Hello Chuck:

I  should  note  that  AOTA  contacted  me  to check on the status of my
appeal. It made me feel 'good' when they called.... <smile>

Ron

----- Original Message -----
From: Charles Willmarth <[EMAIL PROTECTED]>
Sent: Friday, December 23, 2005
To:   [email protected] <[email protected]>
Subj: [OTlist] Florida Medicare Refused to Pay for OT to do Wound Care

CW> Great news Ron.  

>>>> [EMAIL PROTECTED] 12/22/05 8:46 PM >>>
CW> Just a quick update.

CW> After  several  denials,  an  appeal,  and  multiple  e-mails to medical
CW> policy,  it  appears  that  Florida's  fiscal intermediary had a 'coding
CW> error'  that was preventing OT from being paid for wound care. According
CW> to my most recent e-mail from them, the error has been corrected and the
CW> claims should start paying.

CW> A small victory for OT (the Other Therapy)<smile>

CW> Ron

CW> ----- Original Message -----
CW> From: Ron Carson <[EMAIL PROTECTED]>
CW> Sent: Tuesday, November 08, 2005
CW> To:   Charles Willmarth <[email protected]>
CW> Subj: [OTlist] Florida Medicare Refused to Pay for OT to do Wound Care

RC>> You  are  100%  correct. FCSO's customer service rep read the exact same
RC>> LCD  but  said  they have an INTERNAL document contradicting the LCD. My
RC>> situation  was  appealed  to the Operations Department who feel that the
RC>> internal  document  (which  does not include OT) is correct. Apparently,
RC>> the  INTERNAL  document  is  based  on  a  Medical Policy decision which
RC>> specifically  states  that  OT  is not reimbursable for wound care. I've
RC>> written Medical Policy but it can take up to 4 weeks to get a reply.

RC>> Chuck, do you know what CMS' policy is on OT and wound care?

RC>> Ron

RC>> ----- Original Message -----
RC>> From: Charles Willmarth <[EMAIL PROTECTED]>
RC>> Sent: Tuesday, November 08, 2005
RC>> To:   [email protected] <[email protected]>
RC>> Subj: [OTlist] Florida Medicare Refused to Pay for OT to do Wound Care

CW>>> Ron,

CW>>> This doesn't make sense; the "FIRST COAST SERVICE OPTIONS
CW>>> LOCAL COVERAGE DETERMINATION CODING GUIDELINES" (revised 1/1/05) state
CW>>> that "Active wound care interventions as performend by physical
CW>>> therapists, occupational therapists, and enterostomal therapy nurses are
CW>>> reported by means of codes 97597 or 97598 and *97602."


CW>>> Chuck


CW>>> ****************

CW>>> 
http://www.floridamedicare.com/parta_medcov_local_Debridement%20Services-01.asp


CW>>> Selective debridement is reported with 97597 or 97598 and non-selective
CW>>> with *97602. The provider performs wound care management to promote
CW>>> healing using either selective or non-selective debridement techniques
CW>>> to remove devitalized tissue. Active wound care interventions as
CW>>> performend by physical therapists, occupational therapists, and
CW>>> enterostomal therapy nurses are reported by means of codes 97597 or
CW>>> 97598 and *97602.

>>>>>> [EMAIL PROTECTED] 11/08/05 7:28 AM >>>
CW>>>                ============== Heads Up =================

CW>>> After  many  long  conversations  with  my  Medicare fiscal intermediary
CW>>> (First Coast Service Options), they are refusing to pay for active wound
CW>>> care simply because the procedure was provided by an OT. According to my
CW>>> most recent conversations, effective January 1, 2005, wound care is only
CW>>> covered  if  done by PT, it is not covered if done by OT. I have written
CW>>> to Medical Policy Review but it does not look good.

CW>>>                          =====================

CW>>> Ron


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