Hi Liz!

I've treated pts for neck pain.  I provide heat, massage and stretching
exercises.

Mary

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
Liz Klawitter
Sent: Thursday, March 22, 2007 6:23 PM
To: [email protected]
Subject: Re: [OTlist] PT's and ADL's and Medicare

Hello,
I'm curious about this.  What type of treatment do you provide for the
neck and spine, as an OT?
Thanks
Liz

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
Behalf Of Pat
Sent: Wednesday, March 21, 2007 6:15 PM
To: [email protected]
Subject: Re: [OTlist] PT's and ADL's and Medicare

I previously posted regarding being told at work that OTs could not
treat 
medicare
patients for neck or back injuries and that they would have to hire a PT

for those
patients.

Just to reiterate... I work at a chronic pain clinic that has seven 
locations in TX.
Each location is in a different city and has one therapist.  Most
locations 
have a
PT,  I believe only two have an OT.

I almost never see my employer, and until recently have never had a 
conversation with
him beyond "hello, how are you?".  He came to my location and I asked
him 
where he
got his information.  He told me it came from one of his PTs.  When I
told 
him that
I believed the information to be incorrect he told me to just go ahead
and 
treat the
medicare patients myself and that if medicare paid, they paid.. and if
they 
didn't, they
didn't.

Since then I emailed Trailblazer, who is the Medicare & Medicaid
Services 
Contracted
Intermediary/Carrier in this state, and asked them about OTs treating
the 
spine for
medicare patients.  They said to allow 45 days for a response... I will 
keep you posted.

The point of this posting is an email I (and every other therapist in
the 
company) received
from the PT that told our employer that OT could not treat the spine on 
medicare patients:

FROM THE PT:
"OT can only treat extremities, NOT back or neck (spine), so the script 
needs to mention
anything but a back or neck code/diagnosis, otherwise you can't treat, 
UNLESS you can
get the doctor to write a script for OT referral to improve independence

with ADL's
(activities of daily living).  If the script states PT and the OT will 
treat, you will have to
get an OT script first before you, as an OT treat.
PT can treat almost any orthopedic problem and improve ADL's in
general."

I cannot wait to get a response from Trailblazer!!!  I sure hope they
give 
me something I
can throw back at him!!!!!  (sorry, had to vent.  I have been treating
neck 
and back for the
past three years for worker's comp.)

Pat



At 04:04 PM 3/21/2007, you wrote:
>Taken from a PT-based list, typed and signed a PT!:
>
> > As  a  skilled therapist, is it not our job to instruct a patient in
> > performance of mobility or ADLs...
>
>Just  an  example  of  why I think that AOTA and State OT associations
>need eliminate the ADL language from expanding PT practice acts.
>
>Ron
>
>
>
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