I have already received a reply from Medicare's medical policy
division!!
The health services analyst who responded to my question indicates that
services outlined in my original message {see below} are NOT
reimbursable under current Medicare guidelines.
Once the analyst gives permission, I will promptly post her entire
message to the OT list. Also, I have posted follow up questions to the
specialist asking for further clarification.
Ron
===========> Original Message Follows ....
On4/19/2005, Ron Carson, <[EMAIL PROTECTED]> said:
> I sent a letter to the policy division of Florida's Medicare
> Intermediary re: reimbursement for leisure services. I will keep the list
> up to date on the outcome of the e-mail!
> Ron
> ======================> Original Message to Medicare follows...
>> Hello:
>>
>> I am an occupational therapist and owner of a in-home rehab company
>> called HOPE Therapy Services. As an OT, I often run into clients who are
>> having difficulty safely and satisfactorily performing outdoor leisure
>> activities such as gardening, boating, fishing, going to movies, etc.
>>
>> I am looking for guidance as to whether skilled OT addressing such
>> outdoor leisure activities such as the ones above, are reimbursable
>> under current Medicare guidelines. I understand that ALL therapy
>> services must be provided under a doctor's plan of care, and there must
>> be evidence that such therapy is medically necessary and that there is
>> documentation supporting progress towards goals.
>>
>>
>>
>> Sincerely,
>>
>> Ron Carson MHS, OTR/L
>> Owner, HOPE Therapy Services, LLC
> 1
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