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Re: Medicare cap question

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True. If the outpatient therapy she received was in a hospital building, the

cap does not apply. The cap applies in non hospital settings for outpatient

therapy.

Rutuja

Speech-Language Pathologist.

>

> A situation just arose with a patient who has been receiving therapy in

> our hospital-based outpatient clinic. She is now being seen in another

> city for a different problem in a private PT clinic. The therapist in

> the private clinic tells the patient that the previous services she

> received does not " count " toward the cap.

>

> True or False?? We don't want to give the patient the wrong answer . .

> .

>

> Irene Bartlett, Rehab Director

> Mercy-Des Moines

>

>

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Guest guest

False,I am afraid this is misinformation. My understanding is that

any therapy monies she spent at a hospital based outpt. facility

would count towards the cap if she were to then transfer to a free

standing outpatient facitlity not associated with the hospital.

There may be, however, other exceptions based on diagnosis or co-

morbidities that could be applied, these, and all the rules

regarding exceptions to the cap are well explained at the CMS web-

site, someone before me posted the link to the transmital, the best

advice would be to read that thoroughly to avoid spreading

misinformation.

E. s, PT, DPT, OCS

www.douglasspt.com

> >

> > A situation just arose with a patient who has been receiving

therapy in

> > our hospital-based outpatient clinic. She is now being seen in

another

> > city for a different problem in a private PT clinic. The

therapist in

> > the private clinic tells the patient that the previous services

she

> > received does not " count " toward the cap.

> >

> > True or False?? We don't want to give the patient the wrong

answer . .

> > .

> >

> > Irene Bartlett, Rehab Director

> > Mercy-Des Moines

> >

> >

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Guest guest

Hi ,

I've never heard of that before. Do you know where you read that? The link to

the exceptions process does not describe this and I don't remember seeing it in

the Medicare Transmittals I've read.

Thanks,

Jill Piazza, PT, MSPT

Florida Hospital DeLand

Re: Medicare cap question

False,I am afraid this is misinformation. My understanding is that

any therapy monies she spent at a hospital based outpt. facility

would count towards the cap if she were to then transfer to a free

standing outpatient facitlity not associated with the hospital.

There may be, however, other exceptions based on diagnosis or co-

morbidities that could be applied, these, and all the rules

regarding exceptions to the cap are well explained at the CMS web-

site, someone before me posted the link to the transmital, the best

advice would be to read that thoroughly to avoid spreading

misinformation.

E. s, PT, DPT, OCS

www.douglasspt.com

> >

> > A situation just arose with a patient who has been receiving

therapy in

> > our hospital-based outpatient clinic. She is now being seen in

another

> > city for a different problem in a private PT clinic. The

therapist in

> > the private clinic tells the patient that the previous services

she

> > received does not " count " toward the cap.

> >

> > True or False?? We don't want to give the patient the wrong

answer . .

> > .

> >

> > Irene Bartlett, Rehab Director

> > Mercy-Des Moines

> >

> >

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Guest guest

http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp

<http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp>

PowerPoint Presentation for Outpatient Therapy Caps

The PowerPoint Presentation (see Downloads section below) was developed

to explain the financial limitation on outpatient therapy services. The

Social Security Act provides for a limit to services paid under Part B

for outpatient therapy services, with the exception of services provided

in outpatient hospitals. These slides were developed before the Deficit

Reduction Act and are applicable to those providers, suppliers and

beneficiaries who are subject to the caps and are not eligible for

exception from the caps.

Cheri Freeman, CMRS

Mountain View Physical Therapy

> > >

> > > A situation just arose with a patient who has been receiving

> therapy in

> > > our hospital-based outpatient clinic. She is now being seen in

> another

> > > city for a different problem in a private PT clinic. The

> therapist in

> > > the private clinic tells the patient that the previous services

> she

> > > received does not " count " toward the cap.

> > >

> > > True or False?? We don't want to give the patient the wrong

> answer . .

> > > .

> > >

> > > Irene Bartlett, Rehab Director

> > > Mercy-Des Moines

> > >

> > >

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Guest guest

Irene,

True. Here is the specific reference...

" Therefore, effective January 2007, Medicare beneficiaries are subject

to a $1780 per beneficiary annual financial limitation on physical

therapy services and speech language pathology services and a separate

$1780 per beneficiary limitation on occupational therapy services

unless they qualify for an exception. The limits apply to outpatient

Part B therapy services provided in all settings except outpatient

hospitals. "

The reference in on the APTA website under 'Medicare'. There is a

link to the CMS documentation (Benefit Policy Manual, Program

Integrity Manual and Claims Processing Manual).

Each document runs 30-45 pages and is fairly technical reading but I

recommend any PT manager, owner, corporate compliance person, etc.

familiarize themselves with these 'source documents'.

They change incrementally every 6 months or so but once you have

acquired a thorough understanding the changes are simple.

Contact me at timrichpt@... for additional references or

information.

Tim

Tim , PT

Medical Arts Rehabilitation, Inc.

www.MedicalArtsRehab.com

'Get Better Physical Therapy'

>

> A situation just arose with a patient who has been receiving therapy in

> our hospital-based outpatient clinic. She is now being seen in another

> city for a different problem in a private PT clinic. The therapist in

> the private clinic tells the patient that the previous services she

> received does not " count " toward the cap.

>

> True or False?? We don't want to give the patient the wrong answer . .

> .

>

> Irene Bartlett, Rehab Director

> Mercy-Des Moines

>

>

>

>

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Guest guest

Actually any therapy received in an outpatient hospital setting is

NOT counted towards the cap! They are the only ones that are exempt

from the cap. It does not matter whether they go to an outpatient

department at the hospital first or after your facility, it is

exempt. It does state this on CMS website!

Go to CMS WEBSITE, click on questions, under [section]

pick 'MEDICARE', under [enter a search term] type 'PHYSICAL THERAPY

IN AN OUTPATIENT SETTING AND CAP', hit enter.

This is the link if you want to copy and try it that way.

http://questions.cms.hhs.gov/cgi-

bin/cmshhs.cfg/php/enduser/std_adp.php?

p_faqid=2821 & p_created=1084973049 & p_sid=fDSrG3Ci & p_accessibility=0 & p_l

va= & p_sp=cF9zcmNoPTEmcF9zb3J0X2J5PSZwX2dyaWRzb3J0PSZwX3Jvd19jbnQ9MiZwX

3Byb2RzPTgmcF9jYXRzPSZwX3B2PTEuOCZwX2N2PSZwX3NlYXJjaF90eXBlPWFuc3dlcnM

uc2VhcmNoX25sJnBfcGFnZT0xJnBfc2VhcmNoX3RleHQ9b3V0cGF0aWVudCBwaHlzaWNhb

CB0aGVyYXB5IGluIGhvc3BpdGFsIHNldHRpbmcgYW5kICBjYXA* & p_li= & p_topview=1

All other therapy goes toward the cap but you always have the option

of using the KX modifier and being paid. You just have to make sure

that the diagnosis is on the list and the rest of the required

criteria is met and as always that your documentation supports the

services. I am wondering what transmital you were directed to?? Could

you let me know?

Hope this helps clear up any questions.

Debbie Prusack

Alternative Medical Billing, Inc.

alternativemedbill@...

phone

fax

> > >

> > > A situation just arose with a patient who has been receiving

> therapy in

> > > our hospital-based outpatient clinic. She is now being seen in

> another

> > > city for a different problem in a private PT clinic. The

> therapist in

> > > the private clinic tells the patient that the previous services

> she

> > > received does not " count " toward the cap.

> > >

> > > True or False?? We don't want to give the patient the wrong

> answer . .

> > > .

> > >

> > > Irene Bartlett, Rehab Director

> > > Mercy-Des Moines

> > >

> > >

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Guest guest

Jill,

I stand corrected, I spoke with my practice manager about this and

she noted that hospital based monies spent are only subject to the

cap if billed under part B, so it would depend on how the

outpatient/hospital based facility was structured, if they bill part

B, the money spent would count towards the cap when they transfered

to a non hospital based facility, if they billed part A, as I

understand most do, the monies spent would not count against the

cap. Again points to the need to get this type of information

directly from CMS and not from a message board, I apologize for the

confusion.

E. s, PT, DPT, OCS

wwww.douglasspt.com

> > >

> > > A situation just arose with a patient who has been receiving

> therapy in

> > > our hospital-based outpatient clinic. She is now being seen

in

> another

> > > city for a different problem in a private PT clinic. The

> therapist in

> > > the private clinic tells the patient that the previous

services

> she

> > > received does not " count " toward the cap.

> > >

> > > True or False?? We don't want to give the patient the wrong

> answer . .

> > > .

> > >

> > > Irene Bartlett, Rehab Director

> > > Mercy-Des Moines

> > >

> > >

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Guest guest

Dear PT Manager,

Does any PT Manager member know of a practicing PT who is visually impaired?

One of my patients has a son who is visually impaired and very interested in

becoming a PT. I do not see how this would be possible but thought

I'd bounce it off the Forum here before I passed my opinion on to them. I

am thinking that speech pathology would be a better bet since the

observation

portion of the evaluation would likely be minimal. Any SLP's who would like

to offer their opinion?

Joe Ruzich, PT

Pueblo, CO

_____

From: PTManager [mailto:PTManager ] On Behalf

Of mom4td

Sent: Sunday, May 20, 2007 7:28 AM

To: PTManager

Subject: Re: Medicare cap question

http://www.cms. <http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp>

hhs.gov/TherapyServices/03_therapycaps.asp

<http://www.cms. <http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp>

hhs.gov/TherapyServices/03_therapycaps.asp>

PowerPoint Presentation for Outpatient Therapy Caps

The PowerPoint Presentation (see Downloads section below) was developed

to explain the financial limitation on outpatient therapy services. The

Social Security Act provides for a limit to services paid under Part B

for outpatient therapy services, with the exception of services provided

in outpatient hospitals. These slides were developed before the Deficit

Reduction Act and are applicable to those providers, suppliers and

beneficiaries who are subject to the caps and are not eligible for

exception from the caps.

Cheri Freeman, CMRS

Mountain View Physical Therapy

> > >

> > > A situation just arose with a patient who has been receiving

> therapy in

> > > our hospital-based outpatient clinic. She is now being seen in

> another

> > > city for a different problem in a private PT clinic. The

> therapist in

> > > the private clinic tells the patient that the previous services

> she

> > > received does not " count " toward the cap.

> > >

> > > True or False?? We don't want to give the patient the wrong

> answer . .

> > > .

> > >

> > > Irene Bartlett, Rehab Director

> > > Mercy-Des Moines

> > >

> > >

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Guest guest

Tim,

Thank you for providing the direct qoute from CMS. To Rutuja, it

appears that it is I who has been spreading misinformation on this

subject, something I so rudely accused you of on a previous post,

please accept my humble apology.

E. s, PT, DPT, OCS

www.douglasspt.com

> >

> > A situation just arose with a patient who has been receiving

therapy in

> > our hospital-based outpatient clinic. She is now being seen in

another

> > city for a different problem in a private PT clinic. The

therapist in

> > the private clinic tells the patient that the previous services

she

> > received does not " count " toward the cap.

> >

> > True or False?? We don't want to give the patient the wrong

answer . .

> > .

> >

> > Irene Bartlett, Rehab Director

> > Mercy-Des Moines

> >

> >

> >

> >

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Guest guest

From: Garner, Lynne

Sent: Monday, May 21, 2007 2:01 PM

To: Bartlett, Irene

Subject: RE: Re: Medicare cap question

It depends on the visual impairment; however speech pathology would be

difficult as there is so much nonverbal communication involved (for both

children and adults). I would have the individual discuss the

profession with university staff and also participate in job shadowing.

Lynne Garner, SLP

________________________________

________________________________

From: PTManager [mailto:PTManager ] On

Behalf Of Joe Ruzich

Sent: Monday, May 21, 2007 10:44 AM

To: PTManager

Subject: RE: Re: Medicare cap question

Dear PT Manager,

Does any PT Manager member know of a practicing PT who is visually

impaired?

One of my patients has a son who is visually impaired and very

interested in

becoming a PT. I do not see how this would be possible but thought

I'd bounce it off the Forum here before I passed my opinion on to them.

I

am thinking that speech pathology would be a better bet since the

observation

portion of the evaluation would likely be minimal. Any SLP's who would

like

to offer their opinion?

Joe Ruzich, PT

Pueblo, CO

_____

From: PTManager <mailto:PTManager%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ]

On Behalf

Of mom4td

Sent: Sunday, May 20, 2007 7:28 AM

To: PTManager <mailto:PTManager%40yahoogroups.com>

Subject: Re: Medicare cap question

http://www.cms.

<http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp

<http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp> >

hhs.gov/TherapyServices/03_therapycaps.asp

<http://www.cms.

<http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp

<http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp> >

hhs.gov/TherapyServices/03_therapycaps.asp>

PowerPoint Presentation for Outpatient Therapy Caps

The PowerPoint Presentation (see Downloads section below) was developed

to explain the financial limitation on outpatient therapy services. The

Social Security Act provides for a limit to services paid under Part B

for outpatient therapy services, with the exception of services provided

in outpatient hospitals. These slides were developed before the Deficit

Reduction Act and are applicable to those providers, suppliers and

beneficiaries who are subject to the caps and are not eligible for

exception from the caps.

Cheri Freeman, CMRS

Mountain View Physical Therapy

> > >

> > > A situation just arose with a patient who has been receiving

> therapy in

> > > our hospital-based outpatient clinic. She is now being seen in

> another

> > > city for a different problem in a private PT clinic. The

> therapist in

> > > the private clinic tells the patient that the previous services

> she

> > > received does not " count " toward the cap.

> > >

> > > True or False?? We don't want to give the patient the wrong

> answer . .

> > > .

> > >

> > > Irene Bartlett, Rehab Director

> > > Mercy-Des Moines

> > >

> > >

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Guest guest

I do not know personally of a visually impaired practicing PT, but I do know

that one of the faculty at Marquette University went to Lithuania for a year to

instruct in their PT program. I know he had two blind students in his classes.

He teaches Kinesiology and felt that both individuals were some of his strongest

students in the class. I would not rule out the possibility that this

population could become effective clinicians. Besides, isn't the profession

about (among other things) breaking stereotypes of what can and cant be done

with various disabilities. You haven't seen anything, until you have seen bungi

jumping in a a wheelchair!!

Doug Mazur MS PT

Pinnacle Physical Therapy

Joe Ruzich wrote:

Dear PT Manager,

Does any PT Manager member know of a practicing PT who is visually impaired?

One of my patients has a son who is visually impaired and very interested in

becoming a PT. I do not see how this would be possible but thought

I'd bounce it off the Forum here before I passed my opinion on to them. I

am thinking that speech pathology would be a better bet since the

observation

portion of the evaluation would likely be minimal. Any SLP's who would like

to offer their opinion?

Joe Ruzich, PT

Pueblo, CO

_____

From: PTManager [mailto:PTManager ] On Behalf

Of mom4td

Sent: Sunday, May 20, 2007 7:28 AM

To: PTManager

Subject: Re: Medicare cap question

http://www.cms. <http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp>

hhs.gov/TherapyServices/03_therapycaps.asp

<http://www.cms. <http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp>

hhs.gov/TherapyServices/03_therapycaps.asp>

PowerPoint Presentation for Outpatient Therapy Caps

The PowerPoint Presentation (see Downloads section below) was developed

to explain the financial limitation on outpatient therapy services. The

Social Security Act provides for a limit to services paid under Part B

for outpatient therapy services, with the exception of services provided

in outpatient hospitals. These slides were developed before the Deficit

Reduction Act and are applicable to those providers, suppliers and

beneficiaries who are subject to the caps and are not eligible for

exception from the caps.

Cheri Freeman, CMRS

Mountain View Physical Therapy

> > >

> > > A situation just arose with a patient who has been receiving

> therapy in

> > > our hospital-based outpatient clinic. She is now being seen in

> another

> > > city for a different problem in a private PT clinic. The

> therapist in

> > > the private clinic tells the patient that the previous services

> she

> > > received does not " count " toward the cap.

> > >

> > > True or False?? We don't want to give the patient the wrong

> answer . .

> > > .

> > >

> > > Irene Bartlett, Rehab Director

> > > Mercy-Des Moines

> > >

> > >

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Guest guest

Dear Joe,

Contact Herm Triezenburg or Mostrom at Central Michigan University

in Mt. Pleasant, MI. They are both professors who have worked with a visually

impaired therapist.

They could give you a good idea of what is needed.

Jill Sedmak, MSPT, ATC

Director of Therapy

Clinton Twp, MI

Joe Ruzich wrote:

Dear PT Manager,

Does any PT Manager member know of a practicing PT who is visually impaired?

One of my patients has a son who is visually impaired and very interested in

becoming a PT. I do not see how this would be possible but thought

I'd bounce it off the Forum here before I passed my opinion on to them. I

am thinking that speech pathology would be a better bet since the

observation

portion of the evaluation would likely be minimal. Any SLP's who would like

to offer their opinion?

Joe Ruzich, PT

Pueblo, CO

_____

From: PTManager [mailto:PTManager ] On Behalf

Of mom4td

Sent: Sunday, May 20, 2007 7:28 AM

To: PTManager

Subject: Re: Medicare cap question

http://www.cms. <http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp>

hhs.gov/TherapyServices/03_therapycaps.asp

<http://www.cms. <http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp>

hhs.gov/TherapyServices/03_therapycaps.asp>

PowerPoint Presentation for Outpatient Therapy Caps

The PowerPoint Presentation (see Downloads section below) was developed

to explain the financial limitation on outpatient therapy services. The

Social Security Act provides for a limit to services paid under Part B

for outpatient therapy services, with the exception of services provided

in outpatient hospitals. These slides were developed before the Deficit

Reduction Act and are applicable to those providers, suppliers and

beneficiaries who are subject to the caps and are not eligible for

exception from the caps.

Cheri Freeman, CMRS

Mountain View Physical Therapy

> > >

> > > A situation just arose with a patient who has been receiving

> therapy in

> > > our hospital-based outpatient clinic. She is now being seen in

> another

> > > city for a different problem in a private PT clinic. The

> therapist in

> > > the private clinic tells the patient that the previous services

> she

> > > received does not " count " toward the cap.

> > >

> > > True or False?? We don't want to give the patient the wrong

> answer . .

> > > .

> > >

> > > Irene Bartlett, Rehab Director

> > > Mercy-Des Moines

> > >

> > >

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Share on other sites

Guest guest

Joe,

One of my best instructors in school was visually impaired. His name was

Jerry Lee. He didn't talk about it openly very much but he was also a

chiropractor (so he could have direct access). He would always let us know that

people hired us for our brains not our bodies. This was reassuring as we are all

getting older. Jerry was the Therapeutic Exercise instructor at TWU in the late

80's and was pushing the development of differential diagnosis which he was

amazing at. I know he left them for another school but I am not sure where he is

now. If your friend can find him, visually impaired or not he would benefit

greatly.

s- PT, Cert MDT

Bronson Methodist Hospital

Rehabilitation Educator

sB@...

(269)544-3230 Ext. 218

(269)212-0990 Pager

(269)544-3238 fax

Confidential Notice: This e-mail message, including any attachments, is for

the sole use of the intended recipients(s) and may contain confidential and

privileged information. Any unauthorized review; use, disclosure or

distribution is prohibited. If you are not the intended recipient, please

contact the sender by reply e-mail and destroy all copies of the original

message. "

>>> " Joe Ruzich " 5/21/2007 11:43 AM >>>

Dear PT Manager,

Does any PT Manager member know of a practicing PT who is visually impaired?

One of my patients has a son who is visually impaired and very interested in

becoming a PT. I do not see how this would be possible but thought

I'd bounce it off the Forum here before I passed my opinion on to them. I

am thinking that speech pathology would be a better bet since the

observation

portion of the evaluation would likely be minimal. Any SLP's who would like

to offer their opinion?

Joe Ruzich, PT

Pueblo, CO

_____

From: PTManager [mailto:PTManager ] On Behalf

Of mom4td

Sent: Sunday, May 20, 2007 7:28 AM

To: PTManager

Subject: Re: Medicare cap question

http://www.cms. <http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp>

hhs.gov/TherapyServices/03_therapycaps.asp

<http://www.cms. <http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp>

hhs.gov/TherapyServices/03_therapycaps.asp>

PowerPoint Presentation for Outpatient Therapy Caps

The PowerPoint Presentation (see Downloads section below) was developed

to explain the financial limitation on outpatient therapy services. The

Social Security Act provides for a limit to services paid under Part B

for outpatient therapy services, with the exception of services provided

in outpatient hospitals. These slides were developed before the Deficit

Reduction Act and are applicable to those providers, suppliers and

beneficiaries who are subject to the caps and are not eligible for

exception from the caps.

Cheri Freeman, CMRS

Mountain View Physical Therapy

> > >

> > > A situation just arose with a patient who has been receiving

> therapy in

> > > our hospital-based outpatient clinic. She is now being seen in

> another

> > > city for a different problem in a private PT clinic. The

> therapist in

> > > the private clinic tells the patient that the previous services

> she

> > > received does not " count " toward the cap.

> > >

> > > True or False?? We don't want to give the patient the wrong

> answer . .

> > > .

> > >

> > > Irene Bartlett, Rehab Director

> > > Mercy-Des Moines

> > >

> > >

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Guest guest

I'd have to agree. It is difficult for any of us who do not have disabilities

to imagine the possiblities. At my husband's PT school commencement ceremony,

their keynote speaker was an O.T. who was born without arms. She is an amazing

O.T. and an inspiration to both her patients and those around her. She truly

exemplifies what can be done despite a limitation.

Jill Piazza, PT, MSPT

Florida Hospital DeLand

Re: Medicare cap question

>

> http://www.cms.

>

<http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp>hhs.gov/TherapyServic\

es/03_therapycaps.asp

> <http://www.cms.

>

<http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp>hhs.gov/TherapyServic\

es/03_therapycaps.asp>

>

> PowerPoint Presentation for Outpatient Therapy Caps

>

> The PowerPoint Presentation (see Downloads section below) was

> developedto explain the financial limitation on outpatient therapy

> services. The

> Social Security Act provides for a limit to services paid under

> Part B

> for outpatient therapy services, with the exception of services

> providedin outpatient hospitals. These slides were developed

> before the Deficit

> Reduction Act and are applicable to those providers, suppliers and

> beneficiaries who are subject to the caps and are not eligible for

> exception from the caps.

>

> Cheri Freeman, CMRS

>

> Mountain View Physical Therapy

>

>

> > > >

> > > > A situation just arose with a patient who has been receiving

> > therapy in

> > > > our hospital-based outpatient clinic. She is now being seen in

> > another

> > > > city for a different problem in a private PT clinic. The

> > therapist in

> > > > the private clinic tells the patient that the previous services

> > she

> > > > received does not " count " toward the cap.

> > > >

> > > > True or False?? We don't want to give the patient the wrong

> > answer . .

> > > > .

> > > >

> > > > Irene Bartlett, Rehab Director

> > > > Mercy-Des Moines

> > > >

> > > >

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Guest guest

Jill

In the past couple of years I have run across an OT from Cedar Rapids, IA

that lives in Florida. She was born without any arms and has always done

everything without them-including finishing third in the State Diving

championship

in High School and driving a car. Her name was Stoecker (I am pretty

sure that I have misspelled her name), but she might be married and have a

different name now.

I suspect that with the right attitude, anyone could do just about

anything-except of course Stevie Wonder and the late Ray being able to

drive a

bus.

Jim <///><

************************************** See what's free at http://www.aol.com.

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Guest guest

Hi Jill

I have a question for you, if you feel comfortable

answering.

If you utilize Rehab aides what is your average hourly

rate? Mine goes from $7 something to $10.42. Also what

is your prn rate for therapist?

Mine is $35 for all discplines and I was told last

week by a ST that is a low figure and she usually

averages closer to $50. I suspect that is mainly in

the SNF/HH arena.

I am awaiting our survey results from HR but am having

some staffing issues with our aides right now and the

survey won't be here till mid June.

If you can share thanks in advance. If you feel more

comfortable sharing over the phone, you can call me at

819-4323.

Laurie

--- japiazza@... wrote:

> I'd have to agree. It is difficult for any of us

> who do not have disabilities to imagine the

> possiblities. At my husband's PT school

> commencement ceremony, their keynote speaker was an

> O.T. who was born without arms. She is an amazing

> O.T. and an inspiration to both her patients and

> those around her. She truly exemplifies what can be

> done despite a limitation.

>

> Jill Piazza, PT, MSPT

> Florida Hospital DeLand

>

> Re: Medicare cap question

> >

> > http://www.cms.

> >

>

<http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp>hhs.gov/TherapyServic\

es/03_therapycaps.asp

>

> > <http://www.cms.

> >

>

<http://www.cms.hhs.gov/TherapyServices/03_therapycaps.asp>hhs.gov/TherapyServic\

es/03_therapycaps.asp>

>

> >

> > PowerPoint Presentation for Outpatient Therapy

> Caps

> >

> > The PowerPoint Presentation (see Downloads section

> below) was

> > developedto explain the financial limitation on

> outpatient therapy

> > services. The

> > Social Security Act provides for a limit to

> services paid under

> > Part B

> > for outpatient therapy services, with the

> exception of services

> > providedin outpatient hospitals. These slides were

> developed

> > before the Deficit

> > Reduction Act and are applicable to those

> providers, suppliers and

> > beneficiaries who are subject to the caps and are

> not eligible for

> > exception from the caps.

> >

> > Cheri Freeman, CMRS

> >

> > Mountain View Physical Therapy

> >

> >

> > > > >

> > > > > A situation just arose with a patient who

> has been receiving

> > > therapy in

> > > > > our hospital-based outpatient clinic. She is

> now being seen in

> > > another

> > > > > city for a different problem in a private PT

> clinic. The

> > > therapist in

> > > > > the private clinic tells the patient that

> the previous services

> > > she

> > > > > received does not " count " toward the cap.

> > > > >

> > > > > True or False?? We don't want to give the

> patient the wrong

> > > answer . .

> > > > > .

> > > > >

> > > > > Irene Bartlett, Rehab Director

> > > > > Mercy-Des Moines

> > > > >

> > > > > [Non-text portions of this message have been

> removed]

> > > > >

> > > > >

> > > > >

> > > >

> > > >

> > > > [Non-text portions of this message have been

> removed]

> > > >

> > >

> >

> > [Non-text portions of this message have been

> removed]

> >

> > [Non-text portions of this message have been

> removed]

=== message truncated ===

________________________________________________________________________________\

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