OT Evaluation / / / / Diagnosis / History. Clinician: M F HCPCS. Patient Name (Last Name, First Name) & MRN: Mileage: Gender: Agency Name/Branch: DOB:
|
|
|
- Byron Anderson
- 7 years ago
- Views:
Transcription
1 Clinician: Mileage: Gender: Agency Name/Branch: M F Time In: Time Out: DOB: HCPCS Select the home health service type that reflects the primary reason for this visit: (G0152) Services Performed by a qualified occupational therapist (G0158) Services performed by a qualified occupational therapist assistant (G0160) Establishment or delivery of a safe and effective occupational therapy maintenance program Select the location where home health services were provided: (Q5001) Care provided in patient's home/residence (Q5002) Care provided in assisted living facility (Q5009) Care provided in place not otherwise specified (NO) Diagnosis / History Medical Diagnosis: Exacerbation Onset OT Diagnosis: Exacerbation Onset Relevant Medical History: Prior Level of Functioning: Patient's Goals: Precautions: Homebound? O Yes O No Residual Weakness Needs assistance for all activities Requires max assistance / taxing effort to leave home Other: Unable to safely leave home unattended Severe SOB or SOB upon exertion Confusion, unsafe to go out of home alone Kinnser Software 2016 OT Evaluation Page 1 of 11
2 Social Supports / Safety Hazards Patient Living Situation and Availability of Assistance Patient lives: Alone With other person(s) in the home In congregate situation, e.g., assisted living Assistance is available: Around the clock Regular Daytime Regular nighttime No assistance available Occasional / short-term assistance Current Types of Assistance Received (other than home health staff) Safety / Sanitation Hazards No hazards indentified No running water, plumbing No gas / electric appliance Steps / Stairs: Lack of fire safety devices Pets Narrow or obstructed walkway Inadequate lighting, heating and /or cooling. Unsecured floor coverings Cluttered / soiled living area Insect / rodent infestation Other: Evaluation of Living Situation, Supports, and Hazards: Vital Signs BP: (Prior) Position Side Heart Rate: Respirations: Prior / Lying Sitting Standing Left Right Prior Prior O 2 Saturation: Room Air / Rate 2.5 Ipm 6.0 Ipm 12.0 Ipm Route Prior Room Air 3.0 Ipm 7.0 Ipm 13.0 Ipm via NC 0.5 Ipm 3.5 Ipm 8.0 Ipm 14.0 Ipm via Mask 1.0 Ipm 4.0 Ipm 9.0 Ipm 15.0 Ipm via Trach 1.5 Ipm 4.5 Ipm Other: see 10.0 Ipm Comments via Other: see Comments 2.0 Ipm 5.0 Ipm 11.0 Ipm BP: (Post) Position Side Heart Rate: Respirations: Post / Lying Sitting Standing Left Right Post Post Kinnser Software 2016 OT Evaluation Page 2 of 11
3 O 2 Saturation: Room Air / Rate 2.5 Ipm 6.0 Ipm 12.0 Ipm Route Post Room Air 3.0 Ipm 7.0 Ipm 13.0 Ipm via NC Comments: 0.5 Ipm 3.5 Ipm 8.0 Ipm 14.0 Ipm via Mask 1.0 Ipm 4.0 Ipm 9.0 Ipm 15.0 Ipm via Trach 1.5 Ipm 4.5 Ipm Other: see 10.0 Ipm Comments via Other: see Comments 2.0 Ipm 5.0 Ipm 11.0 Ipm Physical Assessment Speech: WNL Impaired Muscle Tone: Good Fair Poor Vision: WNL Impaired Hearing: Coordination : Good Fair Poor WNL Impaired Sensation: Good Fair Poor Edema: Endurance: Good Fair Poor Oriented: Person Place Time Posture: Good Fair Poor Evaluation of Cognitive and/or Emotional Functioning Pain Assessment No Pain Reported Primary Site: Secondary Site: Location Intensity: 0 None High Medium Location Intensity: 0 None High Medium Increased by: Relieved by: Interferes with: Kinnser Software 2016 OT Evaluation Page 3 of 11
4 ROM / Strength ROM Strength ROM Strength Part Action Right Left Right Left Part Action Right Left Shoulder Flexion Extension Forearm Pronation Supination Abduction Wrist Flexion Adduction Int Rot Ext Rot Extension Radial Deviation Radial Deviation Elbow Flexion Finger Grip. Extension Supination Extension Extension Comments: Functional Assessment Independence scale key: hover over term for definition Dep Max Assist Mod Assist Min Assist CGA SBA Supervision Mod Indep Indep Balance Able to assume / maintain midline orientation Sitting Static: Good Fair Poor Other (See Comments) Dynamic: Good Fair Poor Other (See Comments) Standing Static: Good Fair Poor Other (See Comments) Dynamic: Good Fair Poor Other (See Comments) Deficits Due To / Comments: Kinnser Software 2016 OT Evaluation Page 4 of 11
5 Bed Mobility Self Care Skills Assist Level Assist Level Assistive Device Rolling L R Toileting / Hygiene Assistive Device Oral Hygiene Supine - Sit Sit - Supine Deficits Due To / Comments: Grooming Shaving Bathing Dressing: Upper Body Manipulation of Fasteners Socks & Shoes Lower Body Transfer Feeding Assist Level Assistive Device Swallowing Sit - Stand Stand - Sit Deficits Due To / Comments: Bed - Chair Chair - Bed Toilet or BSC Shower Instrumental ADLs Tub Assist Level Assistive Device Car / Van Deficits Due To / Comments: Light Housekeep Light Meal Prep Clothing Care Use of Telephone Manage Money Manage Medication Home Safety Awareness Deficits Due To / Comments: Kinnser Software 2016 OT Evaluation Page 5 of 11
6 Functional Assessment Dep Max Assist Mod Assist Min Assist CGA SBA Supervision Mod Indep Indep Motor Coordination Cognitive Status / Perception Prior to Injury Deficits Due To Dominance: Right handed Left handed Memory: Short Term WNL Impaired Deficits Due To Memory: Long Term WNL Impaired Fine Motor WNL Impaired Safety Awareness WNL Impaired Gross Motor WNL Impaired Judgment WNL Impaired Comments: Visual Comprehension WNL Impaired Auditory Comprehension WNL Impaired Stereognosis WNL Impaired Spatial Awareness WNL Impaired Ability to Express Needs WNL Impaired Attention Span WNL Impaired Comments: Fall Risk and Functional Testing Result Test 1 ADL Index Lawton IADL Physical Performance Test (PPT) Katz Index of ADL Motor Assessment Scale Mini Mental Status Exam (MMSE) Barthel ADL Index Nine Hole Peg Test Instrumental ADL Scale (IADLS) Test 2 ADL Index Lawton IADL Physical Performance Test (PPT) Katz Index of ADL Motor Assessment Scale Mini Mental Status Exam (MMSE) Barthel ADL Index Nine Hole Peg Test Instrumental ADL Scale (IADLS) Kinnser Software 2016 OT Evaluation Page 6 of 11
7 Test 3 ADL Index Lawton IADL Physical Performance Test (PPT) Katz Index of ADL Motor Assessment Scale Mini Mental Status Exam (MMSE) Barthel ADL Index Nine Hole Peg Test Instrumental ADL Scale (IADLS) Evaluation and Testing Description DME Available Wheelchair Walker Hospital Bed Beside commode Raised Toilet Seat Tub / Shower Bench Splints Cane Reacher Sock Donner Dressing Stick Shower Chair Long-Handled Sponge Other: Needs Evaluation Assessment Evaluation Assessment Summary Functional Limitations Decreased ROM / Strength Impaired Balance / Gait Increased Pain Decreased Endurance Decreased Transfer Ability Decreased Bed Mobility Decreased Self-Care Poor Safety Awareness Comments: Kinnser Software 2016 OT Evaluation Page 7 of 11
8 Short Term Treatment Goals Goal Target Date Long Term Treatment Goals Goal Target Date Kinnser Software 2016 OT Evaluation Page 8 of 11
9 Treatment Plan Thera Ex Manual Therapy Low Vision Training Establish or Upgrade HEP Strength / Endurance Training Assistive Device Training (specify): Transfer Training Fine Motor Coordination Training Balance Training Perceptual Motor Training Adaptive Equipment Fabrication and/or Training (specify): Bed Mobility Training Neuro-developmental Training Stairs / Steps Training Sensory Treatment Modalities for Pain Control (specify): Range of Motion O2 Sat Monitoring PRN Muscle Re-education Home Safety Training Retraining of Cognitive, Feeding & Perception (specify): Orthotics / Splinting Independent Living / ADL Training Other (specify): Comments: Care Coordination Conference With PT PTA OT COTA ST SN Aide Supervisor Other: Name(s): Regarding: Physician Notified Re: Plan of Care, Goals, Frequency, Duration and Direction Other Discipline Recommendations: PT ST MSW Aide Other: Reason: Statement of Rehab Potential Kinnser Software 2016 OT Evaluation Page 9 of 11
10 Treatment / Skilled Intervention This Visit Frequency and Duration Start Date End Date Effective Date Frequency Current Episode: Next Episode: Discharge Plan To self care when goals met To self care when max potential achieved To outpatient therapy with MD approval Other: Signature and Title: Kinnser Software 2016 OT Evaluation Page 10 of 11
11 Kinnser Software 2016 OT Evaluation Page 11 of 11
Occupational Therapy Sample Reports 2009
Sample Reports 2009 Includes: Clinical Reports Progress/ Treatment Note Plan of Care Initial Evaluation Periodic Re-Evaluation Discharge Summary Missed Visit Report Physician s Communication The Rehab
Interdisciplinary Case Conference II
Interdisciplinary Case Conference II Pacific University College of Health Professions John White- Occupational Therapy Katie Farrell- Physical Therapy Latha Reddy- Physician Assistant In-patient Rehab
Occupational & Physical Therapy Guidelines for Service Provision within the Schools
1 Occupational & Physical Therapy Guidelines for Service Provision within the Schools 2012 2 Introduction* Purpose The purpose of this document is to provide guidance regarding school-based Occupational
COLLABORATIVE NURSING DOCUMENTATION
COLLABORATIVE NURSING DOCUMENTATION The following section is designed to assist the clinician in providing information to the nursing staff in effort to facilitate collaborative nursing documentation regarding
You depend on others to assist you with one or several of these three areas. Long-Term Care
ASSESSMENT GUIDE Is assisted living the right choice for you? Our easy-to-follow Assessment Guide is designed to provide you with a starting point as you determine whether or not assisted living or long-term
Pediatric Case Study OCCUPATIONAL THERAPY EVALUATION REPORT AND INTERVENTION PLAN. Setting: community out-patient in-patient home based
I. BACKGROUND INFORMATION Pediatric Case Study OCCUPATIONAL THERAPY EVALUATION REPORT AND INTERVENTION PLAN Date of report: Date of onset: Date of birth: Client s name: Date of referral: Age on date of
1/12/2015. Tom Ambury, PT, CHC
Tom Ambury, PT, CHC Attendees will understand the key components of the initial evaluation Attendees will understand the importance of the initial evaluation in establishing the skilled need for therapy
Standard of Care: Inpatient Intervention for Total Hip Arthroplasty ICD-9 (719.7, 719.1)
Department of Rehabilitation Services Occupational Therapy Standard of Care: Inpatient Intervention for Total Hip Arthroplasty ICD-9 (719.7, 719.1) Case Type / Diagnosis: This Standard of Care applies
Objectives. Maintenance Myths. Maintenance Therapy in Home Health. Cindy Krafft PT, MS. Define the medical necessity of maintenance therapy
Maintenance Therapy in Home Health Cindy Krafft PT, MS Director of Rehabilitation Consulting Services President Home Health Section APTA Objectives Define the medical necessity of maintenance therapy Understand
Occupational Therapy
Occupational Therapy Policy Number: Original Effective Date: MM.09.003 07/15/2003 Line(s) of Business: Current Effective Date: HMO; PPO; EUTF; HSTA; QUEST; Federal Plan 87 02/01/2012 Line(s) of Business
MAPLES /PHOENIX REHABILITATION REFERRAL REFERRAL DETAILS:
MAPLES /PHOENIX REHABILITATION REFERRAL Each section must be completed by the treating health professional and goals for rehabilitation must be indicated. Once completed, please post the referral form
An Evidence Based Occupational Therapy Toolkit for Assessment and Treatment of the Upper Extremity Post Stroke
An Evidence Based Occupational Therapy Toolkit for Assessment and Treatment of the Upper Extremity Post Stroke Brenda Semenko, Leyda Thalman, Emily Ewert, Renee Delorme, Suzanne Hui, Heather Flett, Nicole
Occupational Therapy
Occupational Therapy I. Policy University Health Alliance (UHA) will reimburse for occupational therapy when it is determined to be medically necessary and when it meets the medical criteria guidelines
OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY PROTOCOL GUIDELINES
OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY PROTOCOL GUIDELINES General Therapy Guidelines 1. Therapy evaluations must be provided by licensed physical and/or occupational therapists. Therapy evaluations
Rehabilitation Integrated Transition Tracking System (RITTS)
Rehab Criteria The patient must have a physical impairment requiring rehabilitation OR have a known cognitive impairment requiring ongoing rehabilitation support or services. The patient is medically stable:
PARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY / PROCEDURE:
PARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY/PROCEDURE Policy Number: MCUP3003 (previously UP100303) Reviewing Entities: Credentialing IQI P & T QUAC Approving Entities: BOARD CEO COMPLIANCE FINANCE PAC
Physical Therapy. Physical Therapy Payment Policy Policy number M.RTH.02.120301 effective 10/01/2015. Page 1
Physical Therapy I. Policy University Health Alliance (UHA) will reimburse for physical therapy when it is determined to be medically necessary and when it meets the medical criteria guidelines (subject
October 29, 2014. Dear Administrator:
October 29, 2014 DAL: DAL 14-01 SUBJECT: Individualized Service Plan (ISP) with an EHP addendum to meet the requirements for the EHP functional assessment Dear Administrator: The purpose of this letter
Therapy Functional Reassessment: It s a good thing. Objectives. Oasis-not just a requirement 3/19/2012. Vicki D. Gines PT DPT CEEAA
Therapy Functional Reassessment: It s a good thing Missouri Alliance For Home Care Annual Conference 2012 Vicki D. Gines PT DPT CEEAA Objectives State how Oasis ties to Therapy evaluations State key components
How To Cover Occupational Therapy
Guidelines for Medical Necessity Determination for Occupational Therapy These Guidelines for Medical Necessity Determination (Guidelines) identify the clinical information MassHealth needs to determine
A Note to Physical, Occupational and Speech Therapists
D Page 1 of 5 A Note to Physical, Occupational and Speech Therapists Treating Children with Hurler Syndrome Because Hurler syndrome is such a rare disease, we have provided some basic information to assist
13. Occupational Therapy (OT)
1 3. O C C U P A T I O N A L T H E R A P Y ( O T ) 13. Occupational Therapy (OT) Evaluation Physical findings Self-care Education Social participation Treatment approach Summary of environmental changes
Physical Therapy Sample Reports 2009
Sample Reports 2009 Includes: Progress/ Treatment Note Plan of Care from Initial Evaluation Initial Evaluation/ Examination (full-length compliant) Ten (10) Visit Progress Report Discharge Summary Physician
Rehabilitation Services. Hospital Pavilion North, 5 th Floor 443-481-4100 Monday-Friday 0800-1630 Saturday/Sunday 0700-1930
Rehabilitation Services Hospital Pavilion North, 5 th Floor 443-481-4100 Monday-Friday 0800-1630 Saturday/Sunday 0700-1930 Department Overview Rehabilitation Services include physical therapy (PT), occupational
Rhode Island Hospital Inpatient Rehab Unit (IRU)
Rhode Island Hospital Inpatient Rehab Unit (IRU) We are located on the 7 th floor of the Main Building. The unit phone number is (401) 444-2217 Within this packet, you will find answers to some commonly
Physical Therapy MM.09.005 07/15/2003
Physical Therapy Policy Number: Original Effective Date: MM.09.005 07/15/2003 Line(s) of Business: Current Effective Date: HMO; PPO; EUTF; HSTA; QUEST; Federal Plan 87 09/28/2012 Line(s) of Business Excluded:
Rehabilitation Therapies
Bluebonnet Medical Rehabilitation Hospital Rehabilitation Therapies 512-444-4835 or 800-252-5151 www.texasneurorehab.com Austin, Texas What Sets Us Apart Rehabilitation Therapies Physical Therapy - Neuromuscular
Clinical Medical Policy Outpatient Rehab Therapies (PT & OT) for Members With Special Needs
Benefit Coverage Rehabilitative services, (PT, OT,) are covered for members with neurodevelopmental disorders when recommended by a medical provider to address a specific condition, deficit, or dysfunction,
Rehabilitation Center
Rehabilitation Center PATIENT INFORMATION Welcome to Ministry Saint Joseph s Hospital At Ministry Health Care, we earn trust by working together as One Ministry to keep PATIENTS FIRST in everything we
Brachial Plexus Palsy
Patient and Family Education Brachial Plexus Palsy A Therapy Guide for Your Baby Brachial Plexus Palsy is caused by trauma to the nerves of the arm. This trauma may have caused muscle weakness, lack of
Self-Range of Motion Exercises for Shoulders, Arms, Wrists, Fingers
Self-Range of Motion Exercises for Shoulders, Arms, Wrists, Fingers These exercises will help keep your muscles strong and mobile, and your joints flexible. Other benefits of these exercises include: C
CERTIFIED NURSE AIDE
CERTIFIED NURSE AIDE REPORTS TO: Charge Nurse POSITION: Provide personal care and supervision to residents in a manner conducive to their safety, comfort, security and the greatest degree of independence
Medical Rehabilitation. Rehabilitation Unit
Medical Rehabilitation Rehabilitation Unit Medical Rehabilitation The purpose of this handout is to give you information about University Hospital s Rehabilitation Unit (2 North or 2N). It will explain:
EHOVE/LCCC Occupational Therapy Assistant Program Level II Fieldwork OCTA 205
EHOVE/LCCC Occupational Therapy Assistant Program Level II Fieldwork OCTA 205 Instructor & Academic Fieldwork Coordinator: Office Hours: Mondays and Wednesdays Phone: 419-499-5283 (Office) Email: Fax:
FIM ITEM SCORING EXERCISE SHEETS 2015
FIM EXERCISE - EATING The helper applies the universal cuff on to the patient s hand before she eats. The patient then brings food to her mouth, chews & swallows by herself. The helper scoops all food
GEORGIA DEPARTMENT OF EDUCATION DIVISION FOR SPECIAL EDUCATION SERVICES AND SUPPORTS CONSIDERATIONS FOR EDUCATIONALLY RELEVANT THERAPY
Therapy Profile Therapy Profile Student Profile GEORGIA DEPARTMENT OF EDUCATION DIVISION FOR SPECIAL EDUCATION SERVICES AND SUPPORTS CONSIDERATIONS FOR EDUCATIONALLY RELEVANT THERAPY Student: D.O.B.: School
Resident will learn independently in addition to scheduled didactics. Learning is centered on the 7 core competencies as follows:
Educational Goals & Objectives Physical and Occupational Therapies are an important part of patient care. The Physical Therapy rotation, under the supervision of the Director of Rehabilitation, is a one
School Based Health Services Medicaid Policy Manual MODULE 6 OCCUPATIONAL AND PHYSICAL THERAPY SERVICES
School Based Health Services Medicaid Policy Manual MODULE 6 OCCUPATIONAL AND PHYSICAL THERAPY SERVICES BACKGROUND Administrative Requirements SCHOOL BASED HEALTH SERVICES ARE REGULATED BY THE CENTERS
ISSUED BY: TITLE: ISSUED BY: TITLE: President
CLINICAL PRACTICE GUIDELINE PROFESSIONAL PRACTICE TITLE: Stroke Care Rehabilitation Unit DATE OF ISSUE: 2005, 05 PAGE 1 OF 7 NUMBER: CPG 20-3 SUPERCEDES: New ISSUED BY: TITLE: Chief of Medical Staff ISSUED
SUBCHAPTER 48C - SCOPE OF PHYSICAL THERAPY PRACTICE SECTION.0100 - PHYSICAL THERAPISTS
SUBCHAPTER 48C - SCOPE OF PHYSICAL THERAPY PRACTICE SECTION.0100 - PHYSICAL THERAPISTS 21 NCAC 48C.0101 PERMITTED PRACTICE (a) Physical therapy is presumed to include any acts, tests, procedures, modalities,
Preschool/School Supportive Health Services Program (SSHSP)
SSHSP providers must use this select list of Current Procedural Terminology () codes to bill Medicaid for SSHSP services. This handout contains codes for the following SSHSP services that can be billed
Adult Foster Home Screening and Assessment and General Information
Office of Licensing and Regulatory Oversight Resident information Resident s name: Resident s current address: Resident s current living situation: Resident s current primary caregiver: Adult Foster Home
Physical and Occupational Therapy Services Program Rulebook
Division of Medical Assistance Programs Physical and Occupational Therapy Services Program Rulebook Includes: 1) Table of Contents 2) Current Update Information (changes since last update) 3) Other Provider
Functional Job Requirements For the Position of Special Education Teacher Department of Education, Training and the Arts Queensland
Department of Education, Training and the Arts Queensland This document was developed for the following purposes: assisting in the development of rehabilitation programs for injured or ill employees, and
Third Party Billing. Introduction
Third Party Billing Introduction Julie Stoneking Third Party Billing Coordinator Brookside Education Center Room 240 Part time Program Started 2000/2001 What is Third Party Billing? Federal reimbursement
Section 2. Physical Therapy and Occupational Therapy Services
Division of Medicaid and Health Financing Updated July 2015 Section 2 Table of Contents 1 General Information... 2 1-1 General Policy... 2 1-2 Fee-For-Service or Managed Care... 3 1-3 Definitions... 3
Coding and Billing for Physical Therapy and Occupational Therapy Services
Coding and Billing for Physical Therapy and Occupational Therapy Services -CPT Codes-97000 series -Timed Based Codes -Service Based Codes -CMS - "8" Minute Rule -ICD-9 codes -CCI edits -HCPCS(DME) MODALITIES
COVENANT C.N.A. SCHOOL COURSE OUTLINE
151 Ellis Street N.E. Suite 150, Atlanta, Georgia 30303 Telephone:404.733.5491/Facsimile:404.733.5492 Email:marcia.mottley@covenantcna.com COURSE TITLE: CERTIFIED NURSING ASSISTANT HOURS: 121(Classroom
Inpatient Rehabilitation
Inpatient Rehabilitation Patient Handbook 2601 Electric Avenue, Port Huron, MI 48060 810-985-1500 mymercy.us SJMPH 12-12 300 My Rehabilitation Team Physician Nurse Case Manager Physical Therapist Occupational
Types of Home Health Care Services You Need
Types of Home Health Care Services You Need You may receive one type or many depending on your needs. Care may be provided by one source or by several sources. Work with your physician, clinic staff, or
Physical and Occupational Therapy Services Program Rulebook
Health Services Office of Medical Assistance Programs Physical and Occupational Therapy Services Program Rulebook Includes: 1) Table of Contents 2) Current Update Information (changes since last update)
O: Gerontology Nursing
O: Gerontology Nursing Alberta Licensed Practical Nurses Competency Profile 145 Competency: O-1 Aging Process and Health Problems O-1-1 O-1-2 O-1-3 O-1-4 O-1-5 O-1-6 Demonstrate knowledge of effects of
RESTORATIVE. Yvonne Russell RN Long Term Care Nursing Coalition of Mississippi-1 st Teleconference Restorative Nursing
RESTORATIVE Yvonne Russell RN Long Term Care Nursing Coalition of Mississippi-1 st Teleconference Restorative Nursing OVERVIEW Restorative Nursing is not a new concept Techniques have been taught in nursing
Rehabilitation After Debilitation. James Inzerillo MD Physiatrist
Rehabilitation After Debilitation James Inzerillo MD Physiatrist What Happens to Me If I m I m Not Able to Take Care of Myself? Rehabilitation Options Self-Rehabilitation Outpatient Rehab At Home Rehab
How To Care For A Disabled Person
Henry Ford Macomb Hospitals Inpatient Rehabilitation Patient and Family Handbook Welcome At Henry Ford Macomb Hospitals, our goal is to help you become as independent as possible while achieving your
Patient s Handbook. Provincial Rehabilitation Unit ONE ISLAND HEALTH SYSTEM ONE ISLAND FUTURE 11HPE41-30364
Patient s Handbook Provincial Rehabilitation Unit ONE ISLAND FUTURE ONE ISLAND HEALTH SYSTEM 11HPE41-30364 REHABILITATION EQUIPMENT USED ON UNIT 7 During a patient s stay on Unit 7, various pieces of
ADDITIONAL FUNDING SOURCES
Julie Guy, MT-BC & Angela Neve, MT-BC PO BOX 710772, San Diego, CA 92171-0772 info@themusictherapycenter.com 1.877.620.7688 fax & VM ADDITIONAL FUNDING SOURCES Our mission is to make music therapy accessible
Outpatient Neurological Rehabilitation Victoria General Hospital. Pam Loadman BSC.P.T., MSc. Physiotherapist
Outpatient Neurological Rehabilitation Victoria General Hospital Pam Loadman BSC.P.T., MSc. Physiotherapist OPN - overview Who we see: Inclusion criteria Diagnoses Who we are: Clinicians involved What
B. TED MAURER, MD POSTOPERATIVE REHABILITATION PROTOCOL TOTAL KNEE ARTHROPLASTY
B. TED MAURER, MD POSTOPERATIVE REHABILITATION PROTOCOL TOTAL KNEE ARTHROPLASTY Goals addressed prior to discharge from hospital setting: Independence with bed mobility, transfers (supine to sit and sit
Inpatient Rehabilitation Guidebook
Inpatient Rehabilitation Guidebook Welcome to Alta Bates Summit Medical Center s Regional Rehabilitation Program Our experienced and caring team will provide you with outstanding care as you begin your
Healthcare and Family Services Therapy Provider Fee Schedule Key
Healthcare and Family Services Therapy Provider Fee Schedule Key The therapy fee schedule and instructions apply to the following providers: Physical, Occupational, and Speech therapists billing with their
GUIDELINES AND SERVICES FOR OCCUPATIONAL THERAPY AND PHYSICAL THERAPY
GUIDELINES AND SERVICES FOR OCCUPATIONAL THERAPY AND PHYSICAL THERAPY Linda Paule, Coordinator San Bernardino City Unified School District Dr. Patty Imbiorski, Director Special Education TABLE OF CONTENTS
ESSENTIAL FUNCTIONS. The essential functions are:
ESSENTIAL FUNCTIONS The Physical Therapist Assistant Program at the University of Evansville is an intensive course of study. It places specific demands on students that closely resemble the physical and
Physical Therapy Perspective on Ataxia. Roger Fong, MPT University of Chicago Medical Center March, 2010
Physical Therapy Perspective on Ataxia Roger Fong, MPT University of Chicago Medical Center March, 2010 Definition: Physical Therapist Physical therapy dynamic profession with an established theoretical
Physical, Occupational, and Speech Therapy Services. September 5, 2012
Physical, Occupational, and Speech Therapy Services September 5, 2012 CMS Therapy Cap Team Members Daniel Schwartz Deputy Director, DMRE Division of Medical Review and Education Latesha Walker Division
How To Care For A Patient With A Heart Condition
Acute Care to Rehab & Complex Identify Referral Destination: Referral to Rehab Referral to Complex Continuing Care (CCC) If Faxed Include Number of Pages (Including Cover): Pages Estimated Date of Rehab/CCC
University of Maine at Presque Isle 181 Main Street Presque Isle, ME 04769 COURSE SYLLABUS CLINICAL EDUCATION EXPERIENCE III
University of Maine at Presque Isle 181 Main Street Presque Isle, ME 04769 COURSE SYLLABUS CLINICAL EDUCATION EXPERIENCE III CURRICULUM AND COURSE NUMBER: PTA 225 DEPARTMENT: Professional programs/pta
Medicare Part B: Proactive Rehabilitation. Housekeeping. Harmony Healthcare International, Inc. Copyright 2012 All Rights Reserved
Medicare Part B: Proactive Rehabilitation HARMONY UNIVERSITY The Provider Unit of (HHI) Presented by: Melissa Fox, OTR/L Regional Consultant Housekeeping Sign In Contact Hours Certificate A Little About
12. Physical Therapy (PT)
1 2. P H Y S I C A L T H E R A P Y ( P T ) 12. Physical Therapy (PT) Clinical presentation Interventions Precautions Activity guidelines Swimming Generally, physical therapy (PT) promotes health with a
Rehabilitation. Rehabilitation. Walkers, Crutches, Canes
Walkers, Crutches, Canes These devices provide support through your arms to limit the amount of weight on your operated hip. Initially, after a total hip replacement you will use a walker to get around.
Draft South West LHIN Hip and Knee Replacement Program Post Acute Stream Algorithm - Guidelines and Milestones
Post Acute Stream Guidelines for patients to attend Post-Acute Stream Stream Overview 1)Discharge home to Outpatient Rehab (hospital funded or Private clinic). RAPT score >9 (only assessed pre-operatively)or?
Timed Therapeutic Procedures
Timed Therapeutic Procedures Policy Number: 10.01.526 Last Review: 4/2015 Origination: 4/2009 Next Review: 4/2016 Policy Documentation to support the reporting of timed procedure codes is required. The
Related Services: How Do Special Needs Education Relate to Your Child?
Related Services: How Do Special Needs Education Relate to Your Child? Family Driven Non-Profit 501(c)3 What makes FND unique is that the majority of our Board of Directors, all of our Management Staff
PRINTED: 07/09/2013 FORM APPROVED CENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO. 0938-0391 (X2) MULTIPLE CONSTRUCTION A.
CENTERS FOR MEDICARE & MEDICA SERVICES OMB NO. 0938-0391 (X1) PROVER/SUPPLIER/CLIA ENTIFICATION NUMBER: (X3) SURVEY NAME OF PROVER OR SUPPLIER (X4) FINAL OBSERVATIONS LICENSURE VIOLATIONS: 300.610)a) 300.1210)a)
Upper Arm. Shoulder Blades R L B R L B WHICH SIDE IS MORE PAINFUL? (CERVICAL PAIN SIDE) RIGHT LEFT EQUAL NOT APPLICABLE (N/A) CERVICAL.
1 NECK PAIN Patient Name In order to properly assess your condition, we must understand how much your NECK/ARM problems has affected your ability to manage everyday activities. For each item below, please
OCCUPATIONAL THERAPY
OCCUPATIONAL THERAPY This document is subject to change. Please check our web site for updates. This provider manual outlines policy and claims submission guidelines for claims submitted to the North Dakota
Functional Treatment SAMPLE. Ideas & Strategies. In Adult Hemiplegia. s e c o n d e d i t i o n. By Jan Davis, MS, OTR/L. Video Registration No.
Functional Treatment Ideas & Strategies In Adult Hemiplegia s e c o n d e d i t i o n By Jan Davis, MS, OTR/L Video Registration No. Table of Contents Introduction.........................................
REV UP Your Restorative Program for Quality! Susan LaGrange, RN, BSN, NHA Director of Education Pathway Health Services, Inc.
REV UP Your Restorative Program for Quality! Susan LaGrange, RN, BSN, NHA Director of Education Pathway Health Services, Inc. 1 Objectives After attending this presentation, the attendees will be able
Functional Treatment Ideas
I n t e r n a t i o n a l C l i n i c a l E d u c a t o r s, i n c. Functional Treatment Ideas and Strategies In Adult Hemiplegia s e c o n d e d i t i o n By Jan Davis, MS, OTR/L Video Registration No.
Early Intervention Service Procedure Codes, Limits and Rates
BABIES INFORMATION AND BILLING SYSTEM Early Intervention Service Procedure Codes, Limits and Rates Georgia Department of Public Health Office of Maternal and Child Health Children and Youth with Special
Medicare B Guideline Index
Medicare B Guideline Index Medical Necessity Section 1862(a)(1)(A) of the SSA states: No Medicare payment shall be made for expenses incurred for items or services which are not reasonable and necessary
Dyspraxia Foundation USA
Dyspraxia Foundation USA Presentation to The US Department of Education September 19, 2014 I. Introduction Agenda Dyspraxia USA II. III. IV. What is Developmental Coordination Disorder (DCD)/Dyspraxia
Rehab and Restorative Critical Element Pathway
Use this pathway for a sampled resident who has had a lack of improvement in any areas of functional ability to determine if the resident received necessary rehabilitative services. Review the following
Wheelchair and Seating Assessment Guide (For sections that require justification beyond the available spacing, attach additional pages)
March 2009 Dear Provider: Wheelchair and Seating Assessment Guide Many clinicians have requested revisions to the DME Wheeled Mobility Template originally published in July 2007. The following revised
WalkAide. Long term cost effectiveness of FES. J of Rehab Med 2013; 45(2):154 60 Humphreys et al
WalkAide Long term cost effectiveness of FES J of Rehab Med 2013; 45(2):154 60 Humphreys et al 126 people (62 stroke, 39 MS, 7 SCI, 3 CP, 15 other) Mean time of FES use 3.6 years 33 using FES after 11.1
Preschool/School Supportive Health Services Program (SSHSP)
Evaluation 90801 2000 PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAMINATION Psychotherapy includes continuing psychiatric evaluation, codes 90801 and 90802 are not separately reportable with individual psychotherapy
T- 09 Up Up and Away with Mediocre Therapy Documentation
T- 09 Up Up and Away with Mediocre Therapy Documentation Carol Ashdown M. A. CCC-SLP RAC-CT CHC Carol Ashdown is a Regional Vice President of Consulting for Exponential Consulting Services specializing
Review the different reasons for documentation and goals for each Discuss strategies to prove medical necessity for treatment Review documentation
Aaron Clark MS, ATC There are no conflicts of interest and information will be presented fairly and without bias No commercial support has been given for this presentation The focus of this presentation
Presentation to NC Study Commission on Aging An Overview of the Home and Community Care Block Grant (HCCBG)
Presentation to NC Study Commission on Aging An Overview of the Home and Community Care Block Grant (HCCBG) General Assembly established HCCBG in July 1992 Combined federal Older Americans Act, Social
Standards for Essential Functions
Standards for Essential Functions Seton Hall University-School of Health and Medical Sciences is committed to the education of all qualified individuals, including persons with disabilities who, with or
Staying Mobile & Active Post Stroke. Kevin Lockette PT Ohana Pacific Rehab Services, LLC Honoulu- Kailua www.ohanapacificrehab.
Staying Mobile & Active Post Stroke Kevin Lockette PT Ohana Pacific Rehab Services, LLC Honoulu- Kailua www.ohanapacificrehab.com 808 262 1118 Aging Process Changes in body composition Loss of muscle tissue/increase
my personal joint profile Your own personal profile of how rheumatoid arthritis is affecting your joints.
my personal joint profile Your own personal profile of how rheumatoid arthritis is affecting your joints. What you and your rheumatologist can learn from your joint profile. It seems like a simple question:
The Rehab Professional s Role in Dining for Persons with Dementia. By: Bonnie Saunders PT, MPA, CDP
The Rehab Professional s Role in Dining for Persons with Dementia By: Bonnie Saunders PT, MPA, CDP There have been many advances that have brought about an increased understanding of the etiologies and
Job Description. Position Title: Registered Nurse. Department: Reports To: Purpose. Responsibilities
Job Description Position Title: Registered Nurse Department: Reports To: Director of Care Purpose Reporting to the DOC, the Registered Nurse (RN) is accountable to provide professional nursing care to
LSU Health Sciences Center Occupational Therapy Flexor Tendon Injury Treatment Protocol
. LSU Health Sciences Center Occupational Therapy Flexor Tendon Injury Treatment Protocol DIP PIP MCP Zone 1 Zone 2 T 1 T 2 Zone 3 T 3 Zone 4 Zone 5 Zone 5 cs Carla M. Saulsbery LOTR, CHT Dr. A. Hollister,
Switch Assessment and Planning Framework for Individuals with Physical Disabilities
Guidance Notes Pre- assessment: It is important to gather together appropriate information before the assessment to inform on possible starting points for the assessment. The Pre-Assessment Form should
Job Ready Assessment Blueprint. Nursing Assisting. Test Code: 4058 / Version: 01
Job Ready Assessment Blueprint Nursing Assisting Test Code: 4058 / Version: 01 Measuring What Matters Specific Competencies and Skills Tested in this Assessment: Basic Nursing Assisting Skills Measure
Chapter. CPT only copyright 2010 American Medical Association. All rights reserved. 20Home Health Services
20Home Health Services Chapter 20 20.1 Enrollment..................................................................... 20-2 20.2 Benefits, Limitations, and Authorization Requirements...........................