One thing I would suggest is to check with your FI and with any LMRP or LCD's that exist for PT, OT, and ST - if any. One FI may look for different specifics than another. However, Medicare medical review only requires an order from the physician to evaluate and treat and a plan of care signed by the physician. The clarification order is used by most to get the therapy orders on the chart and to show physician supervision while the plan of treatment is out being signed by the physician (which in some cases takes a while to receive back). The discipline, frequency, duration and modalities are part of what is required for the plan of care and as such are placed on the clarification telephone order after the evaluation is complete. We do not put specific minutes on the order nor has this been required by the FI's with which I have worked. If your FI does not require it, then I would not be that specific since there can be daily variances.
-----Original Message----- From: Carol Corbett [mailto:[EMAIL PROTECTED] Sent: Wednesday, January 14, 2004 12:15 PM To: [EMAIL PROTECTED] Subject: Our therapy department had been told by corporate consultant that we had to write a clarification order for therapies once the initial eval was done. On admission or shortly thereafter, our doctor writes an order for initial evaluation and treatment. Then, after eval., therapy asks for order to specifiy treatment such as "PT 45-60 minutes 5-7 times per week for 14 days." Recently therapy was told by another consultant that there was no need for clarification order. After reading the e-mail from Rena that states section T is to be projected based on doctor's order, it would seem that we would still need the clarification order. Section T in RAI manual doesn't really specify how detailed the therapy orders must be. Do we need to write a specific clarification order? WARNING: To view Metron's HIPAA statement please visit www.metronhealth.com. Computer viruses can be transmitted via email. The recipient should check this email and any attachments for the presence of viruses. The company accepts no liability for any damage caused by any virus transmitted by this email. Although the company has taken reasonable precautions to ensure no viruses are present in this email, the company cannot accept responsibility for any loss or damage arising from the use of this email or attachments. /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
