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Began January 1999

Reimbursement in Therapeutic Recreation

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I work in a rehab hospital setting and would like to know how to bill for services. I have heard that patients covered by medicare may now be billed under Medicare part A. Is this true? and how can i go about getting this started? I have also heard that in certain states Medicaid offers reimbursement. Is Florida one of those states? Finally, does anyone know which insurance companies offer reimbursement for RT (and what are the appropriate CPT codes, etc) I would be appreciative of any information anyone has to share on this. Thank you. Jessica Bernabei, CTRS (305) 585-1264
Jessica Bernabei, CTRS jessicabernabei_AT_hotmail.com
- Friday, October 05, 2007 at 10:37:25 (CDT), IP Address: 170134206215
I would love to have some information on reimbursements. I work at a nursing home with a rehab unit and I am trying to encourage them to use me not only as an activities coordinator, but as a recreational therapist as well. Any help would be greatful to get me started.
Kelli
Wednesday, August 17, 2005 at 21:11:00 (CDT)
no, we are not allowed to bill. We just get paid like a fast food worker
anonymous
Thursday, August 12, 2004 at 15:13:36 (CDT)
Im a student trying to uncover what is the curent policy for rimbursement of Therapeutic Recreation services. The NTRS.ORG site is down. Can anyone give me a clue. Thank you
Scott From Florida
Wednesday, May 26, 2004 at 20:23:01 (CDT)
Finally we are reimbursed by medicare!!!
anonymous
Thursday, August 21, 2003 at 18:01:47 (CDT)
My institution merges with other departments to save money. My institution will probably phase out anyone needing a CTRS. They have already done this by just changing job descriptions and saying they could not find anyone for the positions or that qualified persons are not qualified. There is alot of nepotism in my institution. They think they are not mandated by NCTRS standards. They will probably use other creative arts specialists to save money and fill vacant positions. There is even talk of using social workers instead of TRS in the future. I think that Joint Commission really needs to evaluate who is running therapeutic recreation programs. At my institution it seems like they are using client biased and invalid surveys to phase out CTRS's.
anonymous
Sunday, May 26, 2002 at 11:26:15 (CDT)
In my 15 years of practice, I have always felt it was simply criminial that we are not considered a reimbursable service. I know that as we move toward away from the era of managed care toward some form of National Health Insurance, that the battle is not going to get any easier. I am hopeful that we can secure a future for our field with continued advocacy from our professional association, and from each and every therapist taking an active role in pushing for a reimbursable status.
anonymous
Thursday, April 11, 2002 at 22:13:56 (CDT)
I am currently fighting a battle with my administration and management corporation concerning reimbursement of TR in inpatient physical rehab. ATRA has been a great help in educating me on how to get reimbursement. I suggest joining ATRA to get the full scoop on reimbursement. Generally though, tx must be: provided by a CTRS, physician ordered, and "active tx". You cannot bill for diversional activities!
anonymous
Sunday, June 03, 2001 at 09:42:51 (CDT)
My agency seeks reimbursement for all services including TR. Unfortunately, TR is not reimbursed by any insurance companies or medicaid/medicare. Until it is, TR must be incorperated into the general operating cost of the agency.
anonymous
Saturday, January 20, 2001 at 00:06:49 (CST)
I work in acute rehab and I am baffled about the process of bringing billing to my hospital. I know that TR is billable under medicare's 3-hour rule. What are the best goals to aim for when looking to bill medicare? Community re-entry? What about private insurance, anyone have luck there? Thanks, any info would be helpful my email address is Maxxnjazz@aol.com
Maxx
Monday, November 27, 2000 at 23:25:15 (CST)
I work in acute rehab and I am baffled about the process of bringing billing to my hospital. I know that TR is billable under medicare's 3-hour rule. What are the best goals to aim for when looking to bill medicare? Community re-entry? What about private insurance? Thanks, any info would be helpful
anonymous
Monday, November 27, 2000 at 23:21:14 (CST)
I am a TR student at Florida International University, I have to do a research paper on health care reform and reimbursement and Therapeutic recreation, I need to know what the issues and trends are today, and why.. Please send me some information if you can!!! thanks, grateful student- rachelfern1@hotmail.com
student
Sunday, October 01, 2000 at 19:43:02 (CDT)
I work in a hospital setting, the TR's are in Acute Rehab, SKF, Psych (Adult and Children), and Drug Rehab Programs. The facility is looking long and hard at where TR is required, vs needed (budgeting cut backs). I am interested in proving information on proper CPT codes (?), so I can propose to the CEO how we can reimburse TR. Any and all information would be extrememly useful. BTW, does it make a difference in what state you are located? I work in VA. Thanks to those who respond directly to me! Gini.Simmons@centrahealth.com
Gini
Tuesday, September 12, 2000 at 18:18:57 (CDT)
Since my agency is just me, yes I am recieving reimbursement. My clients pay me directly for my services. I think if we recreation therapists had alittle more confidnece about what we do, we wouldn't be afraid to ask for reasonable payment for our expertise.
anonymous
Thursday, August 24, 2000 at 10:00:15 (CDT)
TR is very dear to my heart. In need to know all the steps to develope reimbursements in a subacute/rehab facility. Please send me any literature, or details of how to start a plan for CTRS in reimbursements. Thank you, jdouglas.dst2@africana.com
anonymous
Thursday, March 30, 2000 at 20:24:19 (CST)
I have recently had a lot of conversations with the CEO of my organization as to whether he would be interested in adding TR treatment into the contract negotiations with the managed health care companies when he re-negotiates contracts. He is very interested but needs me to write a proposal that would summerize TR services, explaining the benefits of TR. I am trying to gather "hard facts" from research to include in this proposal. Any suggestions? I work in pediatrics. Please email me directly to lwaite@forkidcare.com. Thanks in advance.
anonymous
Friday, February 25, 2000 at 20:56:36 (CST)
I have recently had a lot of conversations with the CEO of my organization as to whether he would be interested in adding TR treatment into the contract negotiations with the managed health care companies when he re-negotiates contracts. He is very interested but needs me to write a proposal that would summerize TR services, explaining the benefits of TR. I am trying to gather "hard facts" from research to include in this proposal. Any suggestions? I work in pediatrics. Please email me directly to lwaite@forkidcare.com. Thanks in advance.
anonymous
Friday, February 25, 2000 at 20:56:16 (CST)
reimbursement for RT services. Most of our patients are not insurance, medicare or medicaid patients. However, for those who do have insurance, we do bill and have collected. We simply use the appropriate CPT codes and back them with documentation showing outcomes.
anonymous
Tuesday, November 02, 1999 at 16:07:08 (CST)
WE ARE LOOKING TO START A NEW PROGRAM AT OUR HOPSITAL AND WE DO NOT KNOW HOW TO BILL. OR ANY INFORMATION ON GRANTS WOULD BE LHEPFUL
BCHAMBER@RGHOSP.CHIME.ORG
Thursday, August 26, 1999 at 09:03:30 (CDT)
I am an interested in finding out about reimbursement for TR services in a residential school setting. If anyone has any ideas or suggestions as to if and how we could bill please let me know. Thank You!!
Jennifer
Wednesday, June 23, 1999 at 12:35:02 (CDT)
Where I practice in Vermont there are only about 22 CTRS's and licensure would be cost prohibitive for that few, otherwise I am in favor of it.
Richard G. Fritz
Tuesday, May 11, 1999 at 10:24:54 (CDT)
Yes, I believe all recreation therapists need to be licensed. In addition, it shows that we are professionals and therapeutic Recreations is a specialized therapy/service, and patients/clients can benefit for optimal health.
Mike Scott
Tuesday, April 20, 1999 at 15:10:37 (CDT)
I'm more concerned about reimbursement issues than licensure. where is the information.
anonymous
Friday, March 26, 1999 at 13:34:05 (CST)
Name of facility.... Name title and telephone # of person completing this survey.... Are you currently billing for R.T. services. Y or N If yes then designate if it is an inpatient, partial, outpatient or other type of program. Credentials of person providing the program.... Specific program titles submitted for reimbursement and coding number being submitted. How successful have you been in receiving reimbursement? How have you elicited support for reimbursement. What are your patient/staff ratios currently at your facility.
anonymousSryan@mayo.com
Friday, January 29, 1999 at 12:18:51 (CST)

 

 

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