Occupational therapy services home based are considered for payment when performed to address the need for a patient suffering from physical damage due to disease, trauma, congenital anomalies or therapeutic intervention in those homebound insured.
Occupational Therapy services must meet the following criteria:
1. Fill the functional needs of the patient.
2. Achieve the goal of improvement in the expected time for the condition or diagnosis of the patient.
3. Provide specific, reasonable, and effective treatment for the diagnosis and the patient’s physical condition.
4. Being offered by a certified professional.
The care plan occupational therapy session should include the following:
1. State specific goal for the short and long range.
2. Measurable objectives
3. A reasonable estimate of when the goal can be achieved.
4. Specific treatment techniques on activities to be used in the treatment.
5. The frequency and duration of treatment.
Occupational Therapy session (one hour) should include:
1. Basic activities of daily living and self-care.
2. Instructions for developing high level of independence.
3. Program functional exercises for functional limbs.
4. Evaluation and cognitive training, perception and safety.
5. Program for orthotics and prosthetics for upper extremities.
6. Train the patient and family in exercise programs at home.
