Hello Aaron: One of the advantages of posting to the OTnow list is that many state and nationally affiliated people are members. But, I think I will also cross-post my original message to the Florida OT Assoc.
Ron ======================================================= On Monday, February 2, 2004, @ 10:23 AM, you wrote: AE> Ron, AE> Is your state association aware of this issue? and if so what is AE> being done about it? Also, Charles Wilmouth (sp) with AOTA loves to AE> hear things like this, I believe. AE> Aaron AE> -----Original Message----- AE> From: Ron Carson <[EMAIL PROTECTED]> AE> Sent: Feb 2, 2004 7:00 AM AE> To: [EMAIL PROTECTED] AE> Subject: [OTnow] Lack of Parity AE> As an OT in private-practice, I come across interesting situations involving AE> insurance. Most situations, are less than encouraging and today is no AE> exception. AE> First, I learned that an OT Evaluation is not billable under my provider AE> type at an Assisted Living Facility. However, a PT evaluation is billable AE> under my provider type. AE> In trying to understand the reasoning behind this disparity, I was told by a AE> Medicare Representative that OT is viewed as a type or subset of PT. She AE> then went on to tell me that as fare as medicare was concerned, that I AE> could bill for a PT evaluation whenever I do an evaluation at an assisted AE> living facility. AE> Secondly, Blue Cross/Blue Shield of Florida does not contract with OT. AE> Between OT, PT and SLP, they only contract with PT. What this means is that AE> as an OT, I can not be a participating provider with BCBS. I can be a AE> non-participating provider but this has reduced benefits for the client. AE> BCBS says that most (all) OT referrals are made by PT's working at AE> facilities. Whenever,a PT sees a client who they think needs OT they then AE> make a referral to OT. The facility then pays the OT, either as an employee AE> or a sub-contractor. AE> A friend of mine told me that they would never be an OT because we are AE> treated as 'second class citizens'. It's times like this I tend to agree. AE> Ron AE> _______________________________________________ AE> To unsubscribe, visit: AE> http://otnow.com/mailman/listinfo/otlist_otnow.com AE> The OTnow Mail Archive: AE> www.mail-archive.com/[EMAIL PROTECTED] AE> =============================================== AE> _______________________________________________ AE> To unsubscribe, visit: AE> http://otnow.com/mailman/listinfo/otlist_otnow.com AE> The OTnow Mail Archive: AE> www.mail-archive.com/[EMAIL PROTECTED] AE> =============================================== _______________________________________________ To unsubscribe, visit: http://otnow.com/mailman/listinfo/otlist_otnow.com The OTnow Mail Archive: www.mail-archive.com/[EMAIL PROTECTED] ===============================================
