With these assets, it may be reasonably determined that the patient should respond favorably to skilled interventions. Today, however, it is advisable to be clearer in defining which assets have led you to assume a positive expectation for treatment. Patient strengths - i.e. motivation, ability to follow commands, ability for new learning, etc. Positive response to prior therapy, as received in another setting or with a prior medical event. Medical necessity Medical necessity must be determined prior to treatment in order to substantiate the service provided.
Medical necessity is the explanation of why skilled treatment is necessary.
Defining skilled intervention It is imperative that we continually differentiate our skilled interventions from those of non-skilled services. However, if an abnormal tone may be effected by neuromuscular techniques, thereby allowing improved ROM, or if ROM is declining despite routine care, occupational therapy may indeed be warranted. Treatment efforts should be defined as to their rationale and strategy in seeking functional outcomes. Patient tolerated treatment well. This implies a non-skilled intervention.