More specifically, go to: http://www.apta.org/govt_affairs/medicare_directaccess
Ron ************************************************* On 11/12/2002,[EMAIL PROTECTED] wrote: DL> Go to APTA.org >> David A. Lehman, Ph.D., P.T. >> Associate Professor >> University of St. Augustine >> 1 University Blvd. >> St. Augustine, FL 32086-5783 >> (904) 826-0084 ext. 227 >> [EMAIL PROTECTED] >> >> DL> -----Original Message----- DL> From: Ron Carson [mailto:rdcarson@;otnow.com] DL> Sent: Tuesday, November 12, 2002 10:25 AM DL> To: Redge Campbell DL> Subject: Re: Direct Access for PT DL> Hello Redge: DL> WOW!, this is news to me!! I did know that PT was seeking 3rd party DL> reimbursement without having a physicians referral. Is this correct? If this DL> were to happen then that would give PT's some of the same clout as DL> Physicians. That being the ability to determine medical necessity. As it DL> now stands, only physicians can determine medical necessity thus on therapy DL> provided under physician referral is consider reimbursable. DL> I know that our University has a PT clinic that sees students for a certain DL> number of visits and then they must seek a physicians order. The PT's are DL> not billing for this service so it doesn't really address the issue you're DL> discussing but it does make it more confusing. DL> David L., can you add your PT knowledge to the PT profession seeking direct DL> access to treating and BILLING medicare patients? DL> Ron DL> ************************************************* DL> On 11/12/2002,[EMAIL PROTECTED] wrote: RC>> Ron, RC>> The issue of direct access can often be a confusing topic. When I am RC>> talking about direct access I am talking about direct access to Medicare RC>> patients not direct access through state licensure. I am aware that RC>> licensure laws vary regarding the issue of direct access to clinicians. RC>> While this is all well and good. Direct access is only as accessible as RC>> the payer is willing to let it be. In the case of Medicare, a therapist RC>> cannot treat this category of patient without a referral from a RC>> physician. The goal of the current PT legislation is to bypass the RC>> physician referral for Medicare patients. If this is to pass we are RC>> dealing with the concerns I outlined in my earlier posting. The issue RC>> of direct access through licensure is a completely different subject and RC>> one that has new complications for PTs in non direct access states RC>> should this legislation pass. RC>> Redge L Campbell MS OTR/L RC>> Director of Rehabilitation Services RC>> Harrison Hospital RC>> Bremerton, WA 98310 RC>> 360.792.6531 >>>>> [EMAIL PROTECTED] 11/11/02 04:07PM >>> RC>> Hello Redge: RC>> The two states I have practiced in, S. Carolina and Florida, already RC>> have direct access for OT. I've always been under the impression that RC>> with regards to direct access, PT is chasing OT because most states RC>> already have direct access for OT. RC>> Ron RC>> ************************************************* RC>> On 11/11/02,[EMAIL PROTECTED] wrote: RC>>> Greetings Colleagues, RC>>> I have been following with great interest the strategy of the RC>> physical RC>>> therapy community in moving toward the entry level DPT and RC>> submitting RC>>> legislation to Congress for direct access and potentially RC>> prescriptive RC>>> authority for physical therapists. I haven't heard much concern RC>> raised RC>>> in the OT community or in AOTA about the risks of this to our RC>>> profession. While I don't generally support OTs always chasing the RC>> PTs RC>>> this one has me on edge. RC>>> If the physical therapists gain direct access and no longer RC>> require RC>>> physician 30 day certification for Part B services, they will have RC>> a RC>>> direct line on access to this population. If you were a referring RC>>> physician, whom would you rather have treat your outpatients? A RC>>> discipline which could directly manage your patient for you with RC>> little RC>>> or no requirement on your part, or a discipline that required you RC>> to RC>>> continue to follow your patient actively every 30 days, read and RC>> sign 30 RC>>> day recertification notes, and be held accountable for the RC>> intensity of RC>>> treatment provided by the discipline? RC>>> My guess is that physiatrists would feel threatened and would RC>> rather RC>>> maintain the close contact with patients, which would benefit OT's. RC>> My RC>>> guess is that virtually every other referring specialty physician RC>> would RC>>> rather just refer to PT. The result would be a significant hit on RC>> OT RC>>> access to Part B patients and further increases in scope of RC>> practice RC>>> challenges as PT's step further into the functional skills arena. RC>>> As I see it, we need to have a direct professional response to this RC>> by RC>>> either requiring this change to be effective for all rehab RC>> ancillaries RC>>> or we need to vigorously oppose this legislation at the national RC>> level RC>>> as a threat to patient access to OT services. RC>>> Is this on anyone's radar screen? RC>>> Redge L Campbell MS OTR/L RC>>> Director of Rehabilitation Services RC>>> Harrison Hospital RC>>> Bremerton, WA 98310 RC>>> 360.792.6531 RC>>> *********�************ RC>>> Unsubscribe? Send a message to [EMAIL PROTECTED] RC>>> In the message's *body*, put the following text: unsubscribe RC>> OTlist RC>>> ** List messages are archived at: RC>>> http://www.mail-archive.com/otlist@;otnow.com RC>>> *********�************ RC>> *********�************ RC>> Unsubscribe? Send a message to [EMAIL PROTECTED] RC>> In the message's *body*, put the following text: unsubscribe OTlist RC>> ** List messages are archived at: RC>> http://www.mail-archive.com/otlist@;otnow.com RC>> *********�************ RC>> *********��*********** RC>> Unsubscribe? Send a message to [EMAIL PROTECTED] RC>> In the message's *body*, put the following text: unsubscribe OTlist RC>> ** List messages are archived at: RC>> http://www.mail-archive.com/otlist@;otnow.com RC>> *********��*********** DL> *********��*********** DL> Unsubscribe? Send a message to [EMAIL PROTECTED] DL> In the message's *body*, put the following text: unsubscribe OTlist DL> ** List messages are archived at: DL> http://www.mail-archive.com/otlist@;otnow.com DL> *********��*********** DL> *********��*********** DL> Unsubscribe? 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