Hey Ron, Firstly, why do you assume she didn't check LE strength (i.e your comment, "1. An eval of her LE strength")? Secondly, I disagree with this statement, "4. I don't think there's any insurance company that will pay for someone to learn to plant flowers!" It would all depend on how you document. If you say I'm going to teach her how to garden, sure you will be denied. On the other hand, if you analyze the component processes required for the patient to engage safely in her prior occupation of gardening, and you document such, you should be reimbursed for this training as you would for any other OT treatment.
Didn't we just have someone start a thread about missing intervention when it is associated with leisure interests? Jimmie -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Ron Carson Sent: Thursday, April 14, 2005 6:03 PM To: Shellie Subject: Re: [OTlist] Home Health Question Shellie: Most of my comments may come to late, but I suggest: 1. An eval of her LE strength 2. A quantitative eval of her balance - it's hard to provide justify improvement in something that's a 'little off'. 3. YOU can do strengthening and balance training 4. I don't think there's any insurance company that will pay for someone to learn to plant flowers! 5. Does her balance affect her occupations? Does she have difficulty taking care of herself or being productive in her home? If so, is this because of balance or LE strength? If so, AND she wants to address these occupations, then you have your goals and treatment plan. 6. Have you done an occupational assessment, like the COPM? 7. Finally, if your nor the client can't identify any occupational goals, then there may not be a role for OT. If this is the case, then don't see the client. 8. Who made the OT referral and why? Ron ===========> Original Message Follows .... On4/14/2005, Shellie, <[EMAIL PROTECTED]> said: > I just started back to work as an OT last month and finally got my > first evaluation. I am still really rusty and don't know > reimbursement rules for home health. > I got an order to evaluate a 79 y/o for IADLS. The lady has mostly > 5/5 strength on the right, 4+/5 on the left. She is independent with > ALL her ADL'S. Her balance was a little off and she reported several > falls. I told her we could work on her balance while making a meal, > etc but she wasn't interested in that. She wants to get out and plant > flowers. > I really struggled with this. PT could do strengthening and > balance training. I didn't think an insurance company would cover for > IADL'S without having more significant problems. > I just evaluated her and need to turn the paper work in tommorrow, > any suggestions would be greatly appreciated. I wanted to ask my > supervisor but she is a PT and it would be nice to get an OT's view. > Shellie > -- > Unsubscribe? > [EMAIL PROTECTED] > Change options? > www.otnow.com/mailman/options/otlist_otnow.com > Archive? > www.mail-archive.com/[email protected] > Help? > [EMAIL PROTECTED] -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED] *** NOTICE--The attached communication contains privileged and confidential information. If you are not the intended recipient, DO NOT read, copy, or disseminate this communication. Non-intended recipients are hereby placed on notice that any unauthorized disclosure, duplication, distribution, or taking of any action in reliance on the contents of these materials is expressly prohibited. If you have received this communication in error, please delete this information in its entirety and contact the Amedisys Privacy Hotline at 1-866-518-6684. Also, please immediately notify the sender via e-mail that you have received this communication in error. *** -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED]
