Introduction to OPTIMALAPTA's Outpatient Physical Therapy Improvement in Movement Assessment Log (OPTIMAL) is an instrument that measures difficulty and self-confidence in performing 21 movements that a patient/client needs to accomplish in order to do various functional activities. In response to changes to the Medicare outpatient therapy cap exceptions process and documentation requirements for 2007, the Centers for Medicare & Medicaid Services (CMS) recommended OPTIMAL as a measurement instrument to document objective, measurable physical function of beneficiaries. Clinicians, educators, and researchers can receive permission to use OPTIMAL for free. Click here to see how you can receive permission to use OPTIMAL. For commercial use of OPTIMAL, contact APTA Director of Publications Lois Douthitt about licensing agreements. OPTIMAL Development: OPTIMAL Permissions: OPTIMAL Forms: 
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