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An OT works in a Medicare-funded inpatient rehabilitation facility and is evaluating a 43-year-old patient who had a bilateral total knee replacement 3 days ago. The patient lives with her husband and Golden Retriever dog in a two-bedroom single-story home. Currently the patient requires moderate assistance for BADLs. In order for the patient to become more independent with bathing, dressing, and toileting, what MUST the OT consider when scheduling the patient for OT?

=> Patient’s physical strength and endurance in order to complete her daily routines
=> Number of therapy hours Medicare will reimburse for therapeutic services
=> Patient’s medical history and prior level of functioning
=> Availability of her husband to participate in occupational therapy training and education

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Asked on June 12, 2017 3:19 pm
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Number of therapy hours Medicare will reimburse for therapeutic services

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Posted by (Questions: 0, Answers: 1)
Answered on June 13, 2017 6:05 pm
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B) Number of therapy hours Medicare will reimburse for therapeutic services.
Since the patient’s initial treatment plan only addresses BADLs, the amount of treatment required to achieve the patient’s goals may not meet the minimum amount of time required for reimbursement. The OT should make sure that all areas of independent BADL function are addressed during treatment and schedule sessions accordingly. If the amount of occupational therapy required to help the patient achieve independence in BADLs is not enough to meet reimbursement requirements, the OT may need to work with other staff members to ensure that the minimum amount of therapy hours is covered.

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Posted by (Questions: 108, Answers: 97)
Answered on June 12, 2017 3:20 pm
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