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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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New Jersey PT Telehealth Fraud and Abuse

In order to establish that a licensed physical therapist or licensed physical therapist assistant has made a good faith effort to prevent fraud and abuse when providing services through telemedicine or telehealth, a licensed physical therapist or licensed physical therapist assistant must establish written protocols that address:

    • Authentication and authorization of users;
    • Authentication of the patient during the initial intake pursuant to N.J.A.C. 13:39A10.4(a)1;
    • Authentication of the origin of information;
    • The prevention of unauthorized access to the system or information;
    • System security, including the integrity of information that is collected, program integrity, and system integrity;
    • Maintenance of documentation about system and information usage;
    • Information storage, maintenance, and transmission; and
    • Synchronization and verification of patient profile data.

Reference

N.J.A.C. ยง 13:39A-10.7

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