Ron, I found this list of MEDICARE PROVIDER/SUPPLIER SPECIALTY CODES. Interestingly I don't see a provider type 31.
http://www.floridamedicare.com/1common_resource_enroll_Provider_Supplier%20Specialty%20Codes.asp#TopOfPage 25 - Physical Medicine and Rehab. 31 - no listing 65 - Physical Therapist (Private Practice) 67 - Occupational Therapist (Private Practice) I reviewed the LCDs for part A&B, Therapy and Rehabilitation Services are lumped together. Perhaps this is why the same provider type is used, but does not explain why #31 is not listed in the list of specialty codes on their website. We have found that many LCDs are antiquated and do not make clear distinction between OT and PT (and SLP). Many times there is a LCD for "therapy" but not separate LCDs for OT and PT. Remember not to long ago that ATs were able to provide "therapy" incident to a physician's service (http://www.nata.org/newsrelease/archives/000284.html). In terms of the specific LCDs, the descriptions for OT and PT are not the best, which is one reason AOTA now has a staff person assigned to reviewing LCDs and providing comments. The scope of services which Medicare will pay for (according to the LCD) have an impact on the OT scope of practice. FIRST COAST SERVICE OPTIONS FLORIDA MEDICARE PART A LOCAL COVERAGE DETERMINATION http://www.floridamedicare.com/parta_medcov_local_Therapy%20and%20Rehabiliation%20Services.asp FIRST COAST SERVICE OPTIONS FLORIDA MEDICARE PART B LOCAL COVERAGE DETERMINATION http://www.floridamedicare.com/partb_medcov_local_Therapy%20and%20Rehabilitation%20Services.asp#P-9_0 For more info about AOTA's work on LCD, visit the AOTA webpage and search for "LCD." Or click on the reimbursement section of the website, select Medicare and scroll down to the section regarding LCDs. Chuck >>> [EMAIL PROTECTED] 10/25/2005 11:28:56 AM >>> Hello Chuck: It's Florida which is First Coast Service Options: www.floridamedicare.com Ron ----- Original Message ----- From: Charles Willmarth <[EMAIL PROTECTED]> Sent: Tuesday, October 25, 2005 To: OTlist@OTnow.com <OTlist@OTnow.com> Subj: [OTlist] Medicare and OT CW> Ron, CW> Which local medicare intermediary? CW> Chuck >>>> [EMAIL PROTECTED] 10/25/2005 11:11:24 AM >>> CW> After a LONG conversation with my local medicare intermediary, I CW> was CW> surprised and disappointed to learn that there is NO provider type CW> for CW> OT! My company is listed as Physical Therapy - provider type 31. CW> It CW> appears that OT is almost considered a type of PT CW> Ron CW> -- CW> Unsubscribe? CW> [EMAIL PROTECTED] CW> Change options? CW> www.otnow.com/mailman/options/otlist_otnow.com CW> Archive? CW> www.mail-archive.com/otlist@otnow.com CW> Help? CW> [EMAIL PROTECTED] -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com Help? [EMAIL PROTECTED] -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com Help? [EMAIL PROTECTED]
