Guest guest Posted September 27, 2004 Report Share Posted September 27, 2004 We have been running a lymphedema treatment program with our physical therapist providing the treatment. One of our OT's was just trained in lymphedema treatment and we want to add her into the mix of evaluating and treating these patients. The question we have is when the evaluation is done by the OT, can the patient be followed up for treatment by the PTA or another PT? Or visa-versa, if the evaluation is done by a PT can the OT do follow-up treatments? If so, how does the billing process take place? Can the patient see the OT when evaluated by the PT and if so how do you bill Medicare and all other carriers? Any input or advice is greatly appreciated. BI Shafer Pasadena, CA _________________________________________________________________ Get ready for school! Find articles, homework help and more in the Back to School Guide! http://special.msn.com/network/04backtoschool.armx Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2004 Report Share Posted September 28, 2004 Here in Wisconsin (and I am sure in other states, too) a physical therapist's plan of care (i.e. physical therapy treatment) may only be carried out by a physical therapist or physical therapist assistant. Likewise, an OT plan of care, carried out by an OT or COTA. We also have both disciplines trained at our facility. If the PT/PTA are treating the patient, it is following a PT evaluation. If the OT/COTA are treating, it is as a result of an OT evaluation. Lori Dominiczak, PT, MS Cedar Haven Rehabilitation Agency West Bend WI RE: Lymphedema billing We have been running a lymphedema treatment program with our physical therapist providing the treatment. One of our OT's was just trained in lymphedema treatment and we want to add her into the mix of evaluating and treating these patients. The question we have is when the evaluation is done by the OT, can the patient be followed up for treatment by the PTA or another PT? Or visa-versa, if the evaluation is done by a PT can the OT do follow-up treatments? If so, how does the billing process take place? Can the patient see the OT when evaluated by the PT and if so how do you bill Medicare and all other carriers? Any input or advice is greatly appreciated. BI Shafer Pasadena, CA _________________________________________________________________ Get ready for school! Find articles, homework help and more in the Back to School Guide! http://special.msn.com/network/04backtoschool.armx Looking to start your own Practice? Visit www.InHomeRehab.com. Bring PTManager to your organization or State Association with a professional workshop or course - call us at 313 884-8920 to arrange PTManager encourages participation in your professional association. Join and participate now! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2004 Report Share Posted September 28, 2004 I would look at the practice act for PTA and I suspect it states they are supervised by a PT for clinical. A PT would, in my mind, need to be involved in the Eval to provide supervision of a clinical case. I have never reviewed the practice acts for PTA in California .. just a thought. I know this line does blurr sometimes within supervision of a dept (such as: weekend PT doing evals and not being avail to continue on case during the week when the PTA does treatment) but blurr is not usually between disciplines. Steve Passmore PT Healthy Recruiting Tools spass@... RE: Lymphedema billing > We have been running a lymphedema treatment program with our physical > therapist providing the treatment. One of our OT's was just trained in > lymphedema treatment and we want to add her into the mix of evaluating and > treating these patients. > > The question we have is when the evaluation is done by the OT, can the > patient be followed up for treatment by the PTA or another PT? Or > visa-versa, if the evaluation is done by a PT can the OT do follow-up > treatments? If so, how does the billing process take place? Can the > patient see the OT when evaluated by the PT and if so how do you bill > Medicare and all other carriers? > > Any input or advice is greatly appreciated. > > BI Shafer > Pasadena, CA > > _________________________________________________________________ > Get ready for school! Find articles, homework help and more in the Back to > School Guide! http://special.msn.com/network/04backtoschool.armx > > > > > Looking to start your own Practice? > Visit www.InHomeRehab.com. > Bring PTManager to your organization or State Association with a professional workshop or course - call us at 313 884-8920 to arrange > PTManager encourages participation in your professional association. Join and participate now! > Quote Link to comment Share on other sites More sharing options...
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