OP Rehab Prescriptions - how long are they good for.

[Guest guest]

Related to OUTPATIENT REHABILITAITON SERVICES - What do you use to

define the length of time a prescription is " good for " I realize if

it is over 6 months the situation should be investigated but I am

wondering what regulations you use to define the time that is covered

for a prescription. Is it in your state regulations (like Board of

Pharmacy regs say 30 days only) Is it in your department policies

driven by your medical staff bylaws (if you are hospital attached) ?

We have been too conservative I think using the 30 day parameter - I

understand others in our state use 1 year. I need regulatory back up

if you have it. This of course does not include the discussion related

to direct access... Please advise....

Laurie B , OTR/L, MSHS

Sr Director

Beaufort Memorial Hospital

955 Ribaut Road

Beaufort South Carolina 29902

office

mobile

lmartin@...

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[Guest guest]

First check your state practice act, as if they define a length you are stuck

with that regardless of what a payer or your own policy states.

MI changed it's Administrative Rules in 2009 to coincide with Medicare limits,

placing a 90 day validity window unless otherwise specified. The intent was to

allow consistency with Medicare rules. Keep in mind that the status of a patient

changes, so how long after that Eval & Treat order has been written is it still

valid to assume no significant changes

W. , PT, MS

Grosse Pointe Woods, MI

Therapeutics

Michigan Board of Physical Therapy

dperrypt@...

" And in the end it's not the years in your life that count. It's the life in

your years. "

Abraham Lincoln

" A person who never made a mistake never tried anything new. "

Albert Einstein

________________________________

To: PTManager

Sent: Fri, August 12, 2011 2:31:45 PM

Subject: OP Rehab Prescriptions - how long are they good for.

Related to OUTPATIENT REHABILITAITON SERVICES - What do you use to

define the length of time a prescription is " good for " I realize if

it is over 6 months the situation should be investigated but I am

wondering what regulations you use to define the time that is covered

for a prescription. Is it in your state regulations (like Board of

Pharmacy regs say 30 days only) Is it in your department policies

driven by your medical staff bylaws (if you are hospital attached) ?

We have been too conservative I think using the 30 day parameter - I

understand others in our state use 1 year. I need regulatory back up

if you have it. This of course does not include the discussion related

to direct access... Please advise....

Laurie B , OTR/L, MSHS

Sr Director

Beaufort Memorial Hospital

955 Ribaut Road

Beaufort South Carolina 29902

office

mobile

lmartin@...

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the system manager.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

www.clearswift.com

**********************************************************************

This message was scanned with MIMESweeper.

[Guest guest]

First check your state practice act, as if they define a length you are stuck

with that regardless of what a payer or your own policy states.

MI changed it's Administrative Rules in 2009 to coincide with Medicare limits,

placing a 90 day validity window unless otherwise specified. The intent was to

allow consistency with Medicare rules. Keep in mind that the status of a patient

changes, so how long after that Eval & Treat order has been written is it still

valid to assume no significant changes

W. , PT, MS

Grosse Pointe Woods, MI

Therapeutics

Michigan Board of Physical Therapy

dperrypt@...

" And in the end it's not the years in your life that count. It's the life in

your years. "

Abraham Lincoln

" A person who never made a mistake never tried anything new. "

Albert Einstein

________________________________

To: PTManager

Sent: Fri, August 12, 2011 2:31:45 PM

Subject: OP Rehab Prescriptions - how long are they good for.

Related to OUTPATIENT REHABILITAITON SERVICES - What do you use to

define the length of time a prescription is " good for " I realize if

it is over 6 months the situation should be investigated but I am

wondering what regulations you use to define the time that is covered

for a prescription. Is it in your state regulations (like Board of

Pharmacy regs say 30 days only) Is it in your department policies

driven by your medical staff bylaws (if you are hospital attached) ?

We have been too conservative I think using the 30 day parameter - I

understand others in our state use 1 year. I need regulatory back up

if you have it. This of course does not include the discussion related

to direct access... Please advise....

Laurie B , OTR/L, MSHS

Sr Director

Beaufort Memorial Hospital

955 Ribaut Road

Beaufort South Carolina 29902

office

mobile

lmartin@...

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the system manager.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

www.clearswift.com

**********************************************************************

This message was scanned with MIMESweeper.

[Guest guest]

I agree with except if an insurance company is more restrictive than your

state practice act, you must then follow the most restrictive.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

> First check your state practice act, as if they define a length you are stuck

> with that regardless of what a payer or your own policy states.

> MI changed it's Administrative Rules in 2009 to coincide with Medicare limits,

> placing a 90 day validity window unless otherwise specified. The intent was to

> allow consistency with Medicare rules. Keep in mind that the status of a

patient

> changes, so how long after that Eval & Treat order has been written is it

still

> valid to assume no significant changes

>

> W. , PT, MS

> Grosse Pointe Woods, MI

> Therapeutics

> Michigan Board of Physical Therapy

>

> dperrypt@...

>

> " And in the end it's not the years in your life that count. It's the life in

> your years. "

> Abraham Lincoln

>

> " A person who never made a mistake never tried anything new. "

> Albert Einstein

>

> ________________________________

>

> To: PTManager

> Sent: Fri, August 12, 2011 2:31:45 PM

> Subject: OP Rehab Prescriptions - how long are they good for.

>

> Related to OUTPATIENT REHABILITAITON SERVICES - What do you use to

> define the length of time a prescription is " good for " I realize if

> it is over 6 months the situation should be investigated but I am

> wondering what regulations you use to define the time that is covered

> for a prescription. Is it in your state regulations (like Board of

> Pharmacy regs say 30 days only) Is it in your department policies

> driven by your medical staff bylaws (if you are hospital attached) ?

> We have been too conservative I think using the 30 day parameter - I

> understand others in our state use 1 year. I need regulatory back up

> if you have it. This of course does not include the discussion related

> to direct access... Please advise....

>

> Laurie B , OTR/L, MSHS

>

> Sr Director

>

> Beaufort Memorial Hospital

>

> 955 Ribaut Road

>

> Beaufort South Carolina 29902

>

> office

>

> mobile

>

> lmartin@...

>

> **********************************************************************

> This email and any files transmitted with it are confidential and

> intended solely for the use of the individual or entity to whom they

> are addressed. If you have received this email in error please notify

> the system manager.

>

> This footnote also confirms that this email message has been swept by

> MIMEsweeper for the presence of computer viruses.

>

> www.clearswift.com

> **********************************************************************

>

> This message was scanned with MIMESweeper.

>

>

[Guest guest]

I agree with except if an insurance company is more restrictive than your

state practice act, you must then follow the most restrictive.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

> First check your state practice act, as if they define a length you are stuck

> with that regardless of what a payer or your own policy states.

> MI changed it's Administrative Rules in 2009 to coincide with Medicare limits,

> placing a 90 day validity window unless otherwise specified. The intent was to

> allow consistency with Medicare rules. Keep in mind that the status of a

patient

> changes, so how long after that Eval & Treat order has been written is it

still

> valid to assume no significant changes

>

> W. , PT, MS

> Grosse Pointe Woods, MI

> Therapeutics

> Michigan Board of Physical Therapy

>

> dperrypt@...

>

> " And in the end it's not the years in your life that count. It's the life in

> your years. "

> Abraham Lincoln

>

> " A person who never made a mistake never tried anything new. "

> Albert Einstein

>

> ________________________________

>

> To: PTManager

> Sent: Fri, August 12, 2011 2:31:45 PM

> Subject: OP Rehab Prescriptions - how long are they good for.

>

> Related to OUTPATIENT REHABILITAITON SERVICES - What do you use to

> define the length of time a prescription is " good for " I realize if

> it is over 6 months the situation should be investigated but I am

> wondering what regulations you use to define the time that is covered

> for a prescription. Is it in your state regulations (like Board of

> Pharmacy regs say 30 days only) Is it in your department policies

> driven by your medical staff bylaws (if you are hospital attached) ?

> We have been too conservative I think using the 30 day parameter - I

> understand others in our state use 1 year. I need regulatory back up

> if you have it. This of course does not include the discussion related

> to direct access... Please advise....

>

> Laurie B , OTR/L, MSHS

>

> Sr Director

>

> Beaufort Memorial Hospital

>

> 955 Ribaut Road

>

> Beaufort South Carolina 29902

>

> office

>

> mobile

>

> lmartin@...

>

> **********************************************************************

> This email and any files transmitted with it are confidential and

> intended solely for the use of the individual or entity to whom they

> are addressed. If you have received this email in error please notify

> the system manager.

>

> This footnote also confirms that this email message has been swept by

> MIMEsweeper for the presence of computer viruses.

>

> www.clearswift.com

> **********************************************************************

>

> This message was scanned with MIMESweeper.

>

>