Quick Facts & Tips II

Treatment Plans

Care plans or Treatment plans

Medical Model

hint: need to address medical necessity

hint: Progress reporting is necessary to show improvement [or lack thereof] with skilled OT

hint: Habilitative model for children, however, know the insurance guidelines for the length, number of allowable skilled OT treatments

hint: Most commonly used CPT code: 97535 (self care); 97110 (active units: which comprises therapeutic activities)

hint: Submit reports in a timely manner to avoid denial or delays in authorization

hint: Avoid highlighting sensory processing or integration as treatment & as a goal; as a goal unless it is tied to functional skill development or improvement, it may be denied

Address the limitations or weaknesses for goal development based on the result of standardized assessment or the objective measures-->develop or improve it as a functional skill
- i.e. AROM BUE: Limited--> Goal: Increase AROM by 5% or 10 degrees--> to reach a cup at table height and bring it to mouth
Be specific with the recommended frequency and duration
- i.e. OT 2xwkx4wks; OT 2x30 mins a week for 12 weeks
Indicate the treatment modalities that is expected to be utilized
- i.e. Therapeutic activities; therapeutic exercises; manual therapy; TENS

Educational Model

hint: Frequency and duration should NOT take the student away from the classroom time more than 50%

hint: Change some quantifiers or qualifiers in the goal, if preferring to continue the same goal [a change has to be demonstrated]

Address the limitations or weaknesses for goal development based on the result of standardized assessment or the objective measures-->develop or improve it as a functional skill
- i.e. BOT-2 Fine Motor Integration score--> below average-->Goal: improve scissor skills by cutting along 1/2" line