Clinics Process Changes Karen Wills MS OTRL September 13 2017 Objectives Be informed about process changes taking place in the DIDD Seating and Positioning Clinics Understand how changes impact how therapists currently interact with the clinics ID: 696989
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Seating and Positioning Clinics:Process Changes
Karen Wills, MS, OTR/L, September 13, 2017Slide2
Objectives Be informed about process changes taking place in the DIDD Seating and Positioning Clinics
Understand how changes impact how therapists currently interact with the clinicsHave an opportunity to ask questions about the seating and positioning clinics and new changes
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Billing changes
The clinics are now approved as outpatient clinics providing OT and PT
services
Specialize in seating and positioning services
Medicare and other third party
payers
Billing for services
Historically, for individuals in the waivers, clinic time has been state fundedWill begin to bill insurance for clinic therapists’ time in October for individuals in the waiversWill allow us to sustain operations long termWill allow us to expand eligibility for services
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Billing changes Billing for services (cont’d
)Services are ordered, authorized, and billed as OT and PT services, not “AT”
Clinic therapists of different disciplines will no longer be able to see clients for each other
We are still working through details of billing insurance for individuals in ICF/IID
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ReferralsNew forms for all new referrals includes
new evaluations for existing clientsWill not schedule an initial clinic appointment
until forms are submitted and are complete
Consent
Intake and Medical History
Physician Referral
OT
or PT evaluation specificallyWho should be the primary referral source?Forms will be posted on website5Slide6
Repairs/modificationsRepair items fabricated by the clinic shops
Custom molded seats and backsTherapeutic positioning equipmentCustom wheelchair components provided by the clinic/shop
Wheelchair frame and any other commercial components provided through a DME vendor, need to be repaired through a DME vendor
Billing and
inventory issues
No
repairs/modifications to equipment clinic didn’t
issue without a clinic evaluation appointmentNo adding belts to any equipment/furniture that we didn’t evaluateNew separate repair referral form to be posted6Slide7
Appointments
As we implement billing, we can no longer have community therapist at clinic appointments
billing for services during the same time frame
Can email or call the seating and positioning therapist to communicate concerns with clinic
therapist or can attend without billing
What can be provided in one appointment may change depending on insurance (i.e., evaluation and simulation on same day vs. separate appointments
)
We will be continuing to emphasize the importance of individuals being on time for appointments and may need to reschedule under certain circumstances7Slide8
Questions?Questions?Thank you for your participation!
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