Re: Managing Utilization Under the Caps

[Guest guest]

This link defaults to the home page and states there are no pages that match the

entry - can you give a cleaner path to the page you recommend?

Laurie

From: PTManager [mailto:PTManager ] On Behalf Of

Ron Barbato

Sent: Tuesday, August 28, 2012 4:42 PM

To: PTManager

Subject: RE: Managing Utilization Under the Caps

http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpe

cialODF.html

This will help clarify, or at least help in what to expect

Ron Barbato PT

Administrative Director, Rehabilitation Services

Program Director, Cancer Support Services

PRIVILEGED AND CONFIDENTIAL: This transmission may contain information

that is privileged subject to attorney-client privilege or attorney work

product, confidential and/or exempt from disclosure under applicable

law. If you are not the intended recipient, then please do not read it

and be aware that any disclosure, copying, distribution, or use of the

information contained herein (including any reliance thereon) is

STRICTLY PROHIBITED. If you received this transmission in error, please

immediately advise me, by reply e-mail, and delete this message and any

attachments without retaining a copy in any form. Thank you.

Managing Utilization Under the Caps

As a hospital, working under the therapy caps is new territory. Here's

my question: Is there an online database that we can use to research

how much patients have already spent under the caps? Since patients may

be seen at more than one provider or the course of the year we would

need information directly from Medicare about patients' current status.

Does anybody know if such a source exists, and if so, how to access it?

Bob Perlson

Director, Rehabilitation Services

Asante Rogue Regional Medical Center

Medford OR

------------------------------------

In ALL messages to PTManager you must identify yourself, your discipline

and your location or else your message will not be approved to send to

the full group.

Physician Self Referal/Referral for Profit {POPTS} is a serious threat

to our professions. PTManager is not available to support POPTS-model

practices. The description of PTManager group includes the following:

" PTManager believes in and supports Therapist-owned Therapy Practices

ONLY "

Messages relating to " how to set up a POPTS " will not be approved

PTManager encourages participation in your professional association.

Join APTA, AOTA or ASHA and participate now!

Follow Kovacek, PT on Facebook or Twitter.

PTManager blog: http://ptmanager.posterous.com/

[Guest guest]

This link defaults to the home page and states there are no pages that match the

entry - can you give a cleaner path to the page you recommend?

Laurie

From: PTManager [mailto:PTManager ] On Behalf Of

Ron Barbato

Sent: Tuesday, August 28, 2012 4:42 PM

To: PTManager

Subject: RE: Managing Utilization Under the Caps

http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpe

cialODF.html

This will help clarify, or at least help in what to expect

Ron Barbato PT

Administrative Director, Rehabilitation Services

Program Director, Cancer Support Services

PRIVILEGED AND CONFIDENTIAL: This transmission may contain information

that is privileged subject to attorney-client privilege or attorney work

product, confidential and/or exempt from disclosure under applicable

law. If you are not the intended recipient, then please do not read it

and be aware that any disclosure, copying, distribution, or use of the

information contained herein (including any reliance thereon) is

STRICTLY PROHIBITED. If you received this transmission in error, please

immediately advise me, by reply e-mail, and delete this message and any

attachments without retaining a copy in any form. Thank you.

Managing Utilization Under the Caps

As a hospital, working under the therapy caps is new territory. Here's

my question: Is there an online database that we can use to research

how much patients have already spent under the caps? Since patients may

be seen at more than one provider or the course of the year we would

need information directly from Medicare about patients' current status.

Does anybody know if such a source exists, and if so, how to access it?

Bob Perlson

Director, Rehabilitation Services

Asante Rogue Regional Medical Center

Medford OR

------------------------------------

In ALL messages to PTManager you must identify yourself, your discipline

and your location or else your message will not be approved to send to

the full group.

Physician Self Referal/Referral for Profit {POPTS} is a serious threat

to our professions. PTManager is not available to support POPTS-model

practices. The description of PTManager group includes the following:

" PTManager believes in and supports Therapist-owned Therapy Practices

ONLY "

Messages relating to " how to set up a POPTS " will not be approved

PTManager encourages participation in your professional association.

Join APTA, AOTA or ASHA and participate now!

Follow Kovacek, PT on Facebook or Twitter.

PTManager blog: http://ptmanager.posterous.com/

[Guest guest]

This link defaults to the home page and states there are no pages that match the

entry - can you give a cleaner path to the page you recommend?

Laurie

From: PTManager [mailto:PTManager ] On Behalf Of

Ron Barbato

Sent: Tuesday, August 28, 2012 4:42 PM

To: PTManager

Subject: RE: Managing Utilization Under the Caps

http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpe

cialODF.html

This will help clarify, or at least help in what to expect

Ron Barbato PT

Administrative Director, Rehabilitation Services

Program Director, Cancer Support Services

PRIVILEGED AND CONFIDENTIAL: This transmission may contain information

that is privileged subject to attorney-client privilege or attorney work

product, confidential and/or exempt from disclosure under applicable

law. If you are not the intended recipient, then please do not read it

and be aware that any disclosure, copying, distribution, or use of the

information contained herein (including any reliance thereon) is

STRICTLY PROHIBITED. If you received this transmission in error, please

immediately advise me, by reply e-mail, and delete this message and any

attachments without retaining a copy in any form. Thank you.

Managing Utilization Under the Caps

As a hospital, working under the therapy caps is new territory. Here's

my question: Is there an online database that we can use to research

how much patients have already spent under the caps? Since patients may

be seen at more than one provider or the course of the year we would

need information directly from Medicare about patients' current status.

Does anybody know if such a source exists, and if so, how to access it?

Bob Perlson

Director, Rehabilitation Services

Asante Rogue Regional Medical Center

Medford OR

------------------------------------

In ALL messages to PTManager you must identify yourself, your discipline

and your location or else your message will not be approved to send to

the full group.

Physician Self Referal/Referral for Profit {POPTS} is a serious threat

to our professions. PTManager is not available to support POPTS-model

practices. The description of PTManager group includes the following:

" PTManager believes in and supports Therapist-owned Therapy Practices

ONLY "

Messages relating to " how to set up a POPTS " will not be approved

PTManager encourages participation in your professional association.

Join APTA, AOTA or ASHA and participate now!

Follow Kovacek, PT on Facebook or Twitter.

PTManager blog: http://ptmanager.posterous.com/

[Guest guest]

There are several ways to determine the amount of dollars applied to the therapy

cap. Some include the following:

1. Common working file (ELGA screen). Will need to obtain security access from

your Medicare contractor.

2. C-SNAP - Will need to obtain security access from your Medicare contractor.

3. Interactive Voice Response (IVR) system. Number can be found on your Medicare

contractors website.

The most up-to-date information revealing the actual therapy expenditure dollar

amount will be available on October 1, 2012. I will also be doing a webinar on

this topic and information is below in my signature. Hope this helps.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

Medicare Therapy Cap & Manual Medical Review Process Webinar on September 10,

2012.

https://www.showmyevent.com/events/viewEventDetails.aspx?EventID=1992

Subject: Managing Utilization Under the Caps

To: PTManager

Date: Tuesday, August 28, 2012, 3:57 PM

 

As a hospital, working under the therapy caps is new territory. Here's my

question: Is there an online database that we can use to research how much

patients have already spent under the caps? Since patients may be seen at more

than one provider or the course of the year we would need information directly

from Medicare about patients' current status.

Does anybody know if such a source exists, and if so, how to access it?

Bob Perlson

Director, Rehabilitation Services

Asante Rogue Regional Medical Center

Medford OR