Hello Chuck

At  first,  I  couldn't  figure  out  why you told me that OPTIMAL was
created  by  APTA.  I  already knew that because I got the information
from  APTA's web site. Then I went back and reread my original message
and  saw  that  I stated the assessment came from AOTA - alas, another
incident of my poor attention to detail!!

Thanks  for  the  correction  and the Transmittal 63 information. I've
already  posted  my concerns about THAT situation to AOTA's Admin List
serve.

Apparently  Medicare  is  coming out in July with some sort of outcome
incentive payments. I wonder if OT will be represented this time!

Ron

----- Original Message -----
From: Charles Willmarth <[EMAIL PROTECTED]>
Sent: Monday, January 22, 2007
To:   [email protected] <[email protected]>
Subj: [OTlist] Marketing against PT?

CW> Ron,

CW>  OPTIMAL  was  created  by  APTA.  This  page  has more info about
CW> OPTIMAL
CW> 
http://www.apta.org/AM/Template.cfm?Section=Research&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=33241

CW> See this update on AOTA's webpage about Transmittal 63:
CW> http://www.aota.org/nonmembers/area1/links/link354.asp 

CW> Transmittal 63 requires practitioners to include in their
CW> documentation of evaluations either the results of a specified
CW> performance measure tool or an explanation of certain factors.
CW> Specifically, the practitioner may report the results of one of
CW> the following measurement tools: the National Outcomes Measurement
CW> System (NOMS) by the American Speech-Language-Hearing Association;
CW> the Patient Inquiry* by Focus on Therapeutic Outcomes, Inc.
CW> (FOTO); the Activity Measure for Post-Acute Care (AM-PAC); or the
CW> Outpatient Physical Therapy Improvement in Movement Assessment Log
CW> (OPTIMAL) by Cedaron, through the American Physical Therapy
CW> Association.

CW> If the practitioner chooses to not record the results of one
CW> of those four instruments, then the documentation must contain
CW> information

CW> * supporting illness severity or complexity, 
CW> * supporting medical care prior to the current episode, 
CW> * required to indicate beneficiary health related to quality of life,
CW> * required to indicate beneficiary social support, and 
CW> *required to indicate objective measurable beneficiary physical functioning.

CW> Transmittal 63 also contains additional policy clarifications
CW> and reiterates CMS' policies concerning billing for group
CW> outpatient therapy and for the services of therapy students in
CW> outpatient settings.

CW> AOTA will be working with CMS to obtain clarification on
CW> aspects of Transmittals 1145 and 63. The development of an
CW> outcomes data measurement system focused on occupational therapy
CW> is an AOTA priority. In the interim, until such system can be
CW> implemented, AOTA is working internally and with CMS to develop
CW> mechanisms for occupational therapists to meet CMS' new
CW> documentation requirements.









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