Occupational therapy treatments are billed using approved Current Procedural Terminology codes (American Medical Association, 2018). Both full body dressing and toileting treatment activities are billed under code 97535 because they involve training on a self-care task. Code G0515 would be used for the medication management activity because it would be working on improving John’s cognitive skills to then become proficient on an IADL.
Medical Necessity John is diagnosed with a TBI and was admitted to inpatient rehabilitation after an unwitnessed fall. He is seeking occupational therapy services to improve his independence and competency with ADLs and IADLs by working on improving safety and cognition through restorative and compensatory strategies. …show more content…
16). I believe that this was well represented by John because although he had anxiety around new people, John was able to build a rapport with his therapist with each session. Another assumption made by the OTIPM is that it is very similar to a process driven style of reasoning (Fisher, 2009, p. 20). This was representative of John because there was a mix of therapy models used to create a client-centered treatment, including compensatory, educational, and restorative. Lastly, another assumption from the OTIPM is that it is a true top down approach (Fisher, 2009, p. 15). I believe that this is could be representative of John because the OT could have taken time to carefully examine John’s quality of activity performance before proceeding to interpret the cause, but in reality, the OT saw his diagnosis first and then associated his deficits with his …show more content…
John expressed multiple times how he mourned for his prior level of functioning and independence. However, by explaining the process of how therapy works, the occupations gained more purpose and meaning because they were being used to rebuild his independence, competency, and self-efficacy.
Occupation-as-end
Utilizing occupation centered goals are important in helping John redefine and develop his habits and routines to sustain therapeutic gains through strengthening his role of competence and participation within his life roles. This is done for John by addressing the routines, tasks, and habits around the occupations he has felt he has lost. Redeveloping these occupational skills will provide John with the sense of self efficacy he needs to feel competence in his life
Medical Necessity John is diagnosed with a TBI and was admitted to inpatient rehabilitation after an unwitnessed fall. He is seeking occupational therapy services to improve his independence and competency with ADLs and IADLs by working on improving safety and cognition through restorative and compensatory strategies. …show more content…
16). I believe that this was well represented by John because although he had anxiety around new people, John was able to build a rapport with his therapist with each session. Another assumption made by the OTIPM is that it is very similar to a process driven style of reasoning (Fisher, 2009, p. 20). This was representative of John because there was a mix of therapy models used to create a client-centered treatment, including compensatory, educational, and restorative. Lastly, another assumption from the OTIPM is that it is a true top down approach (Fisher, 2009, p. 15). I believe that this is could be representative of John because the OT could have taken time to carefully examine John’s quality of activity performance before proceeding to interpret the cause, but in reality, the OT saw his diagnosis first and then associated his deficits with his …show more content…
John expressed multiple times how he mourned for his prior level of functioning and independence. However, by explaining the process of how therapy works, the occupations gained more purpose and meaning because they were being used to rebuild his independence, competency, and self-efficacy.
Occupation-as-end
Utilizing occupation centered goals are important in helping John redefine and develop his habits and routines to sustain therapeutic gains through strengthening his role of competence and participation within his life roles. This is done for John by addressing the routines, tasks, and habits around the occupations he has felt he has lost. Redeveloping these occupational skills will provide John with the sense of self efficacy he needs to feel competence in his life