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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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Massachusetts Physical Therapy 

We've combined the Massachusetts laws, board rules, and position statements to create a clear guide on the rules that must be followed by PTs and PTAs.  Members have full access to the material below and can email us any questions regarding the practice of physical therapy in Massachusetts, please consider joining today if you need assistance.

Definitions

Scope of Practice

    • How is physical therapy defined in Massachusetts?
    • What is included in the practice of physical therapy?
    • What is specifically excluded from the practice?
    • Are there any special trainings required?

Referrals - Direct Access 

    • Massachusetts is a direct access state

Supervision and Delegation

    • What are the different levels of supervision? 
    • Which services can only be performed by a licensed PT?
    • What are the responsibilities of the PT when delegating?

Assistants

    • What are the PTA’s responsibilities?
    • Are there specific services that PTAs are prohibited from practicing?
    • What type of supervision is required?
    • What are the responsibilities of the PT when supervising a PTA?
    • What are the assistant’s documentation responsibilities?
    • Does the supervising physical therapist need to co-sign documentation created by the PTA?
    • What is the ratio between supervising PTs and PTAs?
    • Required designation for assistants

Aides

    • What tasks can an aide perform?
    • What is an aide expressly prohibited from doing?
    • What type of supervision is required?
    • What is the required designation for aides?

PT Facilities Guide

    • When is a facility license required?
    • What practices are exempt from the facility license requirement?
    • What if a practice has more than one location?
    • What information is required to be displayed at the facility?
    • Does the facility need to maintain insurance?
    • Does the facility need to be inspected?
    • What are the responsibilities of the PT Compliance Officer?
    • What are the documentation and record requirements
    • When do I have to report facility changes?
    • What is the application and renewal process?



Position Statements

Continuing Education 

    • How many continuing education hours are required during a reporting period?
    • Can CE credits be carried over into the next reporting period?
    • Are there any specific courses that must be taken?
    • What types of activities can be used for the continuing education requirements?
    • What type of approval is needed for the courses?
    • What are the reporting requirements?
    • Waivers and audits 

PT/PTA Students 

    • Student Definitions
    • What kind of supervision is required for student PTs and PTAs?
    • Requirements for Non-physical Therapy Co-operative Education Students
    • Requirements for Physical Therapy Co-operative Students
    • Requirements for Physical Therapy Students
    • Requirements for Physical Therapist Assistant Students
    • Co-Signatures
    • Designations

Graduate Practice

    • Supervision requirements
    • Exam failure 

License by Endorsement

    • What is the process for getting reciprocity in Massachusetts?

Documentation

    • What must be included in the patient record?
    • What are the PT’s documentation responsibilities?
    • What is required for each patient visit?
    • When is a reevaluation/reassessment required?

Notification and Disclosure

    • Disclosure of Ownership Interests
    • Ownership Interest and Referrals

Unprofessional Conduct

    • What is consider unprofessional conduct?
    • Fee Splitting 


About Us

Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

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