Billing Do's and Don'ts: How MedExPROs Can Protect Their Practice
Aug 02, 2024
In the 27th tip from the MET 101 eBook series, Dr. Mike Jones addresses a critical issue for medical exercise professionals: the legality of billing for Medical Exercise (ME) services provided in a client's home when working under a physician not on the premises at the time services are rendered. Medical Exercise Specialists ARE NOT licensed to provide ANY form of physical therapy services.
Key Points:
- Direct Supervision Requirement:
- Dr. Mike stresses that non-licensed professionals cannot provide ME services billed by a physician as therapy services, without providing direct supervision. The law requires the supervising licensed medical professional to be physically present and capable of overseeing the services provided directly. Also, the Medical Exercise Specialist may not provide services listed under the “Physical Therapy Act” for the state or province.
- Insurance Fraud Risks:
- Billing exercise services provided in a client’s home as physical...