If an elderly patient is seen in the home by an OT, does there need to be an MD order if insurance is not involved?
Answer
It depends on the state. For example, you do not need an order/prescription to see/treat a patient in Florida under the state licensure law. However, all insurance companies and other reimbursement sources (Medicare/Medicaid/CHIP) require an order/prescription for reimbursement. If your state does not require an order/prescription, you can treat the client without it and bill the client.
For more information on the topic of "Side Gigs for OTs", please check out the OT Virtual Cafe chat.
Barbara Kornblau, JD, OT/L, FAOTA
Barbara L. Kornblau is an attorney, an occupational therapist, a certified case manager, a certified pain educator, and a past President of AOTA, who has been in private practice, on and off throughout her 30+ year career in occupational therapy, and mentored and consulted with other occupational therapists starting out in private practice. She is an adjunct professor at Florida A&M University and Rocky Mountain School of the Health Professions. She is a consultant to the United Spinal Association Pathways to Employment Program and the American Association on Health and Disabilities Breast Cancer Awareness for Women with Disabilities Program. She is also a consultant to developing OTD programs. She has hundreds of presentations and publications on topics related to occupational therapy practice, case management, and legal issues.
Related Courses
1https://www.occupationaltherapy.com/ot-ceus/course/way-you-do-things-occupational-3065The Way You Do The Things You Do: Occupational Therapy and MalpracticeThis session defines malpractice, and reviews the basics of the law of malpractice and how it applies to occupational therapy practice. It also provides practical tips to avoid malpractice in occupational therapy.auditory, textual, visual
'The presenter's presentation was clear and concise, very much understandable and I enjoyed the real life examples'Read Reviews
AOTA/0.1 Intermediate, Category 3: Professional Issues - Legal & Legislative;Regulatory & Reimbursement Issues; CE Broker/1.0 Home Study, General (FL), Management (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), CE Broker #20-577794; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Admin And Management
This session defines malpractice, and reviews the basics of the law of malpractice and how it applies to occupational therapy practice. It also provides practical tips to avoid malpractice in occupational therapy.
2https://www.occupationaltherapy.com/ot-ceus/course/fieldwork-and-students-with-disabilities-3332Fieldwork and Students with DisabilitiesThis course provides information about responsibilities for students with disabilities in fieldwork under the law. It looks at the roles and the responsibilities of faculty, academic institutions, fieldwork educators, fieldwork sites, and students with a disability in the accommodations process.auditory, textual, visual
AOTA/0.2 Intermediate, Category 3: Professional Issues - Legal & Legislative;Regulatory & Reimbursement Issues; CE Broker/2.0 Home Study, General (FL), Management (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), CE Broker #20-604776; IACET/0.2; NBCOT PDUs/2.5 Intermediate, Admin And Management
This course provides information about responsibilities for students with disabilities in fieldwork under the law. It looks at the roles and the responsibilities of faculty, academic institutions, fieldwork educators, fieldwork sites, and students with a disability in the accommodations process.
3https://www.occupationaltherapy.com/ot-ceus/course/occupational-therapy-and-path-to-3368Occupational Therapy and the Path to Successful Return to WorkAs occupational therapists, we spend more time with our patients/clients than any team member. The time we spend with patients can set the stage for a path to return to work. Learn how to integrate the occupation of work, return to work concepts, and policies that promote return to work into practice to encourage patients/clients to return to their worker role.auditory, textual, visual
AOTA/0.15 Intermediate, Category 1: Domain Of OT - Areas Of Occupation; CE Broker/1.5 Home Study, General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), CE Broker #20-609624; IACET/0.2; NBCOT PDUs/1.88 Intermediate, Work And Industry
As occupational therapists, we spend more time with our patients/clients than any team member. The time we spend with patients can set the stage for a path to return to work. Learn how to integrate the occupation of work, return to work concepts, and policies that promote return to work into practice to encourage patients/clients to return to their worker role.
4https://www.occupationaltherapy.com/ot-ceus/course/florida-occupational-therapy-laws-and-9296Florida Occupational Therapy Laws and RulesThis course explains the why and how the practice of occupational therapy is regulated in the State of Florida. It explains what occupational therapy practitioners need to know to be able to practice according to the laws and rules that govern occupational therapy in Florida.auditory, textual, visual
'The instructor made me want to engage and I had received a great refresher'Read Reviews
AOTA/0.2 Introductory, Category 3: Professional Issues - Legal & Legislative;Regulatory & Reimbursement Issues; CE Broker/2.0 Home Study, Laws And Rules (FL), Management (AL), General Continuing Education (GA), Professional/Health Care Related (SC), CE Broker #20-727308; CE Broker Provider #50-14558; IACET/0.2; NBCOT PDUs/2.5 Beginner, Admin And Management
This course explains the why and how the practice of occupational therapy is regulated in the State of Florida. It explains what occupational therapy practitioners need to know to be able to practice according to the laws and rules that govern occupational therapy in Florida.
5https://www.occupationaltherapy.com/ot-ceus/course/prevention-of-medical-errors-9297Prevention of Medical ErrorsThis course looks at practice errors in occupational therapy and how to prevent them. It reviews root-cause analysis, error reduction and prevention, patient safety, and contraindications and indications specific to occupational therapy management, including medication and side effects.auditory, textual, visual
AOTA/0.2 Intermediate, Category 3: Professional Issues - Legal & Legislative;Regulatory & Reimbursement Issues; CE Broker/2.0 Home Study, Med Errors (FL), Administrative (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), CE Broker #20-727376; CE Broker Provider #50-14558; IACET/0.2; NBCOT PDUs/2.5 Intermediate, Admin And Management
This course looks at practice errors in occupational therapy and how to prevent them. It reviews root-cause analysis, error reduction and prevention, patient safety, and contraindications and indications specific to occupational therapy management, including medication and side effects.
