EMG AND MSKUS LAWS FOR WEST 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.
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 set an appointment. This is about a business opportunity, not just CEU courses.
A physical therapist may:
(1) Examine, evaluate and test patients or clients with mechanical, physiological and developmental impairments, functional limitations, and disabilities or other health and movement related conditions in order to determine a diagnosis, prognosis and plan of treatment intervention, and to assess the ongoing effects of intervention: Provided, That electromyography examination and electrodiagnostic studies other than the determination of chronaxia and strength duration curves shall not be performed except under the supervision of a physician electromyographer and electrodiagnostician;
A possible interpretation of the above statement is that while Nerve Conduction Studies may be performed independently by the PT, needle EMG will require some sort of general physician supervision. The level of supervision is not specified and therefore it may not be required to be onsite supervision.
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*.
call 888-447-6014 ext 1 and we will help you calculate the possible:
- Total Reimbursement Patient & ROI (Return On Investment) For You!
- How You Can Get Started Being Reimbursed for Diagnostics NOW
*This fee schedule was 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.”