Transcription of Occupational therapy billing, coding and documentation ...
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Occupational therapy billing, coding and documentation ...
Occupational therapy billing , coding and documentationrequirementsLaurie LatvisDirector, Provider Outreach Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield , 12V13 PMPage 1 of 40 documentation requirements Identifyinginformation The following must be documented in the patient s medical record whenoccupational therapy is provided: Patient s name and address Patient s contract number (including prefix) and group number Patient s date of birth Facility s name and address (if applicable) Facility case number (if applicable) Location where services are provided Attending physician s name, address and phone number DiagnosisBlue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield , 12V13 PMPage 2 of 40 documentation requirements orders Orders may be written by only an MD, DO, DPM, DDS, OD or physician assistant.
– Sensory integration function – Cognitive skills – Sensory and perceptual skills – Pain levels (as reported by the patient), location, type, and the impact on function, occupation and the possible effect on the treatment program - Analysis of occupational performance and documentation of the supports and barriers to performance
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