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> > > -- > Options?> www.otnow.com/mailman/options/otlist_otnow.com> > Archive?> www.mail-archive.com/[email protected] _________________________________________________________________ Shed those extra pounds with MSN and The Biggest Loser! http://biggestloser.msn.com/ -- Options? www.otnow.com/mailman/options/otlist_otnow.com
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