Hello David: Thanks for the 'thanks'. Why is it that a PT is the ONLY person to have responded to the message??????? People in my profession can be such weinies.... Don't they even care about stuff like this..... I get so frustrated with being an OT!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
What's happening with you???????????? Ron ================================================================= On Tuesday, March 30, 2004, you wrote: LD> You go Ron.....just saw this post and thought I would congratulate you LD> on getting somewhere with the gov't:) LD> Hope you are well. LD> David A. Lehman, PhD, PT LD> Associate Professor LD> Tennessee State University LD> Department of Physical Therapy LD> 3500 John A. Merritt Blvd. LD> Nashville, TN 37209 LD> 615-963-5946 LD> [EMAIL PROTECTED] LD> -----Original Message----- LD> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On LD> Behalf Of Ron Carson LD> Sent: Monday, March 29, 2004 7:21 PM LD> To: [EMAIL PROTECTED] LD> Subject: [OTnow] GREAT NEWS! LD> Hello: LD> A while back, I ran into a Medicare situation where my company was LD> unable to LD> receive payment for OT evaluations provided at assisted living LD> facilities. LD> The problem had nothing to do with my company, but it was a Medicare LD> policy LD> that did not allow procedure code 97003 (OT eval) to be billed at an LD> ALF LD> place of service. I was very disappointed in this policy LD> because it LD> effectively prevented me from seeing clients in ALF's. It was LD> particularly LD> disappointing because, procedure code 97001 (PT eval) was reimbursable LD> at an LD> ALF. LD> So, after several long conversations with Medicare, I was given an LD> e-mail LD> address in which to address my inquiry as to why OT could not be LD> reimbursed LD> for procedure code 97003. LD> After several weeks, I received the following message: >> Dear Mr. Carson, >> I was assigned your correspondence originally dated 1/29/04, LD> regarding >> billing 97003 in an ALF. This is an appropriate place of service LD> for >> 97003. I will have a system change request done to have an ALF LD> added to >> the system to allow code 97003. I will let you know the effective LD> date, >> once I have one. Thank you, Diane >> >> Diane Prevatt, RN, BSN >> Medical Policy and Procedures >> First Coast Service Options, Inc. LD> I just found out today, that it is now effective that procedure code LD> 97003 LD> can be billed at ALF's. LD> Now, I wonder if it can be this easy to get Medicare to let OT open LD> home LD> health cases!! LD> Ron LD> _______________________________________________ LD> To unsubscribe, visit: LD> http://otnow.com/mailman/listinfo/otlist_otnow.com LD> The OTnow Mail Archive: LD> www.mail-archive.com/[EMAIL PROTECTED] LD> =============================================== LD> _______________________________________________ LD> To unsubscribe, visit: LD> http://otnow.com/mailman/listinfo/otlist_otnow.com LD> The OTnow Mail Archive: LD> www.mail-archive.com/[EMAIL PROTECTED] _______________________________________________ To unsubscribe, visit: http://otnow.com/mailman/listinfo/otlist_otnow.com The OTnow Mail Archive: www.mail-archive.com/[EMAIL PROTECTED] ===============================================
