For treating in the home, does there need to be an MD order if insurance is not involved?

Barbara Kornblau, JD, OT/L, FAOTA

May 1, 2020

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Question

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.

 

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barbara kornblau

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.


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