Medicare Part B Physical Therapy Guidelines

Medicare Part B Documentation Requirements for Physical and Occupational Therapy WebPT

Question: Under Medicare Part B, what are the supervision requirements of a physical therapist assistant in the private practice setting and non-private practice setting (i.e. hospital, skilled nursing facility, rehab agency, CORF)?

Answer. Medicare Part B is two or more people who may or may not be doing the same thing. Medicare Part B does not have a definition for concurrent therapy. For Part A, two or more would be concurrent and so for Part B, two or more is considered a group. If you have a student working with you (the supervisor) with a group,

Medicare Part B covers medically necessary outpatient therapy services, including:. Physical therapy; Speech-language pathology services; Occupational therapy; If you meet Medicare's eligibility requirements, Medicare covers therapy on a temporary basis to improve or restore your ability to function, or on an ongoing basis to prevent you from getting worse.

Home Health Outpatient Therapies Coverage Guidelines . Medicare Part B reimburses outpatient physical therapy (PT), occupational therapy (OT), and speech-language pathology (SLP) services if the services are: provided to a beneficiary who has Part B of the Medicare benefit;

Most physical therapy services will fall under Medicare Part B - however, there are specific Medicare guidelines for physical therapy in-home health services and doctor services. It can be confusing to navigate the different coverage caps and figure out what Medicare therapy coverage you have.

The Centers for Medicare and Medicaid Services (CMS) issued several payment updates and policy changes in the 2019 Medicare Physician Fee Schedule final rule that will affect the physical therapy profession in 2019 and beyond.

Medicare Part B Documentation Requirements for Physical and Occupational Therapy WebPT
Medicare Part B Documentation Requirements for Physical and Occupational Therapy WebPT
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