PT Supervision Requirements in an Outpatient Hospital Department
According to the American Physical Therapy Association (APTA), in the 2010 Outpatient Prospective Payment System (OPPS) Final Rule, issued October 30, the Centers for Medicare and Medicaid Services (CMS) confirms that physical therapy services delivered in an outpatient hospital department do not require the direct supervision of a physician.
The OPPS is the method of payment for most services delivered in an outpatient hospital department. However, physical therapy services are considered a separate benefit covered under the Medicare physician fee schedule through the Part B benefit. Therefore, they do not fall under the therapeutic services category that requires direct physician supervision under the OPPS.
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