Impact, now that's a good question. Honestly, the only reason I posted it was to raise awareness. It seems that at many levels, OT suffers from a lack of awareness - from doctor's not knowing about us, to insurance companies who don't cover our services, to OT's who don't know about these inequities. Raising awareness is the same reason why I posted the message about Ask Jeeves' definition of OT. And all of this goes back to Fred Sommers' (spelling?) statement about OT being posed to be a premier provider of therapy services. In my opinion and experience, OT is far behind PT on almost every level, that it's not even funny. All this is not to say that PT is our standard, but the sad reality is that on some (many) levels, they are our direct competitors. Now, I know there are many therapists who have great friendships and working relationships with PTs, and so have I, but we SHOULD not kid ourselves into believing that as a profession, PT is our ally, well at least in areas that are competitive.
Am I encountering problems, well actually, the whole reason this became an issue is because First Coast denied payment for a wound care procedure simply because of my speciality. And come to find out, their own documentation conflicts because it supports payment for my provider type (i.e. PT) but not my speciality (i.e OT). They are unsure of what to do and I am confused as to why there's no provider type for OT. Ron ----- Original Message ----- From: Charles Willmarth <[EMAIL PROTECTED]> Sent: Tuesday, October 25, 2005 To: [email protected] <[email protected]> Subj: [OTlist] Medicare and OT CW> Ron, CW> I guess my question is, what is the impact? Are you encountering CW> problems because of this? CW> Chuck >>>> [EMAIL PROTECTED] 10/25/2005 12:17:34 PM >>> CW> Chuck, what you've found are the SPECIALITY codes, not the CW> PROVIDER CW> TYPES. CW> Yes, there is a speciality code for an OT in PP, but there is NOT CW> a CW> provider type for an OT. I am unsure if this is a FCSO 'problem' or CW> a CW> CMS problem. CW> By the way, you are great researcher. CW> Ron CW> ----- Original Message ----- CW> From: Charles Willmarth <[EMAIL PROTECTED]> CW> Sent: Tuesday, October 25, 2005 CW> To: [email protected] <[email protected]> CW> Subj: [OTlist] Medicare and OT CW>> Ron, CW>> I found this list of MEDICARE PROVIDER/SUPPLIER SPECIALTY CODES. CW>> Interestingly I don't see a provider type 31. CW>> CW> http://www.floridamedicare.com/1common_resource_enroll_Provider_Supplier%20Specialty%20Codes.asp#TopOfPage CW>> 25 - Physical Medicine and Rehab. CW>> 31 - no listing CW>> 65 - Physical Therapist (Private Practice) CW>> 67 - Occupational Therapist (Private Practice) CW> -- CW> Unsubscribe? CW> [EMAIL PROTECTED] CW> Change options? CW> www.otnow.com/mailman/options/otlist_otnow.com CW> Archive? CW> www.mail-archive.com/[email protected] CW> Help? CW> [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]
