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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Outpatient Therapy Center Enrollment

An outpatient therapy center must be certified by the Alaska Division of Health Care Services, Health Facilities Licensing and Certification Unit.

Each member of an outpatient therapy center must enroll individually with Alaska Medical Assistance.

The following providers may enroll as part of an outpatient therapy center:

    • Audiologist
    • Occupational Therapist
    • Physical Therapist
    • Speech-Language Pathologist
    • Temporarily Licensed Speech-Language Pathologist
    • Occupational Therapy Assistant
    • Physical Therapy Assistant
    • Speech-Language Pathology Assistant

Claims for services provided as part of an outpatient therapy center must be submitted with the therapy center as the billing provider and the individual as the rendering provider.  Claims for services provided outside the therapy center are subject to the individuals enrollment requirements.

Before an OTA, PTA, or SLPA enrolls with a therapy center, at least on therapist/pathologist of the same discipline must be enrolled as part of the same therapy center.

Reference

Alaska Department of Health and Social Services

Section I: Therapy Services, Polices and Procedures

About Us

Zachary Edgar JD, LLM is the managing partner for Therapy Comply.  Zachary is a healthcare attorney that specializes in federal and state healthcare regulatory issues particularly for physical, occupational, and speech therapy practices.  

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