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Medicare 2024 Proposed Physician Fee Schedule Changes to Assistant Supervision

14 Jul 2023 11:10 AM | Zachary Edgar (Administrator)

Supervision Policy for Physical and Occupational Therapists in Private Practice

Since 2005, CMS has required PTs and OTs in private practices (PTPPs and OTPPs, respectively) direct supervision of their therapy assistants. CMS is proposing a regulatory change to allow for general supervision of their therapy assistants by PTPPs and OTPPs for remote therapeutic monitoring (RTM) services. This will align with the RTM general supervision policy that CMS finalized in CY 2023 rulemaking.

CMS is also soliciting comments on whether to revise the current direct supervision regulatory policy for PTPPs and OTPPs of their therapy assistants to the general supervision policy for all services, not just for RTM services. CMS is particularly interested in receiving comments, including any available supporting data, on the potential effects of implementing such a policy, including but not limited to patient quality of care, patient safety, and changes in utilization.  


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