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Therapy Caps and Variation in Cost of Outpatient Occupational Therapy by Provider, Insurance Status, and Geographic Region / Mackenzi Pergolotti, [i 3 més]

By: Pergolotti, Mackenzi.
Material type: materialTypeLabelArticleDescription: 9p, 72 (2) 2018.Content type: text Media type: informàtic Carrier type: en líniaISSN: 02729490.Subject(s): Teràpia Ocupacional | Cost | Despesa sanitària | Estats Units d'AmèricaOnline resources: Accés restringit usuaris EUIT
Contents:
Mackenzi Pergolotti; Jessica Lavery; Bryce B. Reeve; Stacie B. Dusetzina
In: American Journal of Occupational Therapy 2018 MAR-ABR; 72 (2): 7202205050p1-7202205050p9Summary: OBJECTIVE. This article describes the cost of occupational therapy by provider, insurance status, and geographic region and the number of visits allowed and out-of-pocket costs under proposed therapy caps. METHOD. This retrospective, population-based study used Medicare Provider Utilization and Payment Data for occupational therapists billing in 2012 and 2013 (Ns = 3,662 and 3,820, respectively). We examined variations in outpatient occupational therapy services with descriptive statistics and the impact of therapy caps on occupational therapy visits and patient out-of-pocket costs. RESULTS. Differences in cost between occupational and physical therapists were minimal. The most frequently billed service was therapeutic exercises. Wisconsin had the most inflated outpatient costs in both years. Under the proposed therapy cap, patients could receive an evaluation plus 12-14 visits. DISCUSSION. Wide variation exists in potential patient out-of-pocket costs for occupational therapy services on the basis of insurance coverage and state. Patients without insurance pay a premium.
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Item type Current location Collection Call number url Status Notes Date due Barcode
Journal article Journal article Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa
Biblioteca
En línia Link to resource Exclòs de préstec 0000101718972
Journal Journal Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa
Biblioteca
Paper Capses ordenades alfabèticament (Browse shelf) Exclòs de préstec També consulta en línia 0000101709086

Mackenzi Pergolotti; Jessica Lavery; Bryce B. Reeve; Stacie B. Dusetzina

20180221

OBJECTIVE. This article describes the cost of occupational therapy by provider, insurance status, and geographic region and the number of visits allowed and out-of-pocket costs under proposed therapy caps. METHOD. This retrospective, population-based study used Medicare Provider Utilization and Payment Data for occupational therapists billing in 2012 and 2013 (Ns = 3,662 and 3,820, respectively). We examined variations in outpatient occupational therapy services with descriptive statistics and the impact of therapy caps on occupational therapy visits and patient out-of-pocket costs. RESULTS. Differences in cost between occupational and physical therapists were minimal. The most frequently billed service was therapeutic exercises. Wisconsin had the most inflated outpatient costs in both years. Under the proposed therapy cap, patients could receive an evaluation plus 12-14 visits. DISCUSSION. Wide variation exists in potential patient out-of-pocket costs for occupational therapy services on the basis of insurance coverage and state. Patients without insurance pay a premium.

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