tci Medicare Compliance & Reimbursement - 2004 Issue 34

Rehab: Therapists Cheer Revised 'Incident To' Requirements

New rule would redefine who provides therapy in doctors' offices.Therapists tired of Medicare allowing under-qualified practitioners to perform therapy "incident to" a physicians' services finally have some good news.The Centers for Medicare and Medicaid Services is giving two thumbs up to therapists' professional qualifications by including more restrictive requirements for therapy in physician practice settings and loosening oversight rules in private therapy practices. No Incident-to Pay Without Proper Credentials The 2005 fee schedule, published in the Aug. 5 Federal Register, proposes that "only individuals meeting the existing qualifications and training standards for therapists (with the exception of...

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