Again, I think it is the way you word it. Quite frankly, Medicare will not pay for leisure activities, but will they pay for you to rehabilitate the core components to a person's ability to participate in leisure activities. It depends on how you document what you have done. Jimmie
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Ron Carson Sent: Tuesday, April 19, 2005 8:05 PM To: Ron Carson Subject: Re: [OTlist] E-mail to Medicare: 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 -- 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]
