Meredith is a Level 2 OT fieldwork student doing a specialty affiliation in an outpatient hand clinic. Her OT supervisor, who is the only other OT in the clinic, had a death in the family and had to leave suddenly. While her supervisor was gone, the PT manager directed Meredith to treat all of the OT supervisor’s patients, including providing the PAMs on the physician referral, an intervention for which she has no training. The PT manager oversees several clinics and also asked her to treat one of his PT groups while he was offsite. She then documented and billed Medicare for these treatments. While doing so, she noticed that the PT patient has been in therapy for over 6 months and now has exceeded the $1,900 reimbursement cap for PT/SLP.
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