Home health physical therapy reassessments prior to 14th and 20th visits...

[Guest guest]

The new regulations are quite unreasonable with multiple therapy disciplines. I

don't have problem with reassessing patients, because most of us do this every

visit as we should. The difficulty is with multiple disciplines, say a CVA with

PT, OT, and ST referred. With 3 disciplines, we must " reassess " the patient

close to the 13th visit, and close to the 19th visit (no later than for either).

Well, I have had patients where I reassess on the 13th visit, and my next visit

there are due for another reassessment (because OT and ST have been in since my

last visit). Theres nothing to reassess, one visit had occured. 3 disciplines

should only have to reassess prior to the 20th visit.

Bisesi MPT COMT

Winter Haven, FL

 

[Guest guest]

It looks to me like a billing nightmare. We were told that no payment if we

made a visit and had not done the re-eval. The problem compounds if you

also use a PTA for visits.

I could handle the single discipline but when you combine. whew. I just

wonder if I am hearing the info correctly. We sat thru in-service on this

but were told the actual regs were not yet available. Have the regs been

physically posted ?

Steve Passmore PT, MS

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From: PTManager [mailto:PTManager ] On Behalf

Of keith bisesi

Sent: Wednesday, May 04, 2011 10:21 PM

To: PTManager

Subject: Home health physical therapy reassessments prior to

14th and 20th visits...

The new regulations are quite unreasonable with multiple therapy

disciplines. I don't have problem with reassessing patients, because most of

us do this every visit as we should. The difficulty is with multiple

disciplines, say a CVA with PT, OT, and ST referred. With 3 disciplines, we

must " reassess " the patient close to the 13th visit, and close to the 19th

visit (no later than for either). Well, I have had patients where I reassess

on the 13th visit, and my next visit there are due for another reassessment

(because OT and ST have been in since my last visit). Theres nothing to

reassess, one visit had occured. 3 disciplines should only have to reassess

prior to the 20th visit.

Bisesi MPT COMT

Winter Haven, FL