In a SNF ( following PPS):
Under Medicare guidelines, treatment time is that of the patient engaged in 
therapy session, not the therapist time. No two disciplines can provide 
intervention at the same time. Therapist can work with a patient for one hr; 
each discipline can bill for half of that time.
Thanks
  ----- Original Message ----- 
  From: Ron Carson<mailto:[EMAIL PROTECTED]> 
  To: Jimmie Arceneaux<mailto:[email protected]> 
  Sent: Friday, March 25, 2005 7:21 PM
  Subject: Re: [OTlist] Collaboration


  Hello Jimmie:

  I  don't collaborate with any other discipline. I don't feel like I even
  collaborate  with  physicians.  I  ask  for scripts, I send them plans of
  care,  they  sign  them  and  that's it! I really am on my own, unless I
  reach out and ask for help.

  I want to ask for a point of clarification. By Medicare standards, isn't
  it  acceptable  for  two  disciplines to co-treat and bill separately so
  long as there are separate goals for each discipline?

  Ron



  ===============<Original Message>===============

  On 3/25/2005, Jimmie Arceneaux <[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> 
said:



  JA> Personally, I was wondering what others on the list feel of
  JA> collaborative treatment as it exists at this time.  Prior to moving
  JA> from a cost based reimbursement system to CPT billing under
  JA> Medicare, PTs and OTs often co-treated with severely involved brain
  JA> injured and post CVA patients.  It is seen less often in the States
  JA> now because CPT billing does not allow for multiple disciplines to
  JA> bill for the same full time period. 





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