If by formal review of the plan of care (or reevaluation), it must be completed in the particular work setting by a physical therapist of record within the following timeframes: A. Basic Summary of Position: Responsible for being the clinician role in a physical therapy clinic, upholding the core values of ATI and overall patient and employee satisfaction. This individual may also be known as a rehabilitation aide or some other similar title. Primary responsibility for physical therapy care rendered by supportive personnel rests with the supervising physical therapist.(2) Supervision of Physical Therapist Assistants and Physical Therapy Aides. The examination for licensure currently approved by the Federation of State Boards of Physical Therapy and accepted by the Board. A person not licensed in physical therapy who works under the direct supervision of a physical therapist or physical therapist assistant.Documentation is fully compliant per payer type in a timely manner.Internal Controls: Documentation or chart review Essential Functions: 1. Set up flow sheet and treatment programs for use by Athletic Trainers and Physical Therapy Assistants. Oversee Technicians in setting up modalities on patients.Here’s how the plot thickens: According to the APTA, “a patient must be ‘under the care of a physician,’ which is indicated by the physician certification of the plan of care.” Confused? The APTA recommends PTs review their states’ practice acts.In general, though, Medicare does not require patients to obtain prescriptions from physicians for PT services.
establishes a patient's right to see and receive copies of his or her medical records, under specific conditions and/or requirements as shown below.
Note: A physical therapist or physical therapist assistant must provide direct supervision to a physical therapy aide performing activities listed in 259 CMR 5.02(6)(a), (b) and (c). 112, § 23C shall have their documentation co-signed by their directing licensee.(9) Each visit or patient encounter must be documented, including at a minimum: (a) Current patient status and self-reporting;(b) Change of status as related to the plan of care, if applicable;(c) Communication or consultations regarding patient plan of care, if applicable;(d) Adverse reactions to interventions, if applicable;(e) Identification of specific interventions provided (type, amount, frequency, intensity, and duration) as appropriate;(f) Factors that modify intensity or frequency of interventions;(g) Progress on goals with the plan of care, if applicable;(h) Equipment provided, if applicable; and(i) Other pertinent information.(10) Billing, as a form of documentation, must accurately reflect the documented treatment interventions. 112, § 23C shall use the initials PT/c or PTA/c immediately after their name. The Code of Ethics, Guide for Professional Conduct and Standards of Physical Therapy Services and Physical Therapy Practitioners of the APTA, in their most recently updated formats, are adopted as the ethical standards of practice for persons holding a license to practice physical therapy.(a) As provided in the Code of Ethics, when a referral relationship exists, the physical therapist will provide ongoing communication with the licensed referring practitioner regarding changes in plans of care, treatment programs, and termination of services.(b) When there is no practitioner referral, the physical therapist must refer to a licensed practitioner of medicine, dentistry, or podiatry if symptoms are present of which physical therapy is contraindicated or which symptoms are indicative of conditions for which treatment is outside the scope of practice of the physical therapist.(2) Disclosure. 112 § 23P1/2).(3) Ownership Interest and Referrals.(a) A physical therapist involved in the private practice of physical therapy to whom a patient is referred by a person licensed or registered under M. L.c.112 who derives income directly or indirectly from the physical therapy services shall file with the Board not later than January 31 of each even numbered year the following:(b) Ownership interest shall mean any and all ownership interest including, but not limited to any membership, proprietary interest, stock interest, partnership interest, co-ownership in any form or any profit sharing arrangement.
Top(1) A physical therapist shall document, date, and authenticate the patient’s clinical examination, evaluation, diagnosis, prognosis, progress, and any clinical assessment of the patient’s condition which results in an alteration in the patient’s plan of care.(2) This documentation shall be contained in the patient’s ongoing treatment notes or in a formal review of the plan of care (or reevaluation). Outpatient, rehabilitation, home health, skilled nursing facility: at least every 30 days. Long term chronic care facility and educational school setting: at least every 90 days.(3) When care is rendered by a physical therapist assistant or physical therapist assistant student, the documentation shall be contained in the patient’s ongoing treatment note.(4) A physical therapist, physical therapist student, physical therapist assistant and physical therapist assistant student providing physical therapy intervention(s) shall legibly document, date, and authenticate all care that is provided:(a) Using their name as appearing on their professional license or legal name if a student;(b) Professional designation as outlined in 259 CMR 5.04; and (c) Their license number if applicable .(5) The supervising physical therapist shall co-sign all documentation provided by physical therapy students.(6) The supervising physical therapist or physical therapist assistant shall co-sign all documentation provided by physical therapist assistant students.(7) Physical therapist assistants are not required to have their documentation co-signed; however, physical therapist students and physical therapist assistant students must have their notes co-signed by their Clinical Instructor (CI).(8) Persons practicing pursuant to G. Top(1) Physical therapists shall use the initials PT immediately after their name.(2) Physical therapist students shall use the initials PT/s immediately after their name.(3) Physical therapist assistants shall use the initials PTA immediately after their name.(4) Physical therapist assistant students shall use the initials PTA/s immediately after their name.(5) Physical therapist or physical therapist assistant applicants practicing under the direction of a licensee pursuant to G. If a physical therapist is involved in an arrangement with a referring source in which the referring source derives income from the physical therapy service, the physical therapist has an obligation to disclose to the patient that the referring source derives income from the provision of the physical therapy service (M.
No statutes cover record transfers and there is no set protocol for transferring records between providers.
Generally, physical therapy records may be transferred without charging a fee; however, some physical therapy offices do charge a fee associated with copying and mailing the paperwork.