Sue, They are correct in their interpretation. Check with those PT's and make sure they can't provide some service they may have missed (i.e. the pt. with a visual field cut, providing some strtegies to improve mobility safety.) Check to see if the patient might benefit from education from nursing r/t diagnosis and/or medications. JIm
Terrianne Jones <[EMAIL PROTECTED]> wrote: 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 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 -- 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 ************************************************************************************** --------------------------------- Take the Internet to Go: Yahoo!Go puts the Internet in your pocket: mail, news, photos & more. -- 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 ************************************************************************************** --------------------------------- Yahoo! oneSearch: Finally, mobile search that gives answers, not web links. -- 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 **************************************************************************************
