Any chance it was a medicare patient? Most of my neck patients have (or had) herniated disks, and pain reduction is always one of the goals. I see people who are trying to avoid surgery, and people who have had unsuccessful surgery and are in more pain than before (scary how many of those there are!)
Pat At 07:44 PM 3/22/2007, you wrote: >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 > > > > > > > >-- > >Options? > > www.otnow.com/mailman/options/otlist_otnow.com > > > >Archive? > > www.mail-archive.com/[email protected] > > > >*********************************************************************** >*************** > >Enroll in Boston University's post-professional Master of Science for >OTs > >Online. Gain the skills and credentials to propel your career. > >www.otdegree.com/otn > >*********************************************************************** >*************** > > > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/[email protected] > >************************************************************************ >************** >Enroll in Boston University's post-professional Master of Science for >OTs Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >************************************************************************ >************** > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/[email protected] > >******************************************************************************** >****** >Enroll in Boston University's post-professional Master of Science for OTs >Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >******************************************************************************** >****** > >-- >No virus found in this incoming message. >Checked by AVG Free Edition. >Version: 7.5.446 / Virus Database: 268.18.17/730 - Release Date: 3/22/2007 >7:44 >AM > > >-- >No virus found in this outgoing message. >Checked by AVG Free Edition. >Version: 7.5.446 / Virus Database: 268.18.17/730 - Release Date: 3/22/2007 >7:44 >AM > > > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/[email protected] > >************************************************************************************** >Enroll in Boston University's post-professional Master of Science for OTs >Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >************************************************************************************** -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
