How to write a successful Letter of Medical Necessity (L.M.N.) Sally Mallory, PT, ATP
|
|
- Peter Bruce
- 7 years ago
- Views:
Transcription
1 How to write a successful Letter of Medical Necessity (L.M.N.) Sally Mallory, PT, ATP
2 The Problem High numbers of funding requests for DME are denied. CMS funding levels are being reduced with expense cutting Many denials on first review are due to procedural errors or simple omissions in funding requests Lack of sufficient or compelling Medical Necessity documentation Increased focus on lower cost alternative LMN s that do not paint the complete picture of the client s seating, positioning and mobility needs!
3 CMS Definition of Medically Necessary Medical Necessity as defined by CMS and, by trickle down effect, State Medicaid systems and most third party insurance coverage: The service or benefit will, or is reasonably expected to, prevent the onset of an illness, condition, or disability The service or benefit will, or is reasonably expected to, reduce or ameliorate the physical, mental, or developmental effects of an illness, condition or disability. The service or benefit will assist the individual to achieve or maintain maximum functional capacity in performing daily activities taking into account both the functional capacity of the individual and those functional capacities that are appropriate for individuals of the same age.
4 Advocate As defined by 1. One that pleads the cause of another; specifically : one that pleads the cause of another before a tribunal or judicial court 2. One that defends or maintains a cause or proposal 3. One that supports or promotes the interests of another
5 What is the problem? Incomplete client presentation Incomplete matt assessment Incomplete Medical/ Functional justification Absence of other equipment evaluation No supporting documentation Absence of consequences if denied
6 LMN s Essential Components 1. You are the professional! 2. Paint a Picture of your client 3. If a current user, describe current equipment, why it is not meeting the clients needs. 4. Describe what the Therapeutic Goals are for the new equipment 5. Describe Trial and Use of equipment evaluated 6. Describe the Clinical Reasoning for the equipment selected 7. Most important! Describe what would happen in the absence of recommended equipment
7 1) You are the Professional Document is a direct reflection of your professional persona Reflects your knowledge of this client How often do you see them, for what purpose, how long have you known them. What is your expertise? Include credentials
8 2) Paint a Picture Include: 1. Name 2. Age 3. Primary diagnosis and onset 4. Secondary diagnosis, list all that apply 5. Primary funding source Matt Assessment: Describe all physical findings of the matt assessment. Deformities, redness, spasticity, etc Where did you have to use hands to support patient for posture
9 2) Paint a Picture Complete clinical presentation and level of function of client including educational, social/emotional development cognitive skills, ambulation, ADL s, mobility, R.O.M. at joints, strength, endurance, tone, reflexes, school/home/work requirements, transportation, peer interactions Describe your client s seating, positioning mobility and medical needs. Do not list or describe any information that is not relevant to the request.
10 3) Current User Describe current mobility equipment, condition, age, prior repairs Describe current seating and positioning equipment, age, condition Who provided current chair? Any specific lifestyle reasons that current equipment does not meet? Has their medical condition changed?
11 3) Current User Describe physical presentation of client when using current equipment Describe any issues and/or problems client has had with current equipment Likes, dislikes. What worked, what didn t work
12 4) Therapeutic Goals Be specific as to what your therapeutic goals are for the new equipment. Increased sitting tolerance, ability to interact/engage Therapeutic pelvic positioning and body alignment Tone management Improved head control Improved upper body control Improved distal function What was not achieved with prior equipment
13 5) Trial/Evaluation What type/brand of wheelchairs and seating were considered and rejected Type/options considered What were the shortcomings Clinical reasoning for rejection. What wheelchairs were actually evaluated with client. Funding sources prefer at least 2 documented options Type/model evaluated Reasons as to why they were approved or rejected Describe how the client presented in the selected wheelchair Pictures of client in the chair Posture and/or functional improvements All pertinent observations
14 5) Trial/Evaluation Clinical reasoning as to why you selected the specific wheelchair and seating that is being recommended. What clinical/tone changes were observed How the client presented in the chair Empirical data (increased sitting time, skin condition) How the equipment met the client s needs
15 5) Trial/Evaluation Be specific on recommended equipment Sample wording: The following specific items described are the exact items that this person needs. The specifications, brands and models themselves should not be changed. They have been chosen with great care for function, durability, ease of use, compatibility, accessibility and for this individual's own specific medical and therapeutic needs.* * Karen M Kangas OTR/L
16 6) Clinical Reasoning All Seating and Mobility equipment should be prescribed only to meet an identified Clinical / Therapeutic/ Positioning Need. Safety is not a medical/clinical need Comfort is not a medical need What Functional improvement does the device provide.
17 6) Clinical Reasoning Chair and Positioning Components Clinical Reasoning for Tilt-in-Space chair * Pressure Relief. Reduction of pressure at I.T. s Improved respiration/gastric motility Improved therapeutic posture Reduced fatigue (Increased seating tolerance) * Chan A, Heck CS The effects of tilting the seating position of a wheelchair on respiration, posture, fatigue, voice volume and exertion outcomes in individuals with advanced multiple sclerosis. J Rehabil Outcomes Meas. 1999;3:1 14.
18 6) Clinical Reasoning Recline Recline systems provide a change in seatto-back angle orientation while maintaining a constant seat angle with respect to the ground. Clinical reasoning Accommodate hip angles and deformities Positioning for feeding Pressure relief Position for improved respiration Postural relief Catheterization
19 6) Clinical Reasoning Describe each seating and positioning component required (Head Supports, A.T.S., Lateral Thoracic, Pelvic Positioning, etc) to achieve therapeutic seating and/or postural support Provide medically necessary reasoning as to why each item is needed Funding Agency s concerns: Safe or Safety is not a medically necessary reason to approve equipment funding Comfort is not a medical necessity as defined by CMS. Increased Seating Tolerance IS considered a medical necessity
20 6) Clinical reasoning Pelvic Positioning Belts helps to provide and maintain proper neutral hip and pelvic positioning on the seat cushion 4-point: this unique design helps to maintain neutral pelvic positioning, discourage and corrects posterior pelvic tilt and aids in preventing anterior displacement of the I.T. s. This was the only positioning belt able to provide and maintain neutral pelvic positioning.
21 6) Clinical reasoning Hip Guides Provides medial pelvic positioning and lower extremity positioning on the seat cushion. Provides lateral pelvic alignment and helps provide upper body stability
22 6) Clinical reasoning Foot Positioning/Foot bed Maximize foot print/loading surfaces Minimize skin breakdown Tone control Injury prevention due to extensor tone Improved lower extremity alignment Aids in proper joint alignment
23 6) Clinical reasoning Lateral Thoracic Supports to provide lateral trunk control, stability, mid line positioning and proper postural alignment Help provide correction to flexible curved postures (3 point support) Aid in providing pelvic stability by aligning the trunk over the pelvis
24 6) Clinical reasoning Shoulder Harness/ H Harness/ Butterfly Harness/Chest Strap Provides anterior support of the trunk to promote upper body stability Provides anterior upper trunk support when patient has postural fatigue due to poor tone Enhances distal function of upper extremities
25 6) Clinical reasoning Head Supports Provides head/neck support for clients with poor head control Provides lateral support for clients with lateral head control issues Provides stable support for improved field of vision
26 6) Clinical reasoning Canopy/Sunshade Client has been prescribed (Brand) medication for tone/spasticity management. This medication creates extreme photosensitivity when client is exposed to direct sunlight, causing severe sunburns and skin tissue damage Client has been prescribed (brand) medication. This medication generates a strong allergic reaction when skin is exposed to direct sunlight Exposure to sun increases body temperature which can set off seizure activity.
27 6) Clinical Reasoning Lightweight, easy to use mobility base. Due to user s restricted access to his/her home and the need to maintain therapeutic positioning for improved upper body function
28 7) What if? Comparison The last but critical component of the LMN that completes the picture of the client Make sure to describe your Therapeutic Goals Describe on your terms what would/could happen to the client in the absence of any recommended component or equipment. Describe the possible complication(s) and negative outcome(s) that may occur if critical components are not approved for funding
29 7) What if? Example: In absence of the lightweight tilt in space mobility base, Samantha has a higher risk of developing pressure sores and skin breakdown due to increased pressure at the pelvis due to her inability to independently shift posture and relief pressure away from the ischial tuberosities.
30 Supporting Documentation Existing equipment: Take pictures and/or video of client in current equipment. Describe the problems. Likes, dislikes Take pictures and video during equipment trials. Describe the physical and postural changes experienced during the trial Include copies of any supporting clinical trials, case studies or research to support your case
31 Additional Notes You are the professional! Make sure to clearly document it. Does the document look professional? Review prior to submittal. Does the document support the medical/functional needs of the request? Is it signed and dated? In some states, case reviewers do not have a clinical/medical background. Use appropriate language when writing your LMN s If request is denied, contact manufacturer for additional information and support Re-submit and/or appeal! Be an advocate for your client
32 Additional Notes Transit Transit option: Medicare/Medicaid/Third Party will not fund it in majority of cases. Safety is not a medical necessity! Be creative. Transit: Positioning components are NOT Restraint Devices! Transit Tips: Provides four easy to identify securement points and a crash tested system, allowing the patient to use the wheelchair as a passenger seat during transportation while maintaining proper therapeutic positioning. Complies with SAE J2249 and ANSI/RESNA WC19 standards. Look for alternative funding. Schools districts will sometimes pay for them.
33 Thank you for your time today! Make a difference in someone s life today For additional questions: Sally Mallory, PT, ATP Convaid sally@convaid.com
34 888-CONVAID California Street, Torrance, CA USA
Early Intervention Seating in Pediatric Rehab Strollers
Early Intervention Seating in Pediatric Rehab Strollers Eli Anselmi Product and Education Specialist Convaid University, May 15, 2014 NuMotion Clinical Education Objectives Attendee will be able to describe
More informationWheelchair Back Supports
Wheelchair Back Supports Mark R. Schmeler, MS, OTR/L, ATP Mary Ellen Buning, MS, OTR, ATP Center for Assistive Technology, UPMC Health System Department of Rehabilitation Science & Technology University
More informationIndications for a PMD as Reasonable and Necessary and Types of PMD Categories Available
Appendix K The face-to-face examination provides the clinical information needed to determine if a patient needs a Power Mobility Device (PMD) and what type of PMD may be needed. This information needs
More informationAnswer Key: MRADL: Mobility Related Activity of Daily Living. (Within the home) Example: Feeding, toileting, dressing, grooming.
1. Canes & Crutches 2. Walkers & 4 wheeled walkers 3. Manual Wheelchairs 4. Seat and Back Cushions for Wheelchairs 5. Power Wheelchairs and Mobility Scooters 6. Medicare Coverage Criteria 7. Repairs Answer
More informationAssistive Technology Fact Sheet
What is Assistive Technology (AT)? Assistive Technology Fact Sheet The term assistive technology refers to both devices and services. An assistive technology device is any item, piece of equipment, or
More informationEvaluation and Medical Justification for Complex Seating Systems and Mobility Devices Addendum A: Mobility/Seating
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Evaluation and Medical Justification for Complex Seating Systems and Mobility Devices Addendum A: Mobility/Seating This form must be completed by a physical therapist,
More informationWheelchair Restraint Reduction:
DIRECTIONS Vol. 2014.3 46 written by: Jessica Presperin Pedersen, MBA, OTR/L, ATP/SMS Wheelchair Restraint Reduction: How Seating Professionals Can Meet Federal Mandates While Providing Appropriate Intervention
More informationGuidelines for Use of Secondary Postural Support Devices by Wheelchair Users During Travel in Motor Vehicles
Guidelines for Use of Secondary Postural Support Devices by Wheelchair Users During Travel in Motor Vehicles Many individuals who use wheelchairs for mobility require the use of postural support or control
More informationManual Wheelchairs: Set-Up & Propulsion Biomechanics
Manual Wheelchairs: Set-Up & Propulsion Biomechanics Mark Schmeler, MS, OTR/L, ATP Mary Ellen Buning, MS, OTR, ATP Center for Assistive Technology, UPMC Health System Department of Rehabilitation Science
More informationNEW YORK STATE MEDICAID WHEELED MOBILITY EQUIPMENT, SEATING & POSITIONING COMPONENT GUIDELINES
NEW YORK STATE MEDICAID WHEELED MOBILITY EQUIPMENT, SEATING & POSITIONING COMPONENT GUIDELINES Revised October 2008 Contents Introduction 1 I. General Clinical Criteria 2 II. Wheeled Mobility Equipment
More informationSCI Rehab. Stages of Pressure Sores. Prevention of Pressure Sores Develop due to pressure on skin, lack of blood supply, tissue death.
SCI Rehab Basics of Bowel and Bladder Management, Skin Protection, Bathroom DME, Positioning, and Transfers SCI Rehab 101 Rehab Education Basics Skin, Bladder, Bowel Skin Protection and Pressure Sore Prevention!
More informationCRASH PROTECTION FOR CHILDREN IN AMBULANCES Recommendations and Procedures* Marilyn J. Bull, M.D., Kathleen Weber, Judith Talty, Miriam Manary
CRASH PROTECTION FOR CHILDREN IN AMBULANCES Recommendations and Procedures* Marilyn J. Bull, M.D., Kathleen Weber, Judith Talty, Miriam Manary A joint project of the Indiana University School of Medicine
More informationStatement of Medical Necessity and Equipment Justification Seating, Positioning and Mobility Consultation
Statement of Medical Necessity and Equipment Justification Seating, Positioning and Mobility Consultation PATIENT'S NAME: Harry Houdino AGE: 57 years old MEDICAL DIAGNOSIS: Amyotrophic Lateral Sclerosis
More informationDorset Wheelchair Service Item Specific Criteria for Supply.
Dorset Wheelchair Service Item Specific Criteria for Supply. STANDARD MANUAL WHEELCHAIRS A standard manual wheelchair may be supplied to people who have a permanent impairment or medical condition, which
More informationPolicy Analysis PMD Compliance Manual Mobility Seating and positioning Repairs
June 2009 Policy Analysis PMD Compliance Manual Mobility Seating and positioning Repairs Basic Principals We learn by going from the specific to the general We apply our learning by going from the general
More informationMedicare Appeals: Part D Drug Denials. December 16, 2014
Medicare Appeals: Part D Drug Denials December 16, 2014 2013 Appeals Statistics by Type 23,716 Part D Reconsideration Appeals* Appeals Type Percentage of Total Appeals Appeals Per Million Medicare Beneficiaries
More informationACTIVE SEATING FOR PEOPLE WITH A KYPHOTIC SPINE. - backrest cushion for the kyphotic spine
ACTIVE SEATING FOR PEOPLE WITH A KYPHOTIC SPINE - backrest cushion for the kyphotic spine Netti Kyphotic is designed for users who require optimum stabilization of their spinal curvature. The upholstery
More informationHow To Buy A Rifton Tram
Rifton TRAM Sample LMN for the Rifton TRAM School-based Therapy with Adolescents EVERY REASONABLE EFFORT HAS BEEN MADE TO VERIFY THE ACCURACY OF THE INFORMATION. HOWEVER, THE SAMPLE LETTERS OF MEDICAL
More informationMusculoskeletal System
CHAPTER 3 Impact of SCI on the Musculoskeletal System Voluntary movement of the body is dependent on a number of systems. These include: The brain initiates the movement and receives feedback to assess
More informationInstructions & Forms for Submitting Claims to Medicare
Instructions & Forms for Submitting Claims to Medicare The Centers for Medicare and Medicaid services have issued a national coverage policy for the WalkAide. CMS will cover patients who have a diagnosis
More informationCOMMON OVERUSE INJURIES ATTRIBUTED TO CYCLING, AND WAYS TO MINIMIZE THESE INJURIES
COMMON OVERUSE INJURIES ATTRIBUTED TO CYCLING, AND WAYS TO MINIMIZE THESE INJURIES Listed are a few of the most common overuse injuries associated with cycling long distances. 1. Cervical and upper back
More informationPILATES Fatigue Posture and the Medical Technology Field
PILATES Fatigue Posture and the Medical Technology Field Marybeth Kane May 2014 Course: 2014, Pacific Palisades, CA 1 ABSTRACT A medical laboratory scientist (MLS) (also referred to as a medical technologist
More informationCAPTURE Collaboration and Proactive Teamwork Used to Reduce. Best Practices in Safe Transfers and Mobility to Decrease Fall Risk
CAPTURE Collaboration and Proactive Teamwork Used to Reduce Falls Best Practices in Safe Transfers and Mobility to Decrease Fall Risk August 20, 2013 10 a.m. CST Dawn M. Venema, PT, PhD Jill Hassel, DPT
More informationWheelchair and Seating Assessment Guide (For sections that require justification beyond the available spacing, attach additional pages)
March 2009 Dear Provider: Wheelchair and Seating Assessment Guide Many clinicians have requested revisions to the DME Wheeled Mobility Template originally published in July 2007. The following revised
More informationRange of Motion. A guide for you after spinal cord injury. Spinal Cord Injury Rehabilitation Program
Range of Motion A guide for you after spinal cord injury Spinal Cord Injury Rehabilitation Program This booklet has been written by the health care providers who provide care to people who have a spinal
More informationCar Safety for Children with Down Syndrome
Car Safety for Children with Down Syndrome Children with Down syndrome may have special needs that can affect how they travel. This tip sheet answers some questions you may have about transporting your
More information2/5/15. Clinical & Technical Application of Tilt & Recline in Wheelchair Prescription. Orientation Of Seating System In Space
Clinical & Technical Application of Tilt & Recline in Wheelchair Prescription K. Missy Ball MT, PT, ATP Reproduction of presentation strictly prohibited Property of presenter Orientation Of Seating System
More informationWhen seated in a wheelchair, how many degrees tilt is needed to improve postural stability for function in chidren with a neurological disorder?
When seated in a wheelchair, how many degrees tilt is needed to improve postural stability for function in chidren with a neurological disorder? Prepared by: Karen Fermin Occupational Therapist, Northcott
More informationOccupational & Physical Therapy Guidelines for Service Provision within the Schools
1 Occupational & Physical Therapy Guidelines for Service Provision within the Schools 2012 2 Introduction* Purpose The purpose of this document is to provide guidance regarding school-based Occupational
More informationWheelchairs. Strollers vs. Manual. Clinical Indicators
Written By Michelle L. Lange, OTR, ABDA, ATP/SMS Strollers vs. Manual Wheelchairs Clinical Indicators When evaluating a client for a non-powered mobility base, either a stroller or a manual wheelchair
More informationSECTION 9. Mobility, positioning, and transfers. Moving after a stroke 9.1. Fatigue. Loss of sensation. Loss of motor function.
SECTION 9 Mobility, positioning, and transfers Section overview This section looks at: Moving after a stroke Assisting with mobility Positioning Managing the affected limb Transfers Wheelchair use Walking
More informationWheelchairs Corporate Medical Policy
Wheelchairs Corporate Medical Policy File name: Wheelchairs File code: UM.DME.14 Origination: 04/09/2007 Last Review: 08/2015 Next Review: 08/2016 Effective Date: 3/1/2016 Description/Summary Use of a
More informationNot known. 2) If you currently smoke, would you like to be offered a referral to our Stop Smoking team? Yes No
Specialist Wheelchair Services Specialist Wheelchair Service Referral Form Central London Wheelchair Services 306 Kensal Road London W10 5BE Tel: 0208 962 3939 Fax: 020 8962 3965 Email: clcht.wheelchairs@nhs.net
More informationHealthier for children. Simpler for you.
Healthier for children. Simpler for you. The Rifton HTS (tilt-in-space base) tilts forward and the footboard flips up out of the way facilitating sit to stand transfers. The Rifton HTS Hygienic, simple,
More informationBenefits for Home Health Power Wheelchairs to Change
Benefits for Home Health s to Change Effective for dates of service on or after March 1, 2010, the prior authorization criteria for home health power wheelchairs will change for Texas Medicaid. s A power
More informationAtigra T2 Seat System Notes for the Therapist
The Atigra comes with the T2 seat system. The T2 seat system has many advantages for the therapist who is looking for a seat and backrest system that will provide good postural support and a high level
More informationThe Modular System Solution for Seat Shell Design MODULAR DESIGN INDIVIDUAL SITTING. www.ottobock.com
The Modular System Solution for Seat Shell Design MODULAR DESIGN INDIVIDUAL SITTING www.ottobock.com MODULAR DESIGN INDIVIDUAL SITTING The Modular System Solution for Seat Shell Design MODULAR DESIGN INDIVIDUAL
More informationHOW TO APPEAL A MEDICAL ASSISTANCE DENIAL OF ASSISTIVE TECHNOLOGY
HOW TO APPEAL A MEDICAL ASSISTANCE DENIAL OF ASSISTIVE TECHNOLOGY Figure 1: Doctor s prescription. Prepared by: Disability Rights Network of Pennsylvania www.drnpa.org 1-800-692-7443 [Voice] 1-877-375-7139
More informationDOCUMENTATION IN PHYSICAL THERAPY PRACTICE LEARNING OBJECTIVES
DOCUMENTATION IN PHYSICAL THERAPY PRACTICE LEARNING OBJECTIVES 1. Describe typical challenges therapists have in clinical documentation and identify activities to facilitate efficient and effective documentation
More informationEducational Physical Therapy Guidelines and Policies For Educationally Based PT in Glenn County Schools
Educational Physical Therapy Guidelines and Policies For Educationally Based PT in Glenn County Schools Glenn County SELPA Glenn County Office of Education 311 S. Villa Willows, CA 9588 (530) 934-6575
More informationOccupational Therapy and Physical Therapy
Interprofessional Practice & Clinical Standards Standard Number: Effective Date: Policy Guideline Protocol Procedure Plan of Care Professional Responsible/For Use By: Title: Indications: Care Outcomes:
More informationSwitch Assessment and Planning Framework for Individuals with Physical Disabilities
Guidance Notes Pre- assessment: It is important to gather together appropriate information before the assessment to inform on possible starting points for the assessment. The Pre-Assessment Form should
More informationMechanics of the Human Spine Lifting and Spinal Compression
Mechanics of the Human Spine Lifting and Spinal Compression Hamill and Knutzen: Chapter 7 Nordin and Frankel: Ch. 10 by Margareta Lindh Hall: Ch. 9 (more muscle anatomy detail than required) Low Back Pain
More informationDocumentation Requirements for Knee Orthosis Revision effective March 4, 2016
The following information describes the items or documentation necessary for reimbursement from the Centers for Medicare and Medicaid Services, also known as CMS or Medicare. Because Medicare typically
More informationAssisting Students Who Use Wheelchairs:
Quick-Guide Extra Assisting Students Who Use Wheelchairs: Guidelines for School Personnel Michael F. Giangreco, Irene McEwen, Timothy Fox, and Deborah Lisi-Baker Quick-Guides to Inclusion 3: Ideas for
More information9 Advance Determination of Medicare Coverage
[ DECEMBER 2009 ] 9 Advance Determination of Medicare Coverage Advance determination of Medicare coverage (ADMC) is a process by which the durable medical equipment Medicare administrative contractor (DME
More informationOtto Bock Shape System (OBSS )
Otto Bock Shape System (OBSS ) R e i m b u r s e m e n t I n f o r m a t i o n Table of Contents Overview...................................................................................... 2 Preliminary
More informationGait with Assistive Devices
Gait with Assistive Devices Review Last Lecture Weak dorsiflexors? Vaulting? Hip hiking? Weak hip abductors? Hip circumduction? Ataxic gait? Antalgic gait? Explain the line of gravity Ambulation with Assistive
More informationInvacare. Rehab Seating & Positioning Products. Invacare Rehab Seating & Positioning Products
Invacare Rehab Seating & Positioning Products Invacare Rehab Seating & Positioning Products Invacare Rehab Seating & Positioning Products Innovative. Integrated. Intelligent. Invacare Rehab Seating & Positioning
More informationTechnology itself is not the goal... the individual s participation in their chosen activities is the goal.
Assistive Technology Assessment Process Updated 2011 The purpose of an assistive technology assessment is to match the capabilities and needs of an individual to the characteristics of an assistive technology
More informationComputer Workstation Ergonomic Self Evaluation
Computer Workstation Ergonomic Self Evaluation Use this guidance to perform a preliminary evaluation of your workstation, and make any adjustments that are necessary to achieve a correct neutral posture.
More informationThe Ideal Solution for Hospice Care
The Ideal Solution for Hospice Care Comfort and Pain Management Quality of Life Safety Durability www.brodaseating.com 1-800-668-0637 1 Why BRODA chairs are the ideal choice for hospice care: Comfort and
More informationPilates for Kyphosis A BASI Pilates program designed to help correct thoracic kyphosis
Pilates for Kyphosis A BASI Pilates program designed to help correct thoracic kyphosis 1 Lucy Penrose 19/01/2014 Wimbledon UK, April 2013 Abstract Kyphosis refers to an exaggerated curve in the thoracic
More informationAUGMENTATIVE COMMUNICATION EVALUATION
AUGMENTATIVE COMMUNICATION EVALUATION Date: Name: Age: Date of Birth: Address: Telephone: Referral Source: Diagnosis: Participants: Social History and Current Services: lives with his in a private home
More informationMedicare Funding for Complex Rehab Technology: CMS Documentation Requirements Explained
Medicare Funding for Complex Rehab Technology: CMS Documentation Requirements Explained Presented by: Andria Pritchett, Director of Medicare Education, Numotion DISCLAIMER This information is the property
More informationPassive Range of Motion Exercises
Exercise and ALS The physical or occupational therapist will make recommendations for exercise based upon each patient s specific needs and abilities. Strengthening exercises are not generally recommended
More informationFunctional Treatment Ideas
I n t e r n a t i o n a l C l i n i c a l E d u c a t o r s, i n c. Functional Treatment Ideas and Strategies In Adult Hemiplegia s e c o n d e d i t i o n By Jan Davis, MS, OTR/L Video Registration No.
More informationChild Power Mobility
I CAN Centre for Assistive Technology Child Power Mobility To refer your child for Power Mobility, first complete the I CAN Centre Request for Services Form and this secondary form. This information is
More informationToday s session. Common Problems in Rehab. www.physiofitness.com.au/filex.htm LOWER BODY REHAB ESSENTIALS TIM KEELEY FILEX 2012
Tim Keeley B.Phty, Cred.MDT, APA Principal Physiotherapist physiofitness.com.au facebook.com/physiofitness Today s session Essential list for the lower body Rehab starting point Focussing on activation,
More informationA. Guide to Medicare Coverage
A. Guide to Medicare Coverage Who qualifies for Medicare benefits? Individuals 65 years of age or older Individuals under 65 with permanent kidney failure (beginning three months after dialysis begins),
More informationREHABILITATION ENGINEERING. Working together to optimise the skills of people living with disabilities
REHABILITATION ENGINEERING Working together to optimise the skills of people living with disabilities What is rehabilitation engineering? Rehabilitation engineering is the application of science and technology
More informationSymmetriKit TM chairs. for rest, work and play
SymmetriKit TM chairs for rest, work and play 1 Index 4 6 8 10 12 14 16 18 Introduction The Right Chair It s a chair, a bed and a wedge! Supported Sitting Living With Your Chair Pressure Care & Temperature
More informationLessons from the Field: Occupational Therapy in Hospice AOTA Conference, April 5, 2014
AOTA 2014: OT IN HOSPICE 1 Lessons from the Field: Occupational Therapy in Hospice AOTA Conference, April 5, 2014 Presenters: Carlos Alaniz, OTR/L (Carlos.Alaniz@providence.org) Deborah Cruzen-Baird, OTR/L
More informationSAULT COLLEGE OF APPLIED ARTS & TECHNOLOGY SAULT STE MARIE, ON COURSE OUTLINE
SAULT COLLEGE OF APPLIED ARTS & TECHNOLOGY SAULT STE MARIE, ON COURSE OUTLINE Course Title: Normal Functional Movement Code No.: RSP102 Semester: 1 Program: Author: Chiropractic Health Assistant Nancy
More informationStretching in the Office
Stretching in the Office Legs: Quads, Hamstrings, IT band, Hip flexors, Gluts, Calves Quads: Standing @ desk maintaining upright posture, grab one leg @ a time by foot or ankle and bring it towards backside
More informationPARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY / PROCEDURE:
PARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY/PROCEDURE Policy Number: MCUP3003 (previously UP100303) Reviewing Entities: Credentialing IQI P & T QUAC Approving Entities: BOARD CEO COMPLIANCE FINANCE PAC
More informationQuality standard Published: 11 June 2015 nice.org.uk/guidance/qs89
Pressure ulcers Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89 NICE 2015. All rights reserved. Contents Introduction... 6 Why this quality standard is needed... 6 How this quality standard
More informationPhysiotherapy Database Exercises for people with Spinal Cord Injury
Physiotherapy Database Exercises for people with Spinal Cord Injury Compiled by the physiotherapists associated with the following Sydney (Australian) spinal units : Last Generated on Mon Mar 29 16:57:20
More informationCar Seats for Children with Special Needs by Susan Agrawal
www.complexchild.com Car Seats for Children with Special Needs by Susan Agrawal Many children with special needs require a specialized car seat due to positioning issues, problems with muscle tone, cognitive
More informationInjury Prevention for the Back and Neck
Injury Prevention for the Back and Neck www.csmr.org We have created this brochure to provide you with information regarding: Common Causes of Back and Neck Injuries and Pain Tips for Avoiding Neck and
More informationDr. Enas Elsayed. Brunnstrom Approach
Brunnstrom Approach Learning Objectives: By the end of this lab, the student will be able to: 1. Demonstrate different reflexes including stimulus and muscle tone response. 2. Demonstrate how to evoke
More informationChapter 1 Assessing Students Needs for Assistive Technology (ASNAT) Process
Chapter 1 Assessing Students Needs for Assistive Technology (ASNAT) Process Overview of Assessment and Planning Process...1 Using the AT Consideration Guide...7 WATI AT Consideration Guide...10 AT Assessment...12
More informationHELPFUL HINTS FOR A HEALTHY BACK
HELPFUL HINTS FOR A HEALTHY BACK 1. Standing and Walking For correct posture, balance your head above your shoulders, eyes straight ahead, everything else falls into place. Try to point toes straight ahead
More informationwww.kennedykrieger.org www.kennedykrieger.org
Too Early for Mobility? The Benefits of Early Mobility on Pediatric Development Disclosures Julie Cagney, PT, DPT Sarah Murdoch, PT, DPT, ATP Kaitlin MacDonald, MOT, OTR/L Have no financial or non-financial
More informationTexas Department of Insurance. Office Ergonomics. Provided by. Division of Workers Compensation HS03-003C (03-09)
Texas Department of Insurance Office Ergonomics Provided by Division of Workers Compensation HS03-003C (03-09) Contents Introduction 1 The Ergonomic Checklist 1 Sharp Edge Hazards 1 Equipment Adjustability
More informationBasic price 2.250,- Excl. VAT
Date Invoice address Invoice address = delivery address Customer code C- Contact person Reference Other delivery address Quote Seat width D64035 35 cm D64040 40 cm D64045 45 cm D64050 50 cm Basic price
More informationOttobock Shape System (OBSS ) Medicare Reimbursement Information
Ottobock Shape System (OBSS ) Medicare Reimbursement Information Table of Contents Overview... 2 Preliminary Steps.... 2 OBSS Patient Recommendation... 2 Medicare s Coverage Criteria for Custom Fabricated
More informationThe Rehab Professional s Role in Dining for Persons with Dementia. By: Bonnie Saunders PT, MPA, CDP
The Rehab Professional s Role in Dining for Persons with Dementia By: Bonnie Saunders PT, MPA, CDP There have been many advances that have brought about an increased understanding of the etiologies and
More informationRange of Motion Exercises
Range of Motion Exercises Range of motion (ROM) exercises are done to preserve flexibility and mobility of the joints on which they are performed. These exercises reduce stiffness and will prevent or at
More informationWHAT IS AN APPROPRIATE WHEELCHAIR?
WHAT IS AN APPROPRIATE WHEELCHAIR? Proudly Sponsored by: The Department of Health CONTENTS 1. INTRODUCTION 2. WHAT IS AN APPROPRIATE WHEELCHAIR? 3. ENVIRONMENT Frame type Overall length Wheelbase Rear
More informationStanding With You! Solid Seat Standing and Positioning System
Standing With You! Solid Seat Standing and Positioning System Two-Piece Pump Handle Height and Depth Adjustable Clear Tray Adjustable Body Support Pad Quad Pump Handle Hydraulic Lift System Padded Chest
More informationCervical Fusion Protocol
REHABILITATION DEPARTMENT Cervical Fusion Protocol The following protocol for physical therapy rehabilitation was designed based on the typical patient seen at the Texas Back Institute for the procedure
More informationSpinal Cord Injury Rehabilitation Program
Workbook Spinal Cord Injury Rehabilitation Program Table of Contents Page Before coming to Rehab... 1 Tests before starting your Rehabilitation Program... 2 SCI Personal Goal Tracking Tool... 3 To do
More informationPutting the Rehabilitation into Complex Rehab Technology
Chapters Putting the Rehabilitation into Complex Rehab Technology THE INTEGRATION OF TARGETED THERAPY IN A DYNAMIC STANDING PROGRAM How normal motor control development and skill acquisition is dependent
More informationBy Agnes Tan (PT) I-Sports Rehab Centre Island Hospital
By Agnes Tan (PT) I-Sports Rehab Centre Island Hospital Physiotherapy Provides aids to people Deals with abrasion and dysfunction (muscles, joints, bones) To control and repair maximum movement potentials
More informationPROVIDER POLICIES & PROCEDURES
PROVIDER POLICIES & PROCEDURES PATIENT LIFT SYSTEMS The purpose of this document is to provide guidance to providers enrolled in the Connecticut Medical Assistance Program (CMAP) on the requirements for
More informationFunctional Treatment SAMPLE. Ideas & Strategies. In Adult Hemiplegia. s e c o n d e d i t i o n. By Jan Davis, MS, OTR/L. Video Registration No.
Functional Treatment Ideas & Strategies In Adult Hemiplegia s e c o n d e d i t i o n By Jan Davis, MS, OTR/L Video Registration No. Table of Contents Introduction.........................................
More informationStretching the Major Muscle Groups of the Lower Limb
2 Stretching the Major Muscle Groups of the Lower Limb In this chapter, we present appropriate stretching exercises for the major muscle groups of the lower limb. All four methods (3S, yoga, slow/static,
More informationOttobock Custom Seating Coding and Billing Tips (Effective 11/01/2015)
Custom Seating Table of Contents PDAC Verification Required for Wheelchair Cushion Codes 2 What is included in E2609 and E2617 (not separately billable) 2 Separately Billable Features that might be ordered
More informationCorporate Medical Policy
Corporate Medical Policy Wheelchairs and Power Operated Vehicles (Scooter) File Name: Origination: Last CAP Review: Next CAP Review: Last Review: wheelchairs_and_powered_operated_vehicles (scooter) 1/2000
More informationMotor Vehicle Collision Form
Patients Name: Date: / / 1) Please choose the date of the MVC: / / 2) Please the time of the MVC: : am / pm 3) Please enter the number of vehicles involved in the MVC: 1 2 3 4 5 6 7 8 9 4) In dollars,
More informationPOLICIES AND PROCEDURES TO GUIDE THE IMPLEMENTATION OF ASSISTIVE TECHNOLOGY SERVICES WITHIN THE SPECIAL EDUCATION SETTING
POLICIES AND PROCEDURES TO GUIDE THE IMPLEMENTATION OF ASSISTIVE TECHNOLOGY SERVICES WITHIN THE SPECIAL EDUCATION SETTING Preface Rationale Purpose Philosophy Legalities Definition of Terms Categories
More informationREHABILITATION SERVICES
REHABILITATION SERVICES Table of Contents GENERAL... 2 TERMS AND ABBREVIATIONS... 2 PRIOR AUTHORIZATION REQUIREMENTS FOR MEDICAID REIMBURSEMENT OF INPATIENT REHABILITATION SERVICES (Updated 4/1/11)...
More informationReferral Form & Instructions Questions? Call 1 888 284 5433 and press 7
Therapist Name: Phone: Referral Form & Instructions Questions? Call 1 888 284 5433 and press 7 1 2 Indicate all products that might be appropriate for your patient. Please check all products that might
More informationGUIDELINES AND SERVICES FOR OCCUPATIONAL THERAPY AND PHYSICAL THERAPY
GUIDELINES AND SERVICES FOR OCCUPATIONAL THERAPY AND PHYSICAL THERAPY Linda Paule, Coordinator San Bernardino City Unified School District Dr. Patty Imbiorski, Director Special Education TABLE OF CONTENTS
More informationScreening Examination of the Lower Extremities BUY THIS BOOK! Lower Extremity Screening Exam
Screening Examination of the Lower Extremities Melvyn Harrington, MD Department of Orthopaedic Surgery & Rehabilitation Loyola University Medical Center BUY THIS BOOK! Essentials of Musculoskeletal Care
More informationNon-Emergency Non-Ambulance Services - TRANSCITA
Non-Emergency Non-Ambulance Services - TRANSCITA [Preauthorization Required] Medical Policy: MP-TRANS-01-11 Original Effective Date: March 24, 2011 Reviewed: Revised: This policy applies to products subscribed
More informationFor definitions, test parameters, methodology and testing facilities, contact RESNA at www.resna.org. Contact ANSI at www.webstore.ansi.org.
Power Mobility Device Coding Guidelines FINAL 8/03/06 Background Development of the new Power Mobility Device (PMD) Codes has been an extensive, iterative process. CMS and the SADMERC gratefully acknowledge
More information