Jennifer, I am talking about inpt rehab.? But none the less your comments about quality care were highly valued.
-----Original Message----- From: McLaughlin, Jennifer <[EMAIL PROTECTED]> To: OTlist@OTnow.com Sent: Mon, 3 Nov 2008 5:21 pm Subject: Re: [OTlist] Doubling patients in acute rehab That is called dovetailing or overlapping. Must bill MCR B as group in these instances as has been delineated in earlier postings. MCR has changed and allows Med A to be treated concurrently and billed for the minutes engaged in tx as this is a minutes billing vs a modality treatment billing. I agree that it is rare that we have the luxury of having patients with that similar a need or functional level that using a group therpauetically is an option. I am in charge of OT staffing in 2 CCRC facilities and we do not overlap or dovetail. Sometimes this means the resident gets fewer minutes with us but we feel it is unethical, illegal (in the case of Med B) and not best practice. So we treat with the believe that fewer quality min of one on one is better than more time but less quality of minutes. Yes staffing is hard and using perdiem staff is only a partial solution. OT service in its most base nature demands a one on one approach, in my humble opinion. Good luck in changing your management's focus, which seems to be very productivity and reimbursement focused. Look at the group rates and do an analysis of the revenue difference for your Med B. That being said, sounds as though you may be either talking of Med As or inpt rehab as there is no 3 hour rule for SNF or Med B clients. Just a few thoughts Jennifer McLaughlin, OT/L -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Barbara H. Hale Sent: Monday, November 03, 2008 4:36 PM To: otlist@otnow.com Subject: [OTlist] Doubling patients in acute rehab I also work in a small acute rehab unit. Does doubling mean overlapping a session? A patient is set up and working somewhat independently the therapist turns to begin getting the other patient started on tasks. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com The information contained in this message may be privileged and/or confidential and protected from disclosure. If the reader of this message is not the intended recipient or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to this message and deleting the material from any computer. Thank you. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
