You could bill under Medicare B like an outpatient service. But we would have it follow Medicare cap rules. Then you could provide OT separately. I thought of doing this at some point in the future and become a private practicing therapist.
Cimberly Viken, OTR/L -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Monday, January 29, 2007 2:00 PM To: otlist@otnow.com Subject: OTlist Digest, Vol 24, Issue 36 Send OTlist mailing list submissions to otlist@otnow.com To subscribe or unsubscribe via the World Wide Web, visit http://otnow.com/mailman/listinfo/otlist_otnow.com or, via email, send a message with subject or body 'help' to [EMAIL PROTECTED] You can reach the person managing the list at [EMAIL PROTECTED] When replying, please edit your Subject line so it is more specific than "Re: Contents of OTlist digest..." Today's Topics: 1. Re: What is OT's Speciality???? (Jessica R. Gross) 2. Re: What is OT's Speciality???? (Jessica R. Gross) 3. Re: What is OT's Speciality???? (Jessica R. Gross) 4. Low vision and HMOs ([EMAIL PROTECTED]) 5. Re: What is OT's Speciality???? (Joe Wells) ---------------------------------------------------------------------- Message: 1 Date: Mon, 29 Jan 2007 08:50:17 -0500 From: "Jessica R. Gross" <[EMAIL PROTECTED]> Subject: Re: [OTlist] What is OT's Speciality???? To: <OTlist@OTnow.com> Message-ID: <[EMAIL PROTECTED]> Content-Type: text/plain; charset="us-ascii" Can OT be the only service in the home? A while back I was hearing that a patient had to have OT and PT to qualify for home therapy. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Saturday, January 27, 2007 12:39 PM To: Linda Telford Subject: Re: [OTlist] What is OT's Speciality???? Hello Linda: My experience of doctors that have some knowledge of rehab is that that they refer to PT or their refer to OT/PT but they never refer to OT. It's sort of the home health state of mind! In this is my hurdle; How can I market to a doctor to convince them to send their patients to OT only? Ron ----- Original Message ----- From: Linda Telford <[EMAIL PROTECTED]> Sent: Saturday, January 27, 2007 To: OTlist@OTnow.com <OTlist@OTnow.com> Subj: [OTlist] What is OT's Speciality???? LT> 1 - that you are addressing doctors that have some knowledge of what LT> rehab means -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ************************************************************************ ************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn ************************************************************************ ************** ------------------------------ Message: 2 Date: Mon, 29 Jan 2007 09:52:05 -0500 From: "Jessica R. Gross" <[EMAIL PROTECTED]> Subject: Re: [OTlist] What is OT's Speciality???? To: <OTlist@OTnow.com> Message-ID: <[EMAIL PROTECTED]> Content-Type: text/plain; charset="us-ascii" Some medical professionals are great about asking the client function-related questions. The clinic podiatrist refers clients to me if he sees them struggling to get shoes and socks off for exam. On the clinic optometry eval, the OD will ask the client if he or she has difficulty reading mail, paying bills, eating and a few other ADL-related issues, which can serve a screening tool for OT. Physiatrists are also a function-related profession. At the Guild we have been working with ophthalmology residents to educate them about the need for low vision exams and referrals to OT. So many of these doctors think that once the patient has been medically managed that is all that can be done, which is often not the case. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Friday, January 26, 2007 9:28 PM To: Linda Telford Subject: Re: [OTlist] What is OT's Speciality???? You know, I've been to the doctor dozens of times. I've had a broken elbow and been hospitalized for 3 days. In fact, I just took my wife to the doctor today because of some vertigo issues. But not one time has a doctor asked me about my "personal care, household chores, bill paying, etc". Not to say these things aren't important, but the medical profession just does not see these 'things' as "problems". I just don't think that marketing to MD by saying that OT addresses "personal care, household chores, bill paying, etc" is going to give me many referrals. My gosh, this includes almost everyone who visits a doctor. I mean thing about it, if I get the flu then "bam", I can't manage my house. Granted that this is a silly example but I hope I'm making a point. So, there must be something more, and it must make sense to the MD. For example, they must make a mental connection between what they are looking at (i.e. patient) and who they send them to (i.e. me). Thanks, Ron ----- Original Message ----- From: Linda Telford <[EMAIL PROTECTED]> Sent: Friday, January 26, 2007 To: OTlist@OTnow.com <OTlist@OTnow.com> Subj: [OTlist] What is OT's Speciality???? LT> In-home rehab? What about the occupation of "independent living". LT> I'd try not to limit diagnoses, but you could give them several LT> examples. can their patients manage their personal care, household LT> chores, bill paying, cooking? I'd give them a written checklist for LT> reference, with room for their signature so it could also act as a LT> script for treatment. A checklist reference is a handy tool and if LT> they are not totally familiar with OT, they could look at it at any LT> time. have a few giveaways with your company name. A $50 expenditure LT> could go a long way. Good Luck. LT> Linda LT> On Jan 26, 2007, at 3:06 PM, Ron Carson wrote: >> OK, even though I've been an OT for 10 years, I'm drawing a blank. >> >> Next week, I meet with doctors to begin marketing a new program for >> my company. I also want to use the opportunity to tell them about OT. >> But I'm really unsure what to say. My company provides adult in-home >> rehab services (OT only). I see patients with a variety of health problems. >> I generally end up addressing mobility issues because most of >> my patients identify these as their primary concern. But what do I >> tell a doctor? It seems to me that an MD needs to make a connection >> between the patient (i.e. diagnosis) and the therapist (i.e. >> treatment). But I just can't seem to come up with a way to sell OT >> in this particular situation. >> >> Thanks, >> >> Ron >> >> >> -- >> Options? >> www.otnow.com/mailman/options/otlist_otnow.com >> >> Archive? >> www.mail-archive.com/otlist@otnow.com >> >> ********************************************************************* >> * >> **************** >> Enroll in Boston University's post-professional Master of Science for >> OTs Online. Gain the skills and credentials to propel your career. >> www.otdegree.com/otn >> ********************************************************************* >> * >> **************** LT> Linda Telford LT> [EMAIL PROTECTED] -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ************************************************************************ ************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn ************************************************************************ ************** ------------------------------ Message: 3 Date: Mon, 29 Jan 2007 09:57:57 -0500 From: "Jessica R. Gross" <[EMAIL PROTECTED]> Subject: Re: [OTlist] What is OT's Speciality???? To: <OTlist@OTnow.com> Message-ID: <[EMAIL PROTECTED]> Content-Type: text/plain; charset="us-ascii" How about creating a checklist for when to refer to OT? We developed one at the Guild and it includes items such as: Is client having difficulty holding utensils or finding food on the plate Is client getting fatigued during tasks like dressing and bathing Does the client have a history of falls Does the client have low vision devices that they are having difficulty using -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Friday, January 26, 2007 9:20 PM To: Joan Riches Subject: Re: [OTlist] What is OT's Speciality???? Hello Joan: Actually, I was referring to the NON-lymphedema portion of my practice. One of the "things" that I am struggling with is that the way we define our selves must fit within the framework in which others define us. For example, saying that OT is about occupation is GREAT for us, but the reality is that occupation means NOTHING to doctors! So, telling them to refer patients to me because of occupation deficits will get me exactly zero referrals. I also struggle with how OT defines "problems". For example, saying that a stroke patient's "problem" is that he can't put on his shirt is unlike how any other profession will see the patient's problem. And, it's my experience that patient's themselves often don't see their problems the same way OT see them. So, in order for our profession to make "sense", we must FIT in the model that we work. And this is where I am struggling. How does OT FIT!! Ron ----- Original Message ----- From: Joan Riches <[EMAIL PROTECTED]> Sent: Friday, January 26, 2007 To: OTlist@OTnow.com <OTlist@OTnow.com> Subj: [OTlist] What is OT's Speciality???? JR> OK Ron JR> I presume you are talking about the lymphedema program. JR> In your training course was there any mention of the effects of it JR> on occupational performance? JR> If not what do you see as those effects? Why do you want to do this? JR> have you run into these patients previously? JR> In my experience both patients and doctors focus on conditions/symptoms. JR> A good question in assessment is "Why is this a problem?" The JR> indignant answer will tend to be "Well I can't..................." JR> With the implication that I am wanting in intelligence not to mention common sense. JR> So there are lots of things that one may have difficulty doing JR> because of swelling, pain, and the other symptoms but the particular JR> things that are most bothersome will be the things that will JR> motivate a patient to get with the program. If what is meaningful JR> occupation is defined by the patient then the answer to "What is it JR> that you cannot do that you want/need to do or that someone else JR> wants/needs you to do? (COPM)" defines the deficit in occupational performance. JR> With all our debates about what is occupational therapy? I think we JR> have been missing a critical point which I was struck by in Terianne JR> Jones recently posted paper and I quote "we use occupation as the JR> method to achieve positive outcomes". I take this to mean that the JR> occupation we use as a treatment modality may not be the same as the JR> occupation in which we (patient and therapist) wish to see an JR> improvement in occupational performance. (In Pat's case we may also JR> be talking here about employer but that is another debate) Thus JR> leisure as an occupation (balloon volleyball?) may be meaningful in JR> itself as a treatment modality while having beneficial effects on JR> the performance of other occupations which are targeted because of deficits in occupational performance. JR> As has been previously stated by other people in other ways it all JR> depends on the purpose and the patient's perspective of meaning. JR> Very few doctors ask their patients what they cannot do. Patients JR> have learned to complain to doctors about the things doctors are JR> most interested in and feel they can help with. We are interested in JR> the things that our patients want and need to do. There are many JR> ways to help with that. You have found one of them. Sell it as valid JR> occupational therapy, using our vocabulary. Start with this JR> particular problem, with any luck they will generalise and wonder what else you may be able to offer. JR> As the saying goes, "If I had more time I could make this shorter" JR> but I don't. JR> Blessings, Joan JR> -----Original Message----- JR> From: [EMAIL PROTECTED] JR> [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson JR> Sent: Friday, January 26, 2007 1:07 PM JR> To: OTlist@OTnow.com JR> Subject: [OTlist] What is OT's Speciality???? JR> OK, even though I've been an OT for 10 years, I'm drawing a blank. JR> Next week, I meet with doctors to begin marketing a new program for JR> my company. I also want to use the opportunity to tell them about JR> OT. But I'm really unsure what to say. My company provides adult JR> in-home rehab services (OT only). I see patients with a variety of health problems. JR> I generally end up addressing mobility issues because most of JR> my patients identify these as their primary concern. But what do I JR> tell a doctor? It seems to me that an MD needs to make a JR> connection between the patient (i.e. diagnosis) and the therapist JR> (i.e. treatment). But I just can't seem to come up with a way to JR> sell OT in this particular situation. JR> Thanks, JR> Ron JR> -- JR> Options? JR> www.otnow.com/mailman/options/otlist_otnow.com JR> Archive? JR> www.mail-archive.com/otlist@otnow.com JR> ******************************************************************** JR> ******** JR> ********** JR> Enroll in Boston University's post-professional Master of Science JR> for OTs Online. Gain the skills and credentials to propel your career. JR> www.otdegree.com/otn JR> ******************************************************************** JR> ******** JR> ********** -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ************************************************************************ ************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn ************************************************************************ ************** ------------------------------ Message: 4 Date: Mon, 29 Jan 2007 18:13:22 +0000 From: [EMAIL PROTECTED] Subject: [OTlist] Low vision and HMOs To: OTlist@OTnow.com Message-ID: <[EMAIL PROTECTED]> Content-Type: text/plain; charset=ISO-8859-1; DelSp="Yes"; format="flowed" Does anyone have a list of which HMOs cover OT in low vision rehab? Jenny ------------------------------ Message: 5 Date: Mon, 29 Jan 2007 12:59:44 -0500 From: "Joe Wells" <[EMAIL PROTECTED]> Subject: Re: [OTlist] What is OT's Speciality???? To: <OTlist@OTnow.com> Message-ID: <[EMAIL PROTECTED]> Content-Type: text/plain; charset="windows-1250" OT cannot start a case, i.e. perform the open OASIS (under Medicare Home Health). A few insurance companies in Ohio and Michigan have been asking a PT to first screen for OT needs as well under certain plans (Cigna/ BC-BS). However, once started by a "qualifying" discipline (PT, RN, and SLP), OTs can continue as long as there is a need (being the only discipline required even after the other services have been discontinued). Joseph K. Wells, OTD, OTR/L www.americare-health.com Confidential Notice: The information contained in this electronic mail is only intended for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any distribution or copying of this communication in any format is strictly prohibited. If you received this message in error, please notify us immediately. HIPAA Disclosure, if Pertaining to Medical Records: This information has been disclosed to you from records whose confidentiality is protected by state and federal law. You are prohibited from making any further disclosures of it without specific and informed release of the individual to whom it pertains, their authorized representative, or as otherwise permitted by law. A general authorization for release of information is not sufficient for this purpose. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jessica R. Gross Sent: Monday, January 29, 2007 8:50 AM To: OTlist@OTnow.com Subject: Re: [OTlist] What is OT's Speciality???? Can OT be the only service in the home? A while back I was hearing that a patient had to have OT and PT to qualify for home therapy. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Saturday, January 27, 2007 12:39 PM To: Linda Telford Subject: Re: [OTlist] What is OT's Speciality???? Hello Linda: My experience of doctors that have some knowledge of rehab is that that they refer to PT or their refer to OT/PT but they never refer to OT. It's sort of the home health state of mind! In this is my hurdle; How can I market to a doctor to convince them to send their patients to OT only? Ron ----- Original Message ----- From: Linda Telford <[EMAIL PROTECTED]> Sent: Saturday, January 27, 2007 To: OTlist@OTnow.com <OTlist@OTnow.com> Subj: [OTlist] What is OT's Speciality???? LT> 1 - that you are addressing doctors that have some knowledge of what LT> rehab means -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ************************************************************************ ************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn ************************************************************************ ************** -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com **************************************************************************** ********** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************** ********** -- Internal Virus Database is out-of-date. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.15.18/586 - Release Date: 12/13/2006 6:13 PM -- Internal Virus Database is out-of-date. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.15.18/586 - Release Date: 12/13/2006 6:13 PM ------------------------------ -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com Help? [EMAIL PROTECTED] End of OTlist Digest, Vol 24, Issue 36 ************************************** -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
