Re: [OTlist] "clarifying orders" for SNF rehab

[Suzanne Martin]

I have been working in Maine since 1998 and we always had to do 
clarification orders. Everthing you do has to be in the clarification order. 
 Think of "ADL retraining", or whatever, as the same as any treatment or 
medication, if the doctor has not approved it, you can't do it, and 
insurance companies or Medicare don't have to pay for it. I have seen 
problems with home safety evals and modalities.  If someone gets hurt with a 
modality, or on a home visit you didn't have an order for, you are in big 
trouble, not to mention loosing big bucks if they are not covered just 
because somebody forgot to add that to the order.  Also remember that you 
need to recert the orders at least every 30 days.  If your order is only for 
two weeks and you go over without the recert you won't get paid.  An order 
for over 30 days is still only good for 30 days.  It sounds like a big pain, 
but the doctor needs to know what exactly the patient is receiving, from all 
departments, and the way that is documented is through him or her signing 
the plan of care, or clarification orders.  Hope this helps.
Suzanne


From: "Hidu, Debbie" <[EMAIL PROTECTED]>
Reply-To: [EMAIL PROTECTED]
To: "'[EMAIL PROTECTED]'" <[EMAIL PROTECTED]>
Subject: [OTlist] "clarifying orders" for SNF rehab
Date: Wed, 9 Jul 2003 11:51:45 -0400
Ok so a patient is admitted to the SNF unit with orders for PT and OT 5-7
days a week.
The evaluation is done and the therapist now has to call the MD and
"clarify" that OT (or PT) will be seeing the patient 5-7x/wk for the
following problems using the following approaches.
then a "clarifying order" has to go in the chart stating this and be signed
by the doctor (resulting in two therapy orders now in the chart).  This is 
a
new practice where I work (US state of Maine)and I was wondering if anyone
knows the origin/purpose/whether this is reall necessary....etc.  can 
anyone
shed any light on this?

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