Do You Know the Rule? Wash. Occupational Therapy – WorkersCompensation.com

                               

Seattle, WA (WorkersCompensation.com) — With regards to occupational remedy that’s a part of a employee’s return-to-work efforts should conform to sure guidelines within the State of Washington.

Here is a take a look at these guidelines.

Reimbursement

OT therapy will probably be reimbursed solely when ordered by the employee’s attending physician and rendered by a licensed occupational therapist or an occupational therapist assistant serving beneath the course of a licensed occupational therapist. As well as, doctor assistants could order occupational remedy beneath these guidelines for the attending physician. Vocational counselors assigned to injured employees by the division or self-insurer could request an occupational remedy analysis. Nevertheless, occupational remedy therapy have to be ordered by the employee’s attending physician or by the doctor assistant.

The division can pay for a most of 1 occupational remedy go to per day. When a number of therapies (totally different billing codes) are carried out on at some point, the division or self-insurer can pay both the sum of the person price maximums, the supplier’s traditional and customary cost, or $147.97 whichever is much less. 

Progress Experiences

A progress report have to be submitted to the attending physician and the division or self-insurer following 12 therapy visits or one month, whichever happens first. Occupational remedy therapy past the preliminary 12 therapies will probably be approved solely upon substantiation of enchancment within the employee’s situation. A top level view of the proposed therapy program, the anticipated restoration objectives, and the anticipated size of therapy will probably be required.

The division or self-insurer will assessment the standard and medical necessity of occupational remedy companies.

Therapy Location

OT companies rendered within the employee’s residence or locations apart from the practitioner’s traditional and customary workplace, clinic, or enterprise facility will probably be allowed solely upon prior authorization by the division or self-insurer.

No inpatient occupational remedy therapy will probably be allowed when such therapy constitutes the one or main therapy acquired by the employee. 

Discounted Charges

The division could low cost most charges for therapy carried out on a gaggle foundation in instances the place the therapy offered consists of a nonindividualized course of remedy (e.g., pool remedy; group aerobics; and again lessons).

The place to Discover Particulars

Billing codes, reimbursement ranges, and supporting insurance policies for occupational remedy companies are listed within the price schedules.

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