Guest guest Posted February 16, 2011 Report Share Posted February 16, 2011 I know this topic has been previously discussed but I cannot access those posts. For plans of care that may be devloped by either a PT or OT, e.g. lymphedema, hand therapy, work rehab, etc., my understanding is that only PT/PTA staff can carry out a PT plan of care, and same for OT. Other than a PT supervising an OT in application of modalities for which the OT received special training/certification, I'm aware of no other situations where it's allowable for an OT or OT Assistant to carry out a PT plan of care under the supervision of a PT, or for PT or PT Assistant to carry out an OT plan of care under the supervision of an OT, regardless of overlaps in training/competencies of the PT and OT (and assistants). Just looking for confirmation of this, and any references. I practice in Illinois and have reviewd the practice act - though not specifically prohibited, cross-discipline supervision/practice is not included in scope of practice. I imagine Medicare would neither allow billing for any PT services under OT plan of care and vice versa. Thanks in advance for your feedback. Leonard Paladino, PT Geneva, IL 60134 leonard.paladino@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 16, 2011 Report Share Posted February 16, 2011 Hi, Leonard -- Thanks for your post on this topic. We all need to learn to recite: " PT and OT are separate and distinct professions. " Just as Neurosurgery is different from Podiatry, we are separate professions. Dr. Dick Hillyer, PT,DPT,MBA,MSM _____ From: PTManager [mailto:PTManager ] On Behalf Of lpaladino300 Sent: Wednesday, February 16, 2011 1:13 PM To: PTManager Subject: PT vs OT supervision I know this topic has been previously discussed but I cannot access those posts. For plans of care that may be devloped by either a PT or OT, e.g. lymphedema, hand therapy, work rehab, etc., my understanding is that only PT/PTA staff can carry out a PT plan of care, and same for OT. Other than a PT supervising an OT in application of modalities for which the OT received special training/certification, I'm aware of no other situations where it's allowable for an OT or OT Assistant to carry out a PT plan of care under the supervision of a PT, or for PT or PT Assistant to carry out an OT plan of care under the supervision of an OT, regardless of overlaps in training/competencies of the PT and OT (and assistants). Just looking for confirmation of this, and any references. I practice in Illinois and have reviewd the practice act - though not specifically prohibited, cross-discipline supervision/practice is not included in scope of practice. I imagine Medicare would neither allow billing for any PT services under OT plan of care and vice versa. Thanks in advance for your feedback. Leonard Paladino, PT Geneva, IL 60134 leonard.paladino@... <mailto:leonard.paladino%40delnor.com> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 16, 2011 Report Share Posted February 16, 2011 well said... Tony Abrahano, PT PT vs OT supervision I know this topic has been previously discussed but I cannot access those posts. For plans of care that may be devloped by either a PT or OT, e.g. lymphedema, hand therapy, work rehab, etc., my understanding is that only PT/PTA staff can carry out a PT plan of care, and same for OT. Other than a PT supervising an OT in application of modalities for which the OT received special training/certification, I'm aware of no other situations where it's allowable for an OT or OT Assistant to carry out a PT plan of care under the supervision of a PT, or for PT or PT Assistant to carry out an OT plan of care under the supervision of an OT, regardless of overlaps in training/competencies of the PT and OT (and assistants). Just looking for confirmation of this, and any references. I practice in Illinois and have reviewd the practice act - though not specifically prohibited, cross-discipline supervision/practice is not included in scope of practice. I imagine Medicare would neither allow billing for any PT services under OT plan of care and vice versa. Thanks in advance for your feedback. Leonard Paladino, PT Geneva, IL 60134 leonard.paladino@... <mailto:leonard.paladino%40delnor.com>; Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 17, 2011 Report Share Posted February 17, 2011 Thanks, Dick. I did receive some feedback from a non-therapist supervisor of a lymphedema program that they DO allow cross-discipline treatment of lymphedema treatments (both PT and OT share treatment of patient under one plan of care). Rationale was that this is a " certified " competency, so allowable for both therapists to act interchangeably. Again, I'm not aware of practice act excepting this situation, but am interested in other's perspective. Leonard > > Hi, Leonard -- > > Thanks for your post on this topic. We all need to learn to recite: " PT and > OT are separate and distinct professions. " > Just as Neurosurgery is different from Podiatry, we are separate > professions. > > Dr. Dick Hillyer, PT,DPT,MBA,MSM > > _____ > > From: PTManager [mailto:PTManager ] On Behalf > Of lpaladino300 > Sent: Wednesday, February 16, 2011 1:13 PM > To: PTManager > Subject: PT vs OT supervision > > > > > I know this topic has been previously discussed but I cannot access those > posts. For plans of care that may be devloped by either a PT or OT, e.g. > lymphedema, hand therapy, work rehab, etc., my understanding is that only > PT/PTA staff can carry out a PT plan of care, and same for OT. Other than a > PT supervising an OT in application of modalities for which the OT received > special training/certification, I'm aware of no other situations where it's > allowable for an OT or OT Assistant to carry out a PT plan of care under the > supervision of a PT, or for PT or PT Assistant to carry out an OT plan of > care under the supervision of an OT, regardless of overlaps in > training/competencies of the PT and OT (and assistants). > > Just looking for confirmation of this, and any references. I practice in > Illinois and have reviewd the practice act - though not specifically > prohibited, cross-discipline supervision/practice is not included in scope > of practice. > > I imagine Medicare would neither allow billing for any PT services under OT > plan of care and vice versa. > > Thanks in advance for your feedback. > > Leonard Paladino, PT > Geneva, IL 60134 > > leonard.paladino@... <mailto:leonard.paladino%40delnor.com> > > > > > > > Quote Link to comment Share on other sites More sharing options...
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