Virginia

Many physical therapists think that they can not perform and get reimbursed for diagnostics tests.  To address this question with facts, we are providing below excerpts of your State’s Practice Act and using Medicare as an example, show you possible reimbursements for four diagnostic tests.

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If this piques your curiosity and you would like to discuss how you could implement diagnostics into your practice and start getting reimbursed quickly, please Click to access our calendar and set an appointment.  This is about a business opportunity, not just CEU courses.

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The Virginia Board of Physical Therapy is very specific that EMG/NCS is within the scope of practice of the PT profession:

Electromyography (EMG)

Electromyography (EMG) is an invasive procedure and, in accordance with § 54.1-3482 of the Code of Virginia, requires physician referral and direction. A physician order for EMG should be in writing; if the initial referral is received orally, it must be followed up with a written referral. The procedure is an advanced skill and only within the scope of practice for those physical therapists who have had specialized, post-professional preparation and training.

EMG/NCS Testing uses electricity and Musculoskeletal Ultrasound uses sound waves for the evaluation (testing and measurement) of the neuro-musculoskeletal system.

APTA fully supports PTs practicing EMG/NCS Testing as it is within the scope of Physical Therapy Practice. The Orthopedic Section of the APTA in a white paper not only advocates the use of Musculoskeletal Ultrasound Imaging within the scope of practice for Physical Therapy but also endorses its application both for diagnostic as well as procedural purposes to aid neuromuscular re-education, dry needling and electroneuromyography.

Find here information about Direct Access to Physical Therapy in your state.

Here is an example of a 2016 Medicare fee schedule for a variety of diagnostic testing for a selection of CPT codes and corresponding number of units.  Insurances usually pay a multiple or a percentage of the medicare fee schedule*.   

va-diagnostic-cpt-code-calculator

Click Here to contact us, or call 888-447-6014 ext 1

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We will help you calculate the possible:

•  Total Reimbursement  per  Patient  &  ROI (Return On Investment) For You!

•  How You Can Get Started Being Reimbursed for Diagnostics NOW

*This fee schedule were taken from the website of your regional Medicare Intermediary’s site around Sept. 2016 without modifier.  Click here to view a Medicare Intermediary for your state.  This fee schedule does not necessarily represent the exact amount of reimbursement you will receive as billing patterns and code selection varies.   Please feel free to verify the current figures.” 

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