Guest guest Posted August 2, 2009 Report Share Posted August 2, 2009 Dear Group, Would appreciate assistance with finding CMS regulations regarding 97001, PT Evaluation and 97003, OT Evaluation, as well as what you routinely do. The scenario is that a therapist sees an outpatient after the patient was seen by a provider in our system. The patient is from out of town and will be getting on-going PT or OT once he/she returns home, but the surgeon wants the patient started right away with specific things in mind. The therapist here needs to evaluate the patient and then proceed with treatment. The therapist where the patient lives - it seems that he or she would certainly need to do the same. Is it allowable for both to submit initial evaluation charges? Will the second one be denied? It also happens the other way around, when a patient decides to change sites and come here, but has been seen elsewhere already for therapy. So.., the patient is changing sites, but not exactly changing the setting - both are outpatient settings. Many thanks for any assistance you can provide - citings in the CMS regs, suggestions on resources, etc. Jackins, P.T. Manager Exercise Training Center, Eastside Specialty Center Box 354745; 4245 Roosevelt Way NE University of Washington Medical Center FAX Pager Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply email, and then destroy all copies of the message and any attachments. Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.