since you are talking about codes you mentioned 4 units, does that mean the same code 97542 four times. or the ot eval code plus 3, 97542 codes. Ron I was thinking about the letter of justification that i use to write, which you mentioned that you do not do. When i started i worked in a nursing home that had a lot of rotations from w/c clinic, splinting clinic, Huntington's unit (environmental modification), long term pediatric unit, aids unit Short and long term unit. One of the best experiences i had. Anyway I was trained by a PTA whose eval were just the measurements, and then we wrote the letter of justification, which was a paragraph form justifying why this type of chair was better a less expensive chair. Anyway i think that the eval itself sounds better than doing double the work .
On 6/11/09, Ron Carson <[email protected]> wrote: > > Good conversation. > > Mary, will you provide a reference for this statement: > > >> It is also true that the 97542 wheelchair management and > training code is the only code that can be billed for treatment > on the same day the MAC evaluation code is used. << > > > > > ----- Original Message ----- > From: Mary Alice Cafiero <[email protected]> > Sent: Thursday, June 11, 2009 > To: [email protected] <[email protected]> > Subj: [OTlist] W/C evals > > MAC> It is also true that the 97542 wheelchair management and training code > MAC> is the only code that can be billed for treatment on the same day the > MAC> evaluation code is used. This makes it possible to do the OT eval/ > MAC> Whelchair assessment on the same day. I procure the doctor's order for > MAC> eval and tx ahead of time. > MAC> It's all a work in progress on my part because it is a very new field > MAC> to be doing only w/c evals in patients' homes but not as part of a > MAC> home health agency. Believe me, it confounds all of the funding > MAC> sources when I call with ?S. > MAC> Sure is fun, though! > > MAC> Your explanation of the 7 minute rule is what I understood..... but it > MAC> needs to be clear that an hour long treatment is 4 units, not 8 units > MAC> (as it would be if it were a true "per 7 minute unit"). > > > MAC> Mary Alice > > MAC> Mary Alice Cafiero, MSOT/L, ATP > MAC> [email protected] > MAC> 972-757-3733 > MAC> Fax 888-708-8683 > > > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] > -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
