In other words, a physician cannot refer a patient covered by a federal healthcare program, like Medicare, to your physical therapy practice in exchange for money or monetary gifts from you.
Can physical therapists give referrals?
In Alberta, physiotherapists can legally assess and treat without a physician referral. However, many existing third-party funding policies still require a physician referral before patients can access or be reimbursed for physiotherapy.
Can a physician bill for physical therapy?
Under the “incident to” rule, Medicare allows physicians to bill for physical therapy that is rendered either by the physicians themselves or by their staff. … In addition, under the “incident to” rule, there is no limit on the number of therapy staff that physicians can supervise concurrently.
Does Stark law apply to physical therapists?
The Stark law only applies to “designated health services,” which include many of the ancillary services family physicians provide, such as clinical laboratory services, outpatient prescription drug services and physical and occupational therapy and imaging services (e.g., MRI, CT, ultrasound).
Can physicians own physical therapy clinics?
A physical therapy licensing board has no jurisdiction over physicians who own physical therapy services, which decreases the level of oversight and protection for the public.
How long are PT referrals good for?
Under California law, you may continue to receive direct physical therapy treatment services for a period of up to 45 calendar days or 12 visits, whichever occurs first, after which time a physical therapist may continue providing you with physical therapy treatment services only after receiving, from a person holding …
Will Medicare pay for physical therapy without a referral?
Medicare beneficiaries can go directly to physical therapists without a referral or visit to a physician.
How many patients does a physical therapist see per day?
A typical number of patients seen by each therapist in this setting in a regular 8- hour day is approximately 12-16. The average amount of hands on time with the physical therapist is 15-30 minutes, depending on the company.
What is the difference between the Stark Law and the Anti-Kickback Statute?
When does the Stark Law and Anti-Kickback Statute apply? The Stark Law applies only to referrals from physicians and certain itemized services to be paid by Medicare and Medicaid. The Anti-Kickback Statute applies to any referral regarding any expenditure that any federal government healthcare program will pay for.
What does the Stark Law prohibit?
The Physician Self-Referral Law, also known as the “Stark Law,” generally prohibits a physician from making referrals to an entity for certain healthcare services, if the physician has a financial relationship with the entity.
What are the exceptions to the Stark Law?
Indirect Compensation Exception – Another exception to the Stark Law permits indirect compensation arrangements between a physician and an entity if the compensation received by the referring physician is of fair market value, does not take into account the value or volume of referrals, and is set out in writing and …