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providing PT/OT as an outpatient service in the home

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Could anyone provide direction regarding transmittal/policy/regulations as

to whether physical therapy or occupational therapy services may be provided

to a patient in their home setting? (Looking more at the Medicare side of

this.)

We have a patient who is living at home with spouse and attempting to attend

OP PT sessions at our clinic. It is physically taxing for both the patient

and his spouse and we see little benefit from treatment as he is fatigued by

the time he reaches us. Therapists would like to see him in his home until

he is strong enough to continue at the clinic. We are told that he does not

qualify for home health as he does get out and go for car rides with his

family.

Thanks for any assistance,

le Bohl, PT

Rehab Manager

County Hospital

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