tci Part B Insider - 2012 Issue 43

Reader Question: State Laws Dictate Who the Doc Can Supervise

Question: Can a physician bill as a supervising provider when the staff member (in our case, a credentialed teacher with a PhD in education) is providing a cognitive therapy service for autistic adult patients, using computers as the therapy tool? The physician is in the office while the service is being provided. We would like to report 97532 (Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact by the provider, each 15 minutes) or 96116. Answer: This issue concerns not only correct coding, but also state scope of practice laws. Medicare...

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