Guest guest Posted January 11, 2008 Report Share Posted January 11, 2008 Your intermediary is correct. On another note, how many inpatient facilities out there established expected patient discharge times of 11 am (for example) and if so, how is it going over? How did you get the docs all on board? Have you seen a positive impact on LOS and increase in available beds as the research indicates? What problems has it caused? Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center rehder@genesis@... >>> " Jeff LePage " 1/11/2008 1:01 PM >>> I have this situation: A rural health clinic has an M.D. medical director that is not there every day. Staff is primarily LPN's and PA-C's. Patient comes in to my clinic telling me that their " doctor " is one of the LPN's. 2 months ago the patient went to see the LPN and was referred to PT. For various reasons the patient held on to the script for 2 months and then called to schedule. I told her that too much time had gone by and that she should schedule another appointment with her " doctor " since so much time had gone by. She did; the LPN wasn't available this time around so she was seen by the by the M.D. who filled out a new script with the identical wording as the initial script by the LPN for PT. I send the Eval to the MD and am told that it this isn't their patient and to send it to the LPN. If I send the Plan of Care to the LPN as the referring provider and she signs it do I still need a new script from the LPN...This is a Medicare patient. Another question: Can a " non M.D. " provider refer a Medicare patient for outpatient PT? Just talked with my intermediary and was told that only an M.D. is authorized to refer a Medicare beneficiary for outpatient PT??? Jeff LePage, PT First Choice Physical Therapy Wasilla, Alaska Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2008 Report Share Posted January 11, 2008 Ms. Rehder, We've pushed for a while now to get discharges from our IRF before 11:00 a.m. but several obstacles have prevented doing so. 1) The patient wanting to stay for lunch before leaving, 2) The patient not having the necessary transportation to go home until mid-afternoon, 3) hold ups receiving the necessary d/c orders, adaptive equipment, etc. I see it as a customer service issue. If you " boot " them too early it may put a sour note on an otherwise positive rehab stay. Thanks, Curtis ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Carol Rehder Sent: Friday, January 11, 2008 1:24 PM To: ptmanager Subject: Re: Medicare question / 11 am discharge Your intermediary is correct. On another note, how many inpatient facilities out there established expected patient discharge times of 11 am (for example) and if so, how is it going over? How did you get the docs all on board? Have you seen a positive impact on LOS and increase in available beds as the research indicates? What problems has it caused? Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center rehder@genesis@... <mailto:genesis%40genesishealth.com> >>> " Jeff LePage " <fcpt@... <mailto:fcpt%40mtaonline.net> > 1/11/2008 1:01 PM >>> I have this situation: A rural health clinic has an M.D. medical director that is not there every day. Staff is primarily LPN's and PA-C's. Patient comes in to my clinic telling me that their " doctor " is one of the LPN's. 2 months ago the patient went to see the LPN and was referred to PT. For various reasons the patient held on to the script for 2 months and then called to schedule. I told her that too much time had gone by and that she should schedule another appointment with her " doctor " since so much time had gone by. She did; the LPN wasn't available this time around so she was seen by the by the M.D. who filled out a new script with the identical wording as the initial script by the LPN for PT. I send the Eval to the MD and am told that it this isn't their patient and to send it to the LPN. If I send the Plan of Care to the LPN as the referring provider and she signs it do I still need a new script from the LPN...This is a Medicare patient. Another question: Can a " non M.D. " provider refer a Medicare patient for outpatient PT? Just talked with my intermediary and was told that only an M.D. is authorized to refer a Medicare beneficiary for outpatient PT??? Jeff LePage, PT First Choice Physical Therapy Wasilla, Alaska Quote Link to comment Share on other sites More sharing options...
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