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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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  • 15 Apr 2025 9:30 AM | Zachary Edgar (Administrator)

    The New 2025 Medicare Referral Rule - https://youtu.be/bQxmTp3QSF8

    Arizona Medicaid Coverage of Physical Therapy Services - https://youtu.be/AfHf-aoMrhA

    California Medicaid (Medi-Cal) Coverage of Physical Therapy Services - https://youtu.be/p5StibezN_s

    California Medicaid (Medi-Cal) Coverage of Occupational Therapy Services - https://youtu.be/GmVQgceBj-M

    Illinois Medicaid Coverage of Physical, Occupational, and Speech Therapy - https://youtu.be/shLlTWcc_5s

    Florida Medicaid Coverage of Physical Therapy Services - https://youtu.be/7nK3q5S35iE

    Medicare Speech Therapy Basic Coverage Guidelines - https://youtu.be/PmXFyGyG0sQ

    California Medicaid (Medi-Cal) Coverage of Speech Therapy Services - https://youtu.be/1kiIKtSfbLs

    Florida Medicaid Coverage of Occupational Therapy - https://youtu.be/D0p3prFAygI

    Florida Medicaid Coverage of Speech Therapy Services - https://youtu.be/RBPY7lXSfOo

    New York Medicaid Coverage of Physical, Occupational and Speech Therapy - https://youtu.be/wTJKKGLXUQ0


  • 22 Oct 2024 7:55 AM | Zachary Edgar (Administrator)

    Private Insurance

    Here members can access the physical, occupational, and speech therapy policies for commercial, Medicaid, and Medicare Advantage plans.  Members can always email us and request assistance with any issue related to therapy and private insurance. For no additional cost, members can ask questions about coverage and reimbursement policies, request a claims review, or assistance with appeals and grievances.  Members can also request that we add new insurance companies.


  • 7 Oct 2024 4:23 PM | Zachary Edgar (Administrator)

    Ohio Occupational Therapy Compliance Guides

    We combined the Ohio statutes, board rules, and position statements to create a guide on key compliance issues for OTs and OTAs.  Members have full access to the material and can email us with questions regarding any billing or compliance issue for no additional charge, please consider joining today if you need additional assistance.   

    Updated 10/7/2024

    Definitions

    Occupational Therapy Practice

    • Scope of Practice
    • Youth Sports Concussion Management
    • Referrals - Direct Access
    • Telehealth
    • Documentation
    • Identification and Notifications 

    Supervision and Delegation

    • OT Responsibilities
    • Assistants
    • Aides
    • Students and New Graduates

    Conduct

    • Grounds for Disciplinary Action
    • Unprofessional Conduct 

    Board Statements and Forms

    Continuing Education

    • Required Hours
    • Required Courses
    • Accepted Courses and Activities
    • Course Approval
    • Record Requirements
    • Waivers and Audits 

    Licensure

    • Initial License
    • Temporary License
    • Reciprocity
    • Out-of-State Therapists 
    • Inactive or Retired Status


  • 7 Oct 2024 4:18 PM | Zachary Edgar (Administrator)

    Ohio Physical Therapy Compliance Guides

    This section is currently under construction.  Even if the guides have not been posted, members can contact us at any time with questions or requests regarding any Ohio physical therapy compliance or billing questions.  Please consider joining today if you need assistance. 

    Updated 10/7/2024

    Definitions

    Physical Therapy Practice

    • Scope of Practice
    • Referrals - Direct Access
    • Telehealth
    • Documentation
    • Notifications
    • Youth Sports

    Supervision and Delegation

    • PT Responsibilities
    • Assistants
    • Aides
    • Students and New Graduates

    Conduct

    • Grounds for Disciplinary Action
    • Unprofessional Conduct 
    • Waiver of Copayments

    Board Statements and Forms

    Continuing Education

    • Required Hours
    • Required Courses
    • Accepted Courses and Activities
    • Course Approval
    • Record Requirements
    • Waivers and Audits 

    Licensure

    • Initial License
    • Temporary License
    • Reciprocity
    • Out-of-State Therapists 
    • Inactive or Retired Status


  • 7 Oct 2024 4:17 PM | Zachary Edgar (Administrator)

    Georgia Physical Therapy Compliance Guides

    This section is currently under construction.  Even if the guides have not been posted, members can contact us at any time with questions or requests regarding any Georgia physical therapy compliance or billing questions.  Please consider joining today if you need assistance. 

    Definitions

    Physical Therapy Practice

    • Scope of Practice
    • Referrals - Direct Access
    • Telehealth
    • Documentation
    • Notifications/Identification 

    Supervision and Delegation

    • PT Responsibilities
    • Assistants
    • Aides
    • Students and New Graduates

    Conduct

    • Grounds for Disciplinary Action
    • Unprofessional Conduct 
    • Fee Splitting

    Board Statements and Forms

    Continuing Education

    • Required Hours
    • Accepted Courses and Activities
    • Course Approval
    • Record Requirements
    • Waivers and Audits 

    License Issues

    • Initial License
    • Temporary License
    • Exemptions 
    • Reciprocity
    • Out-of-State Therapists 
    • Inactive or Retired Status


  • 7 Oct 2024 4:16 PM | Zachary Edgar (Administrator)

    Georgia Occupational Therapy Compliance Guides

    This section is currently under construction.  Even if the guides have not been posted, members can contact us at any time with questions or requests regarding any Georgia occupational therapy compliance or billing questions.  Please consider joining today if you need assistance. 

    Definitions

    Occupational Therapy Practice

    • Scope of Practice
    • Referrals - Direct Access
    • Physical Agent Modalities 
    • Identification 

    Supervision and Delegation

    • Assistants
    • Aides
    • Students and New Graduates

    Conduct

    • Grounds for Disciplinary Action
    • Unprofessional Conduct 

    Board Position Statements and Forms

    Continuing Education

    • Required Hours
    • Accepted Courses and Activities
    • Course Approval
    • Record Requirements
    • Waivers and Audits 

    Licensure

    • Initial License
    • Temporary License
    • Exemptions 
    • Reciprocity
    • Out-of-State Therapists 
    • Inactive or Retired Status


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About Me

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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