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Understanding OT Evaluation Codes: Case Scenarios

Presented by Rick Gawenda

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This course will teach participants the three components that must be met and documented in the medical record to report the appropriate occupational therapy evaluation complexity level. The course will teach participants how patient comorbidities may impact occupational performance. The course will teach participants the importance of documenting the amount of assistance and/or modification that the occupational therapist provides during the initial evaluation in order for the patient to complete the task. Finally, this course will use case scenarios in orthopedics, pediatrics and neurology to teach participants how to determine the appropriate complexity level and the documentation that must be present in the medical record to support their choice.

Meet your instructor

Rick Gawenda

Rick Gawenda is founder and president of Gawenda Seminars & Consulting, Inc. He graduated in 1991 with a Bachelor of Science in physical therapy from Wayne State University in Detroit. Rick is director of finance for a physical therapist–owned private practice with multiple offices located in Southern California. In addition,…

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Chapters & learning objectives

Introduction to the Occupational Therapy Evaluation Codes

1. Introduction to the Occupational Therapy Evaluation Codes

This chapter will teach participants the three components of the occupational therapy evaluation CPT codes and the minimum requirements that must be met for each component to bill that complexity level.

What are Performance Deficits and How Do We Count Them?

2. What are Performance Deficits and How Do We Count Them?

This chapter will focus on the examination component of the occupational therapy evaluation and teach participants what are performance deficits and how do you count them.

Occupational Therapy Evaluation and Decision-Making

3. Occupational Therapy Evaluation and Decision-Making

This chapter will focus on the decision-making component of the occupational therapy evaluation and the importance of documenting how comorbidities may impact occupational performance and the amount of assistance and/or modification that is provided to enable the patient to complete the evaluation component.

Occupational Therapy Evaluation Case Scenarios: Pediatrics and Neurology

4. Occupational Therapy Evaluation Case Scenarios: Pediatrics and Neurology

This chapter will provide case scenario’s that will teach occupational therapists how to select the appropriate evaluation complexity level based on their documentation. Examples will include pediatrics and neurology.

Occupational Therapy Evaluation Case Scenarios: Orthopedics

5. Occupational Therapy Evaluation Case Scenarios: Orthopedics

This chapter will provide case scenario’s that will teach occupational therapists how to select the appropriate evaluation complexity level based on their documentation. Examples will focus on orthopedic conditions.