OT Connections Logo

cognitive reimbursement question

Acquired Brain Injury

Acquired Brain Injury
An acquired brain injury (ABI) is damage to the brain acquired after birth. It usually affects cognitive, physical, emotional, social or independent functioning and can result from traumatic brain injury (i.e. accidents, falls, assaults, etc.) and nontrau

cognitive reimbursement question

  • Has anyone had experience with which cognitive evaluations or documentations provide the best chance at reimbursement for subsequent treament? I am working with an outpatient TBI/CVA population that is functionally high level (hence why denials for treament are  common) however demonstrate work related and IADL dysfunction due to executive functioning, memory and attentional deficits.

    Thanks,  Karen OTR/L

  • are you using the self care and community reintegration, home management codes? Are you using IADL assessments such as the PASS to determine what IADL tasks they are having difficulty completing and why they are having difficulty completing them for tasks such as money management, meal prep, safety, medication management, public transportation, information processing, computer -internet use? I work in acute care but I cover to outpatient now and then and this is what I see them doing.

  • I would like to learn more about standard testing for cognitive funtioning

    Thanks Marie Vautour OT/L

  • look under the thread "objective testing for cognition" in the acute care group

    some options are MoCA(montreal cognitive assessment) , SBT, (short blessed test)  both (free on line)  ALLEN, CPT,(for purchase)  PASS (for trial by the author) , EFPT, (free on line) CAM ICU,Mini-Mental (free on line) , LOTCA (Lowenstein occupational therapy cognitive assessment  (for purchase- good options for aphasia - good for CVA or TBI patients.