Non credentialed providers
Darya Shahrokhi
Description
Collection
Title:
Non credentialed providers
Creator:
Darya Shahrokhi
Date:
4/14/2018
Text:
Dear list,
Although this has been asked before, but I want to bring it up again and receive your thoughts:
1- according to the law, who can provide “custom made” O&P services to the patient? I remember many years ago, when I was O&P resident, the owner of company NEVER let me touch patient when I was alone in the room! Is this changed? To my knowledge, one should be certified orthotist/prosthetist by ABC or BOC to eval/measure/cast/fit and deliver O&P service to the patient; and RNs, PTs, OTs, or …. are not credentialed to do it (regardless if they are registered/credentialed/licensed from their organizations) unless they do it under the supervision of CO/CP/CPO. Plus some states, asked for licensure on top of that. Please correct me if I’m wrong.
2- Some companies use the benefits of “Privileging”; they have CO/CP/CPO on board who signs off the charts of other non-O&P-credentialed employees; how this works? Should the O&P practitioner presents in room? Or being in the office is enough? Can one privilege others from distance? If so, how far it could be? For example if company has 3 locations which are 20-100 miles apart, one CPO, and 5 non-CPOs working at different locations, can CPO work in one office and signs off the charts of others?
Please give me legal advice about above questions. Or the link of any government websites that I can find this. I am not necessarily asking these questions for billing Medicare; I need to know the law regardless if patient is Medicare/Medicaid/commercial plans or even cash. For example if there is a lawsuit from patient.
Thanks all,
Darya Shahrokhi, CPO
Although this has been asked before, but I want to bring it up again and receive your thoughts:
1- according to the law, who can provide “custom made” O&P services to the patient? I remember many years ago, when I was O&P resident, the owner of company NEVER let me touch patient when I was alone in the room! Is this changed? To my knowledge, one should be certified orthotist/prosthetist by ABC or BOC to eval/measure/cast/fit and deliver O&P service to the patient; and RNs, PTs, OTs, or …. are not credentialed to do it (regardless if they are registered/credentialed/licensed from their organizations) unless they do it under the supervision of CO/CP/CPO. Plus some states, asked for licensure on top of that. Please correct me if I’m wrong.
2- Some companies use the benefits of “Privileging”; they have CO/CP/CPO on board who signs off the charts of other non-O&P-credentialed employees; how this works? Should the O&P practitioner presents in room? Or being in the office is enough? Can one privilege others from distance? If so, how far it could be? For example if company has 3 locations which are 20-100 miles apart, one CPO, and 5 non-CPOs working at different locations, can CPO work in one office and signs off the charts of others?
Please give me legal advice about above questions. Or the link of any government websites that I can find this. I am not necessarily asking these questions for billing Medicare; I need to know the law regardless if patient is Medicare/Medicaid/commercial plans or even cash. For example if there is a lawsuit from patient.
Thanks all,
Darya Shahrokhi, CPO
Citation
Darya Shahrokhi, “Non credentialed providers,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/208878.
