Thank you Ron - this is the exact type of info we're looking for!!  Angie> 
Date: Wed, 12 Mar 2008 21:00:22 -0400> From: [EMAIL PROTECTED]> To: 
[email protected]> Subject: Re: [OTlist] ethics> > This is easy.> > All timed 
treatment codes REQUIRE one to one treatment. Seeing more than> one patient at 
a time and charging for individual treatment is FRAUD!> And yes, TWO patients 
is considered a group!> > Here's a quote from CMS:> > quote> Group Example: In 
a 25-minute period, a therapist works with two> quote> patients, A and B, and 
divides his/her time between two> quote> patients. The therapist moves back and 
forth between the two> quote> patients, spending a minute or two at a time, and 
provides> quote> occasional assistance and modifications to patient A’s 
exercise> quote> program and offers verbal cues for patient B’s gait training 
and> quote> balance activities in the parallel bars. The therapist does not> 
quote> track continuous or notable, identifiable episodes of direct> quote> 
one-on-one contact with either patient and would bill each> quote> patient one 
unit of group therapy (97150) corresponding to the> quote> time of the skilled 
intervention with each patient.> > And, here's the link where you can find the 
above:> > www.cms.hhs.gov/TherapyServices/02_billing_scenarios.asp#TopOfPage> > 
Hope this helps!> > Ron> > > > ----- Original Message -----> From: angela jones 
<[EMAIL PROTECTED]>> Sent: Wednesday, March 12, 2008> To: [email protected] 
<[email protected]>> Subj: [OTlist] ethics> > aj> Hello All:> aj> > aj> I'm 
seeking advice on an ehtics question ....> aj> > aj> A former colleague of mine 
contacted me concerning the productivity demands that she is facing> aj> in her 
current (my previous) workplace. Many therapists have left this environment and 
more are> aj> planning to resign in the near future. > aj> > aj> Previously the 
productivity requirement was 90% and now it has increased to 95%. This is in a> 
aj> consistently (very consistent) heavy load of patients both in> aj> numbers 
and in low level patients.> aj> In order to see all the patients and to achieve 
productivity> aj> requirements, therapists have to see> aj> 2 patients in each 
tx session then groups when possible.> aj> > aj> The team is preparing to meet 
with management in a few days and they are gathering info in hopes> aj> of 
presenting statistics etc. that may be out there. > aj> > aj> This colleagues 
question to me: Is there any info out there pertaining to OT/AOTA's/CMS> aj> 
standards and ethics that takes a stand on what is ethical? Is there anything 
out there that can> aj> protect the clients who truly need individual tx's 
etc?> aj> > aj> Having been employed with the organization in question, I'm 
very eager to help in any way I can.> aj> Patient care is the loser with things 
as they are now. My> aj> colleague, her other colleagues, and I> aj> have 
worked in numerous settings with numerous companies and we have never been 
faced with> aj> anything near this degree of pressure for productivity. > aj> > 
aj> Any information you may offer would be greatly appreciated. > aj> > aj> 
Angela Jones> aj> > aj> > aj> > aj> 
_________________________________________________________________> aj> Climb to 
the top of the charts! Play the word scramble challenge with star power.> aj> 
http://club.live.com/star_shuffle.aspx?icid=starshuffle_wlmailtextlink_jan> > > 
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