RE: Returning patients

[Guest guest]

Our standard procedure would be to treat him for the UE pain. Since,

technically, his Rx for foot pain is expired, we would need a new referral to

continue treating the foot.

Regarding billing, because we provide PT and OT, he would have 2 charts (1 for

each condition). If a PT is treating for both conditions, you would have 1

chart. You would only be able to bill another Initial Evaluation if the CPT

code is different from the one initially charged. Otherwise, it would be a

Re-evaluation.

Amy Stelly

Clinic Coordinator (Office Manager)

LeBlanc, Chamberlain and Physical Therapy Services

4027 I-49 South Service Road

Opelousas, Louisiana 70570

Telephone: Facsimile:

________________________________

From: PTManager [PTManager ] On Behalf Of

DuBois [mdptgcs5@...]

Sent: Tuesday, January 01, 2008 7:28 AM

To: PTManager

Subject: Returning patients

Question, pt. presents to a private outpatient PT clinic with an

initial referral for ft. pain. Receives a couple weeks of care and

disappears. Returns one month later (pt. had been hospitalized for

other medical issues) with a new referral for UE pain. A D/C had not

been completed. How do you proceed with documentation and billing? D/

C pt. which should be done two weeks following the pt's

absence,automatically? Re-eval the ft pain? Initial eval. the UE

pain? Should the pt. schedule separate appointments because they have

two separate problems? Thank you for your feedback.

Mike

Momentum Physical Therapy

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