Question: This is directed specifically to U.S. OTs, but others may provide information relative to their particular practice area. I have never worked in hospice care before, but I just read an article about OT in hospice care. I understand the philosophical basis of OT with patients that would meet hospice criteria, but I am wondering how an OT would gain access to hospice patients. It is my understanding, although I may be wrong, that hospice is a bundled, prospective payment, under Medicare. It would seem under that type of system that it would be difficult to convince the powers that be of adding a non-typical service (i.e. as it would affect there bottom line). Is anyone currently on the list providing service to hospice patients? If so, please provide information on the referral process and plan of care process.
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