Hi Sue, that is the way my agency does it as well, and I was told that the 
reason PT needed to go back out at least once was to avoid looking like we were 
using the PT order just to open OT.  

Terrianne

Sue Hossack <[EMAIL PROTECTED]> wrote: Hi all,

I have a question that I am hoping someone on the list can answer. 
According to AOTA, although OT cannot open a Medicare home-health 
patient, we can be a stand-alone therapy once the Start-of-care has been 
performed by the PT/SLP/RN. This makes sense for a patient  with OT-only 
deficits such as visual-field cut, hand or shoulder injury, that has no 
nursing or PT needs.  However, my supervisor has told me that we have to 
have at least 2 skilled PT or ST visits - one before the OT visit during 
which the initial assessment also is conducted and one after the initial 
OT visit.  Continuing OT may then be provided as needed and ordered. 
I.e the PT must provide a skilled visit even though the patient has no 
PT needs.
Does anyone have any experience of this or any documentation that says 
otherwise?

Thanks

Sue

-- 
Sue Hossack MOT, OTR/L, ATP 

Occupational Therapist    
http://www.ot-care.com


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