Std. evaluation forms
Joan Cestaro, C.P.
Description
Collection
Title:
Std. evaluation forms
Creator:
Joan Cestaro, C.P.
Date:
11/30/2000
Text:
This situation and similar questions were discussed at the documentation
lecture (Kathy Dodson) during the Wash. DC national convention. I spoke
briefly with John Michael after this meeting asking if he knew of any
existing form, as mentioned below, that evaluated patients. John told me
that he and some others had been discussing this issue and that AOPA may
create something like this. They wondered if there was a need for something
like this. I explained that with all the new Mcare stuff happening in our
field, we would most definitely find this useful. I do not know if anymore
has been done or if one is in the works. I know a wonderful Prosthetic
consultant that I would recommend to lead the task force. After all,
that's what a consultant is for, right? John?
We have made some attempt at a form, but it is so involved. Be general to
fit it on 1 page and it's too simple and generic; be more specific and it's
6 pages long. I believe this is job for the national people. AOPA, are you
listening? We would love an official eval form. Can we all speak up and
let them know that there is interest out there?
Joan Cestaro, C.P.
-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
Behalf Of Denise Fletcher
Sent: Thursday, November 30, 2000 3:45 PM
To: <Email Address Redacted>
Subject: [OANDP-L] Functional Assessments
I am working with several clients who are having Medicare claims denied for
lack of a formal functional clinical assessment. A review of the
supplier's files clearly indicates that an assessment was done and the
patients assigned a functional level (usually K2 or K3) but the supplier
does not have a formal form where it documents the assessment. I have not
been able to locate any information which provides guidance on what must be
included in an assessment and the criteria for placing an individual at a
particular functional level. I have located the general descriptions of the
functional levels, as published in the Medicare manuals. My question is how
do others address this issue? What specific activities/actions/abilities
must be evaluated and documented? And just how specific does the
documentation have to be? Are others documenting the number of feet or
yards walked, the number of stairs climbed, the time to do these activities,
etc??
As an additional denial reason, the carrier is stating that descriptions of
ADLs and the specific tasks involved (for example, patient uses public
transportation to go into town to do household's grocery shopping and
patient goes out to dance at a club every weekend) are not good enough to
constitute an assessment of the patient's functional level.
I would appreciate any guidance, citations, forms or other materials that
are being used in the industry to document the placement of an individual at
a particular level.
Denise M. Fletcher
Brown & Fortunato
P.O. Box 9418
Amarillo, Texas 79105
(806) 345-6318
(806) 345-6364 Fax
<Email Address Redacted>
lecture (Kathy Dodson) during the Wash. DC national convention. I spoke
briefly with John Michael after this meeting asking if he knew of any
existing form, as mentioned below, that evaluated patients. John told me
that he and some others had been discussing this issue and that AOPA may
create something like this. They wondered if there was a need for something
like this. I explained that with all the new Mcare stuff happening in our
field, we would most definitely find this useful. I do not know if anymore
has been done or if one is in the works. I know a wonderful Prosthetic
consultant that I would recommend to lead the task force. After all,
that's what a consultant is for, right? John?
We have made some attempt at a form, but it is so involved. Be general to
fit it on 1 page and it's too simple and generic; be more specific and it's
6 pages long. I believe this is job for the national people. AOPA, are you
listening? We would love an official eval form. Can we all speak up and
let them know that there is interest out there?
Joan Cestaro, C.P.
-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
Behalf Of Denise Fletcher
Sent: Thursday, November 30, 2000 3:45 PM
To: <Email Address Redacted>
Subject: [OANDP-L] Functional Assessments
I am working with several clients who are having Medicare claims denied for
lack of a formal functional clinical assessment. A review of the
supplier's files clearly indicates that an assessment was done and the
patients assigned a functional level (usually K2 or K3) but the supplier
does not have a formal form where it documents the assessment. I have not
been able to locate any information which provides guidance on what must be
included in an assessment and the criteria for placing an individual at a
particular functional level. I have located the general descriptions of the
functional levels, as published in the Medicare manuals. My question is how
do others address this issue? What specific activities/actions/abilities
must be evaluated and documented? And just how specific does the
documentation have to be? Are others documenting the number of feet or
yards walked, the number of stairs climbed, the time to do these activities,
etc??
As an additional denial reason, the carrier is stating that descriptions of
ADLs and the specific tasks involved (for example, patient uses public
transportation to go into town to do household's grocery shopping and
patient goes out to dance at a club every weekend) are not good enough to
constitute an assessment of the patient's functional level.
I would appreciate any guidance, citations, forms or other materials that
are being used in the industry to document the placement of an individual at
a particular level.
Denise M. Fletcher
Brown & Fortunato
P.O. Box 9418
Amarillo, Texas 79105
(806) 345-6318
(806) 345-6364 Fax
<Email Address Redacted>
Citation
Joan Cestaro, C.P., “Std. evaluation forms,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 7, 2024, https://library.drfop.org/items/show/215336.
