Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC provided by AARC reflect and further clarify our intent to provide appropriate respiratory care to patients served by CORFs. We want to ensure that only respiratory therapists with the highest level of education and training can furnish respiratory therapy services in a CORF. Therefore, only those individuals holding the credential of registered respiratory therapist (RRT) conferred by the NBRC would qualify. Qualifying by being “eligible to take the registry examination,” as we proposed, results in the unintended consequence of permitting CRTs who have not yet taken the registry exam to meet the personnel qualifications. As a result of the public comments, we are finalizing the proposed revisions that reference personnel qualifications for HHAs at §485.70(c) and (e). We are also finalizing our proposed revision to §485.58(a)(i)(1) that amends the duties of CORF physicians to include medical supervision of nonphysician staff (we received no comments on this provision). We are adopting the revisions to the personnel qualifications for respiratory therapists at §485.70(j) as suggested by AARC, to read as follows: (j) A respiratory therapist must-- (1) Be licensed by the State in which practicing, if applicable; and 364
CMS-1403-FC (2) Have successfully completed a nationally- accredited educational program that confers eligibility for the National Board for Respiratory Care (NBRC) registry exams, and have passed the registry examination administered by the NBRC, or (3) Have equivalent training and experience as determined by the National Board for Respiratory Care (NBRC) and passed the registry examination administered by the NBRC. 2. Social and Psychological Services In the CY 2008 PFS final rule with comment period (72 FR 66297), we clarified that all CORF services, including social and psychological services, must directly relate to or further the rehabilitation goals established in the physical therapy, occupational therapy, speech-language pathology, or respiratory therapy plan of treatment. We believe that using a full range of clinical social and psychological CPT codes to describe CORF social and psychological services is inappropriate because social and psychological CORF services do not include independent clinical treatment of mental, psychoneurotic, and personality disorders. CPT codes 96150 through 96154 and CPT codes 90801 through 90899 are inappropriate for CORF use because all of these CPT codes represent full-scale 365
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<strong>CMS</strong>-1403-FC<br />
provided by AARC reflect and further clarify our intent to<br />
provide appropriate respiratory care to patients served by<br />
CORFs. We want to ensure that only respiratory therapists<br />
with the highest level of education and training can<br />
furnish respiratory therapy services in a CORF. Therefore,<br />
only those individuals holding the credential of registered<br />
respiratory therapist (RRT) conferred by the NBRC would<br />
qualify. Qualifying by being “eligible to take the<br />
registry examination,” as we proposed, results in the<br />
unintended consequence of permitting CRTs who have not yet<br />
taken the registry exam to meet the personnel<br />
qualifications.<br />
As a result of the public comments, we are finalizing<br />
the proposed revisions that reference personnel<br />
qualifications for HHAs at §485.70(c) and (e). We are also<br />
finalizing our proposed revision to §485.58(a)(i)(1) that<br />
amends the duties of CORF physicians to include medical<br />
supervision of nonphysician staff (we received no comments<br />
on this provision). We are adopting the revisions to the<br />
personnel qualifications for respiratory therapists at<br />
§485.70(j) as suggested by AARC, to read as follows:<br />
(j) A respiratory therapist must--<br />
(1) Be licensed by the State in which practicing, if<br />
applicable; and<br />
364