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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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Illinois Physical Therapy Grounds for Disciplinary Action

The Department may refuse to issue or to renew, or may revoke, suspend, place on probation, reprimand, or take other disciplinary action as the Department deems appropriate, including the issuance of fines not to exceed $5000, with regard to a license for any one or a combination of the following:

  • Material misstatement in furnishing information to the Department or otherwise making misleading, deceptive, untrue, or fraudulent representations in violation of the Act or otherwise in the practice of the profession.
  • Violations of the Act, or of the rules or regulations promulgated hereunder.
  • Conviction of any crime under the laws of the United States or any state or territory thereof which is a felony or which is a misdemeanor, an essential element of which is dishonesty, or of any crime which is directly related to the practice of the profession; conviction, as used in this paragraph, shall include a finding or verdict of guilty, an admission of guilt or a plea of nolo contendere.
  • Making any misrepresentation for the purpose of obtaining licenses or violating any provision of the Act or the rules promulgated thereunder pertaining to advertising.
  • A pattern of practice or other behavior which demonstrates incapacity or incompetency to practice under the Act.
  • Aiding or assisting another person in violating any provision of the Act or Rules.
  • Failing, within sixty (60) days, to provide information in response to a written request made by the Department.
  • Engaging in dishonorable, unethical or unprofessional conduct of a character likely to deceive, defraud or harm the public. Unprofessional conduct shall include any departure from or the failure to conform to the minimal standards of acceptable and prevailing physical therapy practice, in which proceeding actual injury to a patient need not be established.
  • Unlawful distribution of any drug or narcotic, or unlawful conversion of any drug or narcotic not belonging to the person for such person's own use or benefit or for other than medically accepted therapeutic purposes.
  • Habitual or excessive use or addiction to alcohol, narcotics, stimulants, or any other chemical agent or drug which results in a PT’s or PTA’s inability to practice with reasonable judgment, skill or safety.
  • Revocation or suspension of a license to practice physical therapy as a PT or PTA or the taking of other disciplinary action by the proper licensing authority of another state, territory or country.
  • A finding by the Board that the licensee after having his or her license placed on probationary status has violated the terms of probation.
  • Abandonment of a patient.
  • Willfully failing to report an instance of suspected child abuse or neglect as required by the Abused and Neglected Child Reporting Act.
  • Willfully failing to report an instance of suspected elder abuse or neglect as required by the Elder Abuse Reporting Act.
  • Physical illness, including but not limited to, deterioration through the aging process, or loss of motor skill which results in the inability to practice the profession with reasonable judgement, skill or safety.
  • The use of any words (such as physical therapy, physical therapist, physiotherapy or physiotherapist), abbreviations, figures or letters with the intention of indicating practice as a licensed physical therapist without a valid license as a PT issued under the Act.
  • The use of the term physical therapist assistant, or abbreviations, figures, or letters with the intention of indicating practice as a PTA without a valid license as a PTA issued under the Act.
  • Willfully violating or knowingly assisting in the violation of any Illinois law relating to the practice of abortion.
  • Continued practice by a person knowingly having an infectious, communicable or contagious disease.
  • Having treated ailments of human beings otherwise than by the practice of physical therapy as defined in this Act, or having treated ailments of human beings as a licensed PT in violation of Section 1.2.
  • Being named as a perpetrator in an indicated report by the Department of Children and Family Services pursuant to the Abused and Neglected Child Reporting Act, and upon proof by clear and convincing evidence that the licensee has caused a child to be an abused child or neglected child as defined in the Abused and Neglected Child Reporting Act.
  • Interpretation of referrals, performance of evaluation procedures, planning or making major modifications of patient programs by a PTA.
  • Failure by a PTA and supervising PT to maintain continued contact, including periodic personal supervision and instruction, to insure safety and welfare of patients.
  • Violation of the Health Care Worker Self-Referral Act.

Reference

225 ILCS 90/17

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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