Hi Ron, I haven't been around for a while because life has been exceedingly hectic.
You are sounding pretty stressed out from the latest two posts I read. I mean that there is a significant disparity between your reaction in proportion to the perceived wrong. Don't burn yourself out. 1) It's great that you acted on the disparity in billing and got positive results. Thank you. Everyone needs to take more action to improve our systems 2) About the arm treatment. From your post, a) the neurologist didn't appear to say that there would be no recovery of UE use either. I don't at all feel comfortable with the haste in writing off a client's potential for rehabilitation of the affected side after a stroke. Yes, they need to work on dressing and other ADLs and mobility today. While they are working on their occupations, the use of their UE can/must be incorporated at an appropriate functional level. and b) You referred to the self -report of the client: How much of the feedback was tainted with a generally negative/never satisfied attitude? Had she regained any use of her arm? Had her ADLs not been addressed at all? I would agree that treatment aimed solely at remediation of the UE deficits without functional activities is inappropriate as I would also see immediate implementation of permanent compensatory techniques without any remedial therapy as inappropriate. I would see a combination of remediation and short and possible long-term compensation as being optimal. There you go. Now take a break Ron and cut back on the caffiene and don't snap at me for giving you some necessary advice. I don't want you to burn out on us. No, don't hit REPLY yet. First, go sit down and relax. I probably won't be replying for a while anyways. Take care, Greg ----- Original Message ----- From: "Ron Carson" <[EMAIL PROTECTED]> To: "Lehman, David" <[EMAIL PROTECTED]> Sent: Tuesday, March 30, 2004 11:20 AM 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] ===============================================
