Ron, You have not given us a chance to thank you... not only for this "fight" but for constantly challenging us to think in terms of occupation, regardless of whether or not we agree with you. Your posts help us to be more reflective and deliberate. Hopefully this reflection and dialogue will inform our clinical practices, educational and marketing efforts. We need to be proactive in defining for ourselves and others what exactly is Occupational Therapy.You at least give us(as does our history) a starting point for this discussion and exploration. For this ,I consider your posts to be a wonderful and much appreciated service to me and to the entire profession.
How do you feel about the Practice Framework; seems the Domain enables and empowers us to work towards occupation-based treatment through the use of other type of activity until the client is able to participate in true occupation. Curious about thoughts on that. A comment on the new video created by the Fund... I feel as though it focuses more on catching the emotional attention of the viewer with cute children and endearing adults than it does on educating the viewer about what makes an OT perspective/approach/skill set unique and of tremendous value related to outcomes. The only reason I bring that up here is that I agree with you that we have an internal identity crisis and this does not help anybody to understand or articulate OTs uniqueness. I manage a dept of 35 OTs and it is a crisis and my major "development" focus for 2004 within my department. Thank you for the ongoing challenge. It can only help us. Alice Krauss -----Original Message----- From: Ron Carson [mailto:[EMAIL PROTECTED] Sent: Tuesday, March 30, 2004 11:20 AM To: Lehman, David Subject: Re[2]: [OTnow] GREAT NEWS! Hello David: Thanks for the 'thanks'. Why is it that a PT is the ONLY person to have responded to the message??????? People in my profession can be such weinies.... Don't they even care about stuff like this..... I get so frustrated with being an OT!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! What's happening with you???????????? Ron ================================================================= On Tuesday, March 30, 2004, you wrote: LD> You go Ron.....just saw this post and thought I would congratulate you LD> on getting somewhere with the gov't:) LD> Hope you are well. LD> David A. Lehman, PhD, PT LD> Associate Professor LD> Tennessee State University LD> Department of Physical Therapy LD> 3500 John A. Merritt Blvd. LD> Nashville, TN 37209 LD> 615-963-5946 LD> [EMAIL PROTECTED] LD> -----Original Message----- LD> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On LD> Behalf Of Ron Carson LD> Sent: Monday, March 29, 2004 7:21 PM LD> To: [EMAIL PROTECTED] LD> Subject: [OTnow] GREAT NEWS! LD> Hello: LD> A while back, I ran into a Medicare situation where my company was LD> unable to LD> receive payment for OT evaluations provided at assisted living LD> facilities. LD> The problem had nothing to do with my company, but it was a Medicare LD> policy LD> that did not allow procedure code 97003 (OT eval) to be billed at an LD> ALF LD> place of service. I was very disappointed in this policy LD> because it LD> effectively prevented me from seeing clients in ALF's. It was LD> particularly LD> disappointing because, procedure code 97001 (PT eval) was reimbursable LD> at an LD> ALF. LD> So, after several long conversations with Medicare, I was given an LD> e-mail LD> address in which to address my inquiry as to why OT could not be LD> reimbursed LD> for procedure code 97003. LD> After several weeks, I received the following message: >> Dear Mr. Carson, >> I was assigned your correspondence originally dated 1/29/04, LD> regarding >> billing 97003 in an ALF. This is an appropriate place of service LD> for >> 97003. I will have a system change request done to have an ALF LD> added to >> the system to allow code 97003. I will let you know the effective LD> date, >> once I have one. Thank you, Diane >> >> Diane Prevatt, RN, BSN >> Medical Policy and Procedures >> First Coast Service Options, Inc. LD> I just found out today, that it is now effective that procedure code LD> 97003 LD> can be billed at ALF's. LD> Now, I wonder if it can be this easy to get Medicare to let OT open LD> home LD> health cases!! LD> Ron LD> _______________________________________________ LD> To unsubscribe, visit: LD> http://otnow.com/mailman/listinfo/otlist_otnow.com LD> The OTnow Mail Archive: LD> www.mail-archive.com/[EMAIL PROTECTED] LD> =============================================== LD> _______________________________________________ LD> To unsubscribe, visit: LD> http://otnow.com/mailman/listinfo/otlist_otnow.com LD> The OTnow Mail Archive: LD> www.mail-archive.com/[EMAIL PROTECTED] _______________________________________________ To unsubscribe, visit: http://otnow.com/mailman/listinfo/otlist_otnow.com The OTnow Mail Archive: www.mail-archive.com/[EMAIL PROTECTED] =============================================== _______________________________________________ To unsubscribe, visit: http://otnow.com/mailman/listinfo/otlist_otnow.com The OTnow Mail Archive: www.mail-archive.com/[EMAIL PROTECTED] ===============================================
