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Research Article  |   November 1984
Administrative and Professional Issues for the Occupational Therapist in Home Health Care
Author Affiliations
  • Patricia B. Trossman, MA, OTR, Assistant Professor of Occupational Therapy, State University of New York, Downstate Medical Center, Brooklyn, NY 11203 and Occupational Therapy Supervisor, Visiting Nurse Service of New York, New York, NY 10021
Article Information
Advocacy / Ethics / Professional Issues / Features
Research Article   |   November 1984
Administrative and Professional Issues for the Occupational Therapist in Home Health Care
American Journal of Occupational Therapy, November 1984, Vol. 38, 726-733. doi:10.5014/ajot.38.11.726
American Journal of Occupational Therapy, November 1984, Vol. 38, 726-733. doi:10.5014/ajot.38.11.726
Abstract

Administrative and professional issues for the occupational therapist working in home health care include contractual relationships, referral systems, third-party reimbursement, documentation, equipment, and ethics. In this paper, the regulations for third-party reimbursement by Medicare, Medicaid, and Blue Cross for occupational therapy in home health care are explained, including the Medicare definition of homebound status and the requirement that treatment be restorative. The effect of such regulations on occupational therapy treatment planning and documentation of services is discussed. Coverage of frequently ordered equipment by Medicare and Medicaid is explained. Both the issues related to standards of practice, including the length and frequency of occupational therapy treatment sessions, and the expected duration of treatment are discussed. The effect on the professional relationship of treating patients in their own environments is examined. Changes in third-party reimbursement for inpatient care have presented occupational therapists with the challenge of working with acutely ill patients in their homes.