Re: 700 forms

[Guest guest]

My 700 Form is sent to the Business Office which in turns forwards the 700

Form to the appropriate Physician. The Physican sends the signed 700 Form back

to the SNF and after completion of the Certification Period and/or Discharge,

The original 700 Form is placed on the patient's chart.

Dale L. Coates, PT

Shadyside, OH

------------------------------------------------------------------------

[Guest guest]

Our OP department sends the 700 form to the doctor for signature and often

receives it back within the week, however treatment has begun by this time. Our

skilled nursing unit (SNF)keeps the 700 form on the chart and the doctor signs

it after the patient is discharged. We use standing orders which we have to

write the clarification order to specify our treatment diagnosis, frequency, and

duration. A local facility stated they have all their physicians' signatures

" on file " in the Medical Records department and they use the " On File " box and

do not get the MD signature since it is on file. Does anyone else use this

practice and have you been " slapped on the wrist " for doing so by anyone (HCFA,

JCAHO, State surveyors, etc)?

> We would love to compare other notes with those of you who underwent 100% PPS

in July and are trying to keep up with the " requests " of our financial

intermediaries. Thanks!!

> AS PER HCFA YOU NEED TO HAVE AN ORIGINAL SIGNATURE FROM M.D. (NO ON-FILE), WE

SEND ORIGINAL AND THEN PLACE IT IN MEDICAL CHART ONCE SIGNED, YOUR CLARIFICATION

ORDERS COVER YOU FOR TREATMENT, BUT IF YOU WANT TO GET PAID, YOU NEED TO HAVE

T.O. AND 700 SIGNED. HOPE THIS

HELPS.------------------------------------------------------------------------

>

[Guest guest]

I am unsure of the source, but have heard that some intermediaries are asking

that the 700 form be signed prior to starting treatment. Has anyone

experienced this?

------------------------------------------------------------------------

[Guest guest]

Amy Maguire wrote:

>

>

> We would love to compare other notes with those of you who underwent 100% PPS

in July and are trying to keep up with the " requests " of our financial

intermediaries. Thanks!!

> ------------------------------------------------------------------------

>

[Guest guest]

Per a conversation I had with Dr. Laurie Feinberg, medical director of HCFA, a

couple of months ago, no patient can be treated or even given home exercise

instruction after the eval until the 700 has been completed by the PT and then

sent to the referring doc for his/her signature approving the plan of care.

This means that if the doctor doesn't respond promptly, you may only perform

the eval and the patient cannot be scheduled for subsequent visits until the

700 is returned. The same applies to the 701. If the patient needs more

treatment past the initial 30 days, there may be some lag time before

treatment can be continued. We ended up mailing a letter explaining this to

all of our referring physicians and I then personally called 25-30 of our top

referring docs to let them know the letter was coming and what we hoped could

be arranged as far as " speedy " turnaround so that the patient did not have to

wait unnecessarily. So far it has gone fairly well. We created a new fax cover

page for the 700 and the 701 per each of our offices (3) and asked that the

doc's staff make sure to watch out for these coming over their fax. In some

cases, we are able to eval the patient, fill out the 700, fax it to the doc

and get it back while the patient is still there so the treatment can be

rendered. According to Dr. Feinberg, this process should be in place for all

outpatient PT, not just rehab agencies. I asked for further clarification,

i.e. hospital outpatient PT, and she didn't know why they shouldn't have to

adhere to the same guidelines. How much do you want to bet most are not doing

it and/or do not even know what the 700/701 form is?! (At least in our area, I

don't think they're doing them.)

Rose Coulton

A. Towne Physical Therapy, Inc.

------------------------------------------------------------------------

[Guest guest]

In my facility in order to initiate tx right away we obtain a telephone order

from

the physician (a clarification order) that specifies the tx modalities to be

used

and begin tx immediately. Has not been a problem- can't imagine waiting for the

mail!!!!

Donna

Rosie75213@... wrote:

> Per a conversation I had with Dr. Laurie Feinberg, medical director of HCFA, a

> couple of months ago, no patient can be treated or even given home exercise

> instruction after the eval until the 700 has been completed by the PT and then

> sent to the referring doc for his/her signature approving the plan of care.

> This means that if the doctor doesn't respond promptly, you may only perform

> the eval and the patient cannot be scheduled for subsequent visits until the

> 700 is returned. The same applies to the 701. If the patient needs more

> treatment past the initial 30 days, there may be some lag time before

> treatment can be continued. We ended up mailing a letter explaining this to

> all of our referring physicians and I then personally called 25-30 of our top

> referring docs to let them know the letter was coming and what we hoped could

> be arranged as far as " speedy " turnaround so that the patient did not have to

> wait unnecessarily. So far it has gone fairly well. We created a new fax cover

> page for the 700 and the 701 per each of our offices (3) and asked that the

> doc's staff make sure to watch out for these coming over their fax. In some

> cases, we are able to eval the patient, fill out the 700, fax it to the doc

> and get it back while the patient is still there so the treatment can be

> rendered. According to Dr. Feinberg, this process should be in place for all

> outpatient PT, not just rehab agencies. I asked for further clarification,

> i.e. hospital outpatient PT, and she didn't know why they shouldn't have to

> adhere to the same guidelines. How much do you want to bet most are not doing

> it and/or do not even know what the 700/701 form is?! (At least in our area, I

> don't think they're doing them.)

>

> Rose Coulton

> A. Towne Physical Therapy, Inc.

> ------------------------------------------------------------------------

>

[Guest guest]

Rich wrote:

>

> coverage is not the regular SNF staff in therapy- by using this form

> that has the number system as the MDS, we can rate the patient and

> utilize this info. to communicate with nursing in filling out section G

> on the MDS.

>

> Sue,

> You should not have therapists filling out Section G. The RUGs

> categories are based on " resource utilization " . The more " resources "

> used the higher the reimbursement. The difference between an RUC and RUA

> may be $60 a day! The SNF should have a form which is filled out by the

> CNAs or receives input from the CNAs on ALL shifts. That way if a

> patient required mod assist of 2 on 3 occasions over the 7 day assessment

> period, you can legally code them at a much higher ADL score, even though

> the patient is usually contact guard. Even in less extreme cases,

> patients generally require less assist in therapy due to proper cuing and

> set up. It is in the facility's best interest to have nursing fill in

> Section G. (At 2 a.m. the patient may need a lot more help to transfer

> than at 10 a.m. in the gym).

> At my facilities the therapists fill out portions of Section P

> and T only.

>

> Good luck!

>

> ___________________________________________________________________

> You don't need to buy Internet access to use free Internet e-mail.

> Get completely free e-mail from Juno at http://www.juno.com/getjuno.html

> or call Juno at (800) 654-JUNO [654-5866]

>

> ----------------------------------------------------------------------

>