon <http://www.twitter.com/nancybeckley> Description: Description: ZA102637858 Twitter Icon From: PTManager [mailto:PTManager ] On Behalf Of Apcarson Sent: Saturday, June 30, 2012 1:56 PM To: PTManager Cc: <PTManager > Subject: Re: medical director When we went through accreditation as a rehab agency in 2003, we were told by the Dept. of Health that we had to have one. I'd been warned of this and already had one lined up. When we had a site visit in 2003 and 2006, they asked each time to see the medical director agreement. We renew it yearly,and it's non-paying. Adam P. Carson, DPT, OCS 3231 Main Street, Suite 3 , AR 72022 www.carsonphysicaltherapy.com On Jun 29, 2012, at 7:26 PM, " Dick Hillyer " <RHillyer@... <mailto:RHillyer%40Comcast.net> > wrote: > Hi, Adam -- > > After 30 years dealing with Rehab Agencies, that's news. Which of the > Conditions of Participation for Outpatient Rehabilitation Agencies (ORF) > clearly states that they must have a medical director? > > Dick Hillyer, PT, DPT, MBA, MSM > > > > Dr. Hillyer > Hillyer Consulting > Cape Coral, FL 33914 > www.DickHillyer.com > RHillyer@... <mailto:RHillyer%40Comcast.net> > @RHillyer > KK4HQE > > > _____ > > From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf > Of Apcarson > Sent: Friday, June 29, 2012 4:26 PM > To: PTManager <mailto:PTManager%40yahoogroups.com> > Cc: ptmanager <mailto:ptmanager%40yahoogroups.com> > Subject: Re: medical director > > Rehab Agencies are required. We have one. > > Adam P. Carson, DPT, OCS > 3231 Main Street, Suite 3 > , AR 72022 > www.carsonphysicaltherapy.com > > On Jun 28, 2012, at 2:55 PM, Matt Dvorak <fatguyonbike@... <mailto:fatguyonbike%40yahoo.com> > <mailto:fatguyonbike%40yahoo.com> > wrote: > > > Group, > > We are a newly established private PT practice. Are we required to obtain > a medical director in some capacity? > > Matt Dvorak, PT > > Yankton, SD > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2012 Report Share Posted July 1, 2012 A Rehab Agency does not require a Medical Director by the Conditions of Participation, nor have the Interpretive Guidelines suggested that as a guidance for surveyors. The Interpretive Guideline for Condition of Participation 485.709(d) requires that the “facility should have written patient care policies, based on accepted standards of practice for all services provided, that govern the outpatient physical therapy and/or speech pathology services and related services that are provided. Patient care policies are established by the professional staff of the clinic or rehabilitation agency and, where appropriate, outside professionals who function as a patient care policy committee. The professional staff preparing the patient care policies should include at least one physician and at least one qualified physical therapist (if physical therapy services are provided) and at least one qualified speech pathologist (if speech pathology services are provided). “ Rehab agencies can fulfill this requirement by having a physician participate annually in the review and updating of policies, which does not require a medical directorship. Additionally the Rehab Agency requirement to have a physician on call for emergencies was eliminated several years ago, although the interpretive guidelines have not been updated to reflect that (and other )changes in the CoP. A CORF requires physician services as a core component by the Condition of Participation 485.58(a), and most CORFs as part of fulfilling this requirement (in part) by establishing a “medical director†relationship with the physician who is fulfilling the CORF core physician service requirement. It would appear that your State may have a requirement for a Medical Director, or that the State Agency survey team is interpreting the standard to require a medical director, which it does not! J. Beckley, MS, MBA, CHC | President Beckley & Associates LLC P | F <http://nancybeckley.com/> nancybeckley.com | <http://rehabcomplianceblog.com/> rehabcomplianceblog.com <http://nancybeckley.com/> Description: Description: Description: Logo for email signature3 <http://www.linkedin.com/in/nancybeckley> Description: Description: ZA102637857 Linked In Icon <http://www.twitter.com/nancybeckley> Description: Description: ZA102637858 Twitter Icon From: PTManager [mailto:PTManager ] On Behalf Of Apcarson Sent: Saturday, June 30, 2012 1:56 PM To: PTManager Cc: <PTManager > Subject: Re: medical director When we went through accreditation as a rehab agency in 2003, we were told by the Dept. of Health that we had to have one. I'd been warned of this and already had one lined up. When we had a site visit in 2003 and 2006, they asked each time to see the medical director agreement. We renew it yearly,and it's non-paying. Adam P. Carson, DPT, OCS 3231 Main Street, Suite 3 , AR 72022 www.carsonphysicaltherapy.com On Jun 29, 2012, at 7:26 PM, " Dick Hillyer " <RHillyer@... <mailto:RHillyer%40Comcast.net> > wrote: > Hi, Adam -- > > After 30 years dealing with Rehab Agencies, that's news. Which of the > Conditions of Participation for Outpatient Rehabilitation Agencies (ORF) > clearly states that they must have a medical director? > > Dick Hillyer, PT, DPT, MBA, MSM > > > > Dr. Hillyer > Hillyer Consulting > Cape Coral, FL 33914 > www.DickHillyer.com > RHillyer@... <mailto:RHillyer%40Comcast.net> > @RHillyer > KK4HQE > > > _____ > > From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf > Of Apcarson > Sent: Friday, June 29, 2012 4:26 PM > To: PTManager <mailto:PTManager%40yahoogroups.com> > Cc: ptmanager <mailto:ptmanager%40yahoogroups.com> > Subject: Re: medical director > > Rehab Agencies are required. We have one. > > Adam P. Carson, DPT, OCS > 3231 Main Street, Suite 3 > , AR 72022 > www.carsonphysicaltherapy.com > > On Jun 28, 2012, at 2:55 PM, Matt Dvorak <fatguyonbike@... <mailto:fatguyonbike%40yahoo.com> > <mailto:fatguyonbike%40yahoo.com> > wrote: > > > Group, > > We are a newly established private PT practice. Are we required to obtain > a medical director in some capacity? > > Matt Dvorak, PT > > Yankton, SD > > > > Quote Link to comment Share on other sites More sharing options...
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