Pat,

For what it's worth, I checked the CORF manual and didn't see anything.
 I also checked with a 
policy analyst in our division to see if this was correct...the
response was "No. Medicare does not write regulations that are
discipline specific based on body areas."   If you find something in
writing please send it to me and we will take a closer look.  Thanks.

Chuck Willmarth
Director, State Affairs
AOTA

>>> [EMAIL PROTECTED] 1/12/2007 9:37:45 AM >>>
Hi Ron,

I am sure my employer does NOT want to hire a PT.  They have not even
begun to look for one (it has been several months) and are turning
away
medicare patients other than UE because there isn't a PT.  I will ask
where they got that information from though, and see if I can get a
copy
of it.  Maybe I can find something in the CORF manual.

At 07:24 AM 1/12/2007, you wrote:
>Hello Pat:
>
>I  don't  have  much  knowledge of CORF-specific Medicare
regulations,
>however,  I find it highly unlikely that Medicare regs state that
only
>a  PT  can  treat  back  and  LE  pain  patients.  Medicare  does 
not
>distinguish disciplines by body parts that can or can not be treated.
>
>I  think  your  employer  is trying to hire a PT and are using the
the
>Medicare  regs  as  an excuse. Will you please ask your employer for
a
>reference  to  the  Medicare regs that they are citing, and then
share
>that   regulation   with   us?  You  may  also  want  to  contact 
the
>Reimbursement  and  Regulatory  dept at AOTA: [EMAIL PROTECTED] I am
SURE
>they are very interested in this situation!!!!!
>
>Thanks,
>
>
>Ron
>
>----- Original Message -----
>From: Pat <[EMAIL PROTECTED]>
>Sent: Friday, January 12, 2007
>To:   [email protected] <[email protected]>
>Subj: [OTlist] UE vs LE & Medicare (new rant)
>
>P> I have worked in a pain management clinic for over two years. 
They
>P> recently changed the name to functional restoration clinic, but the
program
>P> has not changed.  We recently became CORF accredited, and all of a
sudden I
>P> am no longer qualified to do the same thing with medicare patients
that I
>P> have been doing with worker's comp patients for more than two
years.  The
>P> majority of the patients are back and LE patients, and medicare
says that
>P> only a PT can treat them.  I am the one and only OT at the clinic,
and
>P> there is no PT.  Unless and until they hire a PT, we can't treat
those
>P> medicare patients that we are now accredited to treat.  YET... it
would be
>P> perfectly acceptable to medicare if a new PT grad with far less
experience
>P> than me were to come in and treat them!!!!  Go figure.
>
>P> Pat
>
>
>
>
>
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