Guest guest Posted May 11, 2009 Report Share Posted May 11, 2009 Here's what I do. If a patient has an order for PT and the patient wishes to see me, I do an eval, generate a plan of treatment and fax it to the MD for signature. Sometimes I call the MD, especially if it's at an ALF facility. Depending on insurance, it's no so much the order that matters as much as the plan of treatment. Whichever discipline is seeing the patient a signed plan of treatment must be generated by that discipline and signed. Ron Carson MHS, OT Hope Therapy Services, LLC www.HopeTherapyServices.com ===============<Original Message>=============== On 5/11/2009, bogardtherapy@... said: JB> Can an OT perform services if the order has been written for PT, if JB> the OT is trained in the area such as shoulder, or the PT is JB> booked/or none on staff at the time. JB> JB> Bogard, M.S., CCC-SLP JB> Bogard Therapy & Rehab JB> 949 Hwy 79 JB> Dover, TN 37058 JB> JB> _________________________________________________________________ JB> Hotmail® goes with you. JB> http://windowslive.com/Tutorial/Hotmail/Mobile?ocid=TXT_TAGLM_WL_HM_Tutorial_Mob\ ile1_052009 JB> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 11, 2009 Report Share Posted May 11, 2009 No. OT and PT orders are not interchangeable for shoulder rehab anymore than OT and SLP orders can be interchanged for swallowing evaluation and treatment. M. Ball, PT, DPT, PhD From: PTManager [mailto:PTManager ] On Behalf Of Bogard Sent: Monday, May 11, 2009 12:19 PM To: ptmanager Subject: OT/PT Can an OT perform services if the order has been written for PT, if the OT is trained in the area such as shoulder, or the PT is booked/or none on staff at the time. Bogard, M.S., CCC-SLP Bogard Therapy & Rehab 949 Hwy 79 Dover, TN 37058 __________________________________________________________ HotmailR goes with you. http://windowslive.com/Tutorial/Hotmail/Mobile?ocid=TXT_TAGLM_WL_HM_Tutorial _Mobile1_052009 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 11, 2009 Report Share Posted May 11, 2009 No. OT and PT orders are not interchangeable for shoulder rehab anymore than OT and SLP orders can be interchanged for swallowing evaluation and treatment. M. Ball, PT, DPT, PhD From: PTManager [mailto:PTManager ] On Behalf Of Bogard Sent: Monday, May 11, 2009 12:19 PM To: ptmanager Subject: OT/PT Can an OT perform services if the order has been written for PT, if the OT is trained in the area such as shoulder, or the PT is booked/or none on staff at the time. Bogard, M.S., CCC-SLP Bogard Therapy & Rehab 949 Hwy 79 Dover, TN 37058 __________________________________________________________ HotmailR goes with you. http://windowslive.com/Tutorial/Hotmail/Mobile?ocid=TXT_TAGLM_WL_HM_Tutorial _Mobile1_052009 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 13, 2009 Report Share Posted May 13, 2009 Ron, You would have to look at your particular state practive act. In Alabama, performing an eval that is not ordered is subject to fine or license revocation. Repeat offenders are subject to other legal activities. Your state may be fine to perform direct access by an OT. I do believe that you are the one who needs to be familiar with your state acts/laws, etc. as I do not know which state you reside or practice in. Best of intentions, Lane Lane Blondheim, PT, MT Active Health and Rehab Montgomery, AL > >> > >> Here's what I do. If a patient has an order for PT and the patient > >> wishes to see me, I do an eval, generate a plan of treatment and fax it > >> to the MD for signature. Sometimes I call the MD, especially if it's at > >> an ALF facility. > >> > >> Depending on insurance, it's no so much the order that matters as much > >> as the plan of treatment. Whichever discipline is seeing the patient a > >> signed plan of treatment must be generated by that discipline and > >> signed. > >> > >> > >> Ron Carson MHS, OT > >> Hope Therapy Services, LLC > >> www.HopeTherapyServices.com > >> > >> ===============<Original Message>=============== > >> > >> On 5/11/2009, bogardtherapy@ said: > >> > >> > >> JB> Can an OT perform services if the order has been written for PT, if > >> JB> the OT is trained in the area such as shoulder, or the PT is > >> JB> booked/or none on staff at the time. > >> > >> JB> > >> JB> Bogard, M.S., CCC-SLP > >> JB> Bogard Therapy & Rehab > >> JB> 949 Hwy 79 > >> JB> Dover, TN 37058 > >> JB> > >> > >> > >> > >> JB> _________________________________________________________________ > >> JB> Hotmail® goes with you. > >> JB> http://windowslive.com/Tutorial/Hotmail/Mobile?ocid=TXT_TAGLM_WL_HM_Tutorial_Mob\ ile1_052009 > >> > >> JB> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 13, 2009 Report Share Posted May 13, 2009 Thanks Lane. Now I understand where you are coming from. OT does have direct access in my state. Ron Carson MHS, OT Hope Therapy Services, LLC www.HopeTherapyServices.com ===============<Original Message>=============== On 5/13/2009, lane_blondheim@... said: LB> Ron, LB> You would have to look at your particular state practive act. In LB> Alabama, performing an eval that is not ordered is subject to fine LB> or license revocation. Repeat offenders are subject to other legal activities. LB> Your state may be fine to perform direct access by an OT. LB> I do believe that you are the one who needs to be familiar with LB> your state acts/laws, etc. as I do not know which state you reside or practice in. LB> Best of intentions, LB> Lane LB> Lane Blondheim, PT, MT LB> Active Health and Rehab LB> Montgomery, AL LB> >> >> >> >> Here's what I do. If a patient has an order for PT and the patient >> >> wishes to see me, I do an eval, generate a plan of treatment and fax it >> >> to the MD for signature. Sometimes I call the MD, especially if it's at >> >> an ALF facility. >> >> >> >> Depending on insurance, it's no so much the order that matters as much >> >> as the plan of treatment. Whichever discipline is seeing the patient a >> >> signed plan of treatment must be generated by that discipline and >> >> signed. >> >> >> >> >> >> Ron Carson MHS, OT >> >> Hope Therapy Services, LLC >> >> www.HopeTherapyServices.com >> >> >> >> ===============<Original Message>=============== >> >> >> >> On 5/11/2009, bogardtherapy@ said: >> >> >> >> >> >> JB> Can an OT perform services if the order has been written for PT, if >> >> JB> the OT is trained in the area such as shoulder, or the PT is >> >> JB> booked/or none on staff at the time. >> >> >> >> JB> >> >> JB> Bogard, M.S., CCC-SLP >> >> JB> Bogard Therapy & Rehab >> >> JB> 949 Hwy 79 >> >> JB> Dover, TN 37058 >> >> JB> >> >> >> >> >> >> >> >> JB> _________________________________________________________________ >> >> JB> Hotmail® goes with you. >> >> JB> http://windowslive.com/Tutorial/Hotmail/Mobile?ocid=TXT_TAGLM_WL_HM_Tutorial_Mob\ ile1_052009 >> >> >> >> JB> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 13, 2009 Report Share Posted May 13, 2009 Thanks Lane. Now I understand where you are coming from. OT does have direct access in my state. Ron Carson MHS, OT Hope Therapy Services, LLC www.HopeTherapyServices.com ===============<Original Message>=============== On 5/13/2009, lane_blondheim@... said: LB> Ron, LB> You would have to look at your particular state practive act. In LB> Alabama, performing an eval that is not ordered is subject to fine LB> or license revocation. Repeat offenders are subject to other legal activities. LB> Your state may be fine to perform direct access by an OT. LB> I do believe that you are the one who needs to be familiar with LB> your state acts/laws, etc. as I do not know which state you reside or practice in. LB> Best of intentions, LB> Lane LB> Lane Blondheim, PT, MT LB> Active Health and Rehab LB> Montgomery, AL LB> >> >> >> >> Here's what I do. If a patient has an order for PT and the patient >> >> wishes to see me, I do an eval, generate a plan of treatment and fax it >> >> to the MD for signature. Sometimes I call the MD, especially if it's at >> >> an ALF facility. >> >> >> >> Depending on insurance, it's no so much the order that matters as much >> >> as the plan of treatment. Whichever discipline is seeing the patient a >> >> signed plan of treatment must be generated by that discipline and >> >> signed. >> >> >> >> >> >> Ron Carson MHS, OT >> >> Hope Therapy Services, LLC >> >> www.HopeTherapyServices.com >> >> >> >> ===============<Original Message>=============== >> >> >> >> On 5/11/2009, bogardtherapy@ said: >> >> >> >> >> >> JB> Can an OT perform services if the order has been written for PT, if >> >> JB> the OT is trained in the area such as shoulder, or the PT is >> >> JB> booked/or none on staff at the time. >> >> >> >> JB> >> >> JB> Bogard, M.S., CCC-SLP >> >> JB> Bogard Therapy & Rehab >> >> JB> 949 Hwy 79 >> >> JB> Dover, TN 37058 >> >> JB> >> >> >> >> >> >> >> >> JB> _________________________________________________________________ >> >> JB> Hotmail® goes with you. >> >> JB> http://windowslive.com/Tutorial/Hotmail/Mobile?ocid=TXT_TAGLM_WL_HM_Tutorial_Mob\ ile1_052009 >> >> >> >> JB> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 13, 2009 Report Share Posted May 13, 2009 Re: the lymphedema / hand question - our lymphedema is performed solely by OTs, but Hand Therapy has in the recent past had both OT/PTs. We specifically have " Hand Therapy " as a selection on our prescriptions. If the script came in with OT or PT selected (instead of Hand), the patient would be scheduled on the appropriate discipline. The evaluator would then specifically ask the MD on the eval (which we get back signed) if it was OK for Hand Therapy to treat, including both OT/PT. We never had an MD say no. We never had the other discipline scheduled until we got that OK (even if verbally to start.) For the eval itself.... If the PT hand therapist performs the eval, and then an OT hand therapist follows treatment, the OT would review the PT's eval, plan, and goals, and specifically document in their first treatment note that the PT plan/goals were reviewed and agreed with. Occasionally the OT might add a goal or do an additional assessment, but our Hand Therapists worked so closely together it was rare when there were major plan disagreements. It got trickier with us because we also have a COTA, who can only follow an OTs plan, so she had to be sure that the OT saw the pt. before being placed on her schedule. That's how we personally worked it out. Currently we only have OTs in HT, so it makes it much easier for everyone involved. a Hranicka, OT/L Clinical Program Leader Occupational Therapy, HealthPlace Physical & Hand Therapy Tuality Healthcare Hillsboro, OR erica.hranicka@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 13, 2009 Report Share Posted May 13, 2009 Re: hand therapy, I was wondering what folks have been charging for splinting. I work in an acute hospital setting, with satellite outpatient offices. I have been trying to locate specific codes that would be reimbursed through Medicare. Does anyone have any specific codes for specific splints, that would be appropriate in MA and in an acute hospital setting? Thanks Colette Fellows OTR/L ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of erica.hranicka@... Sent: Wednesday, May 13, 2009 12:53 PM To: PTManager Subject: Re: OT/PT Re: the lymphedema / hand question - our lymphedema is performed solely by OTs, but Hand Therapy has in the recent past had both OT/PTs. We specifically have " Hand Therapy " as a selection on our prescriptions. If the script came in with OT or PT selected (instead of Hand), the patient would be scheduled on the appropriate discipline. The evaluator would then specifically ask the MD on the eval (which we get back signed) if it was OK for Hand Therapy to treat, including both OT/PT. We never had an MD say no. We never had the other discipline scheduled until we got that OK (even if verbally to start.) For the eval itself.... If the PT hand therapist performs the eval, and then an OT hand therapist follows treatment, the OT would review the PT's eval, plan, and goals, and specifically document in their first treatment note that the PT plan/goals were reviewed and agreed with. Occasionally the OT might add a goal or do an additional assessment, but our Hand Therapists worked so closely together it was rare when there were major plan disagreements. It got trickier with us because we also have a COTA, who can only follow an OTs plan, so she had to be sure that the OT saw the pt. before being placed on her schedule. That's how we personally worked it out. Currently we only have OTs in HT, so it makes it much easier for everyone involved. a Hranicka, OT/L Clinical Program Leader Occupational Therapy, HealthPlace Physical & Hand Therapy Tuality Healthcare Hillsboro, OR erica.hranicka@... <mailto:erica.hranicka%40tuality.org> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 21, 2009 Report Share Posted May 21, 2009 , An OT cannot treat under a PT order, even if it under the OT's state practice act. The physician's office would need to be contacted for an OT prescription. Bill Pfizenmaier, MS, PT, ATCL Director of Rehab Services Ransom Memorial Hospital 1301 S. Main St. Ottawa, KS 66067 OT/PT Can an OT perform services if the order has been written for PT, if the OT is trained in the area such as shoulder, or the PT is booked/or none on staff at the time. Bogard, M.S., CCC-SLP Bogard Therapy & Rehab 949 Hwy 79 Dover, TN 37058 __________________________________________________________ Hotmail® goes with you. http://windowslive. <http://windowslive.com/Tutorial/Hotmail/Mobile?ocid=TXT_TAGLM_WL_HM_Tutorial_Mo\ bile1_052009> com/Tutorial/Hotmail/Mobile?ocid=TXT_TAGLM_WL_HM_Tutorial_Mobile1_052009 Quote Link to comment Share on other sites More sharing options...
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