Feds Pinpoint Therapy in Major NPP Incident To Snafus

Mon, Oct 19, 2009

CYA

Here’s where lots of hospitals unknowingly make big physician supervision compliance blunders.

A recent report from the HHS Office of Inspector General notes that a sizable number of practitioners, including therapists, aren’t…

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2 Comments For This Post

  1. Benjamin McLain Says:

    I need further clarification on a portion of this article. Please provide further explaination and supporting literature that supports the following comments;

    “Beware This ‘Hidden’ Incident To Scenario

    Most people think of therapy and incident to billing for physician office settings. But therapists who work in hospital outpatient settings also work incident to, points out Donna Thiel, JD, with Baker, Donelson, Bearman, Caldwell, & Berkowitz, PC in Washington, D.C. And the problem is that so many hospitals aren’t even aware that they should technically be billing therapy services this way.

    How it works: “It used to be that physician supervision was presumed in this setting [because so many physicians work in the hospital already], but CMS said last year it wouldn’t presume supervision in these cases anymore,” Thiel explains.

    And this is not good for freestanding, hospital-affiliated outpatient rehab facilities where physicians aren’t necessarily present, she adds.”

  2. Editor Says:

    Hi, there Mr. McLain: I’m not quite sure what you’re asking. This article (published about the same time) may clear up some of your questions: http://compliancenews.inhealthcare.com/hot-topics/oig-to-review-place-of-service-errors-and-provider-based-status/.

    If you have further questions, please write in and we’ll try to track down some answers.

    Best, Erin Masercola, PhD, CPC, Editor

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