Hello All:

I  posted the following message on AOTA's admin SIS but didn't get any
response so I want to try it here:

======================================================================

Medicare  recently  issued  Transmittal  63  regarding  the Outpatient
Therapy Cap Exceptions Process for Calendar Year (CY) 2007.

On  page  27, the transmittal addresses documentation requirements for
evaluations,   re-evaluations   and   plans  of  care.  In  part,  the
transmittal states: (NOTE: I am piecing together several pieces of the
transmittal)


        <<<<<<<<<<<<<<<<<<<<<   Quote  >>>>>>>>>>>>>>>>>>>>>>>>>>

The  initial  evaluation, or the plan of care including an evaluation,
should  document  the  necessity  for  a  course  of  therapy  through
objective findings and subjective patient self-reporting.

Evaluation shall include:
 
º  Results  of  one  of the following four measurement instruments are
recommended, but not required:

        National  Outcomes  Measurement  System (NOMS) by the American
        Speech-Language Hearing Association

        Patient Inquiry by Focus On Therapeutic Outcomes, Inc. (FOTO)

        Activity Measure – Post Acute Care (AM-PAC)

        OPTIMAL  by  Cedaron  through  the  American  Physical Therapy
        Association

º If results of one of the four instruments above is not recorded, the
record  shall  contain  instead the following information indicated by
asterisks...

* Documentation required to indicate objective, measurable beneficiary
physical function including, e.g.,

        Functional  assessment individual item and summary scores (and
        comparisons  to  prior  assessment  scores)  from commercially
        available therapy outcomes instruments other than those listed
        above; or

        Functional   assessment   scores  (and  comparisons  to  prior
        assessment  scores)  from  tests and measurements validated in
        the  professional  literature  that  are  appropriate  for the
        condition/function being measured; or

        Other   measurable   progress  towards  identified  goals  for
        functioning  in the home environment at the conclusion of this
        therapy episode of care.

      <<<<<<<<<<<<<<<<<<<<<< END QUOTE >>>>>>>>>>>>>>>>>>>>>>>>

Now, my question for list members is:

In your opinion does the COPM meet the above requirements?

I know this is a long confusing e-mail.

Thanks,

Ron



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