Transdisciplinary pediatric evaluations

[Guest guest]

I have a few questions around the prospect of implementing

transdisciplinary evaluations in a pediatric setting. My pediatric

team would like to start using a play based assessment approach that

is supported by our local pediatricians, but I am a little concerned

about how the assessments are documented and billed.

I'm sure someone out there has been down this road, and I would

certainly appreciate your input.

The resources necessary to complete this evaluation requires billing

separately for simultaneous evaluations by PT, OT and Speech. I

assume the document must therefore reflect the skilled input of each

discipline in such a way as to justify, but I'm not sure how this is

best done. Is a statement in the document justifying medical

necessity for each separate discipline and a signature adequate?

Also, how is it determined which disciplines should be involved? My

team has proposed a preliminary screening process to assist in this

determination, but again, I'm hoping someone has been down this road

and can provide a little insight.

Thanks,

Darrell Messersmith, MSPT

Director of Physical Medicine

Platte Valley Medical Center

Brighton, Colorado