Ms. Jackson is the Manager of Health Finance and Reimbursement, Division of Health Policy and Practice Services, Washington, DC.

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Ms. Jackson is the Manager of Health Finance and Reimbursement, Division of Health Policy and Practice Services, Washington, DC."

Transcription

1 Electrodiagnostic Testing with Same Day Evaluation Management By: Shane J. Burr, MD; Scott I. Horn, DO; Jenny J. Jackson, MPH, CPC; Joseph P. Purcell, DO Dr. Burr practices general inpatient and outpatient PM&R in Grand Island, NE. He also serves on the AAPM&R Reimbursement and Policy Review Committee (RPRC). Dr. Horn is an interventional spine specialist at APM Spine and Sports Physicians in Virginia Beach, VA. He is also the AAPM&R Annual Assembly Coding and Billing Workshop director and a member of the AAPM&R RPRC. Ms. Jackson is the Manager of Health Finance and Reimbursement, Division of Health Policy and Practice Services, Washington, DC. Dr. Purcell is a private practice physician in Redding, CA, where he is the co-owner of Redding Spine and Sports Medicine. He is also board certified in Electrodiagnostic Medicine. In 2014, the Office of Inspector General (OIG) published the report Questionable Billing for Medicare Electrodiagnostic Tests. In the report, the OIG identified electrodiagnostic (EDX) testing as an area vulnerable to fraud, waste, and abuse. As such, the OIG developed 7 measures to evaluate fraud, waste, and abuse of EDX tests; one measure being physicians with an unusually high percentage of EDX test claims using modifier 25 (significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service). It has also come to the Academy s attention that some payers are inappropriately denying reimbursement of evaluation and management (E/M) codes billed on the same day as an EDX medicine code. A policy that categorically denies reimbursement for correctly documented E/M codes when billed with EMG and NCS codes is inappropriate. Patients are referred to a physiatrist or neurologist, trained in neuromuscular diagnosis, from various sources. Patients may be referred with provisional diagnoses and others with only signs and symptoms and/or previous clinical findings. In order for the physician to arrive at the correct diagnosis, the decision may be made to expand the medical history and physical examination based on the individual patient s medical situation and the physician s clinical judgment. In certain cases, the patient s correct diagnosis may not be found without additional history and physical examination. This column will explain when it is appropriate to code for an E/M service on the same day as EDX testing. How should modifier 25 be used? Modifier 25 is used to identify: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service: It may be necessary to

2 indicate that on the day a procedure or service identified by a CPT code was performed, the patient s condition required a significant, separately identifiable E/M service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. A significant, separately identifiable E/M service is defined or substantiated by documentation that satisfies the relevant criteria for the respective E/M service to be reported (see Evaluation and Management Services Guidelines for instructions on determining level of E/M service). The E/M service may be prompted by the symptom or condition for which the procedure and/or service was provided. As such, different diagnoses are not required for reporting of the E/M services on the same date. This circumstance may be reported by adding modifier 25 to the appropriate level of E/M service. Note: This modifier is not used to report an E/M service that resulted in a decision to perform surgery. See modifier 57. For significant, separately identifiable non-e/m services, see modifier 59. Modifier 25 is used to identify procedures that are typically not separately payable to make them eligible for separate payment. For example, modifier 25 is added to a significant, separately identifiable E/M service when performed by the same physician on the same day as an EDX test. However, payments for both services are appropriate only under certain circumstances. The OIG reported that in 2011, 2,208 physicians billed for an unusually high percentage of EDX tests using modifiers 59 and/or 25 on their claims. These claims accounted for $47 million of the $486 million paid to physicians who billed for EDX tests in Thus, it is important to ensure that claims which utilize modifier 25 are properly documented and meet the basic requirement for the modifier that the visit and procedure were indeed separate. The 25 modifier may be used if the E/M service is separately identifiable or beyond the usual preoperative or postoperative care associated with the procedure. Follow these tips to use modifier 25 correctly: Be sure both a procedure code and an E/M code are being reported on the same day by the same physician (or same specialty in the same practice or providing coverage). Be certain the ground rules for the 25 modifier are met (see above). Modifier 25 should only be attached to the E/M code. Use appropriate diagnosis code(s) on the claim and link them appropriately to the procedure code and the E/M code. Different diagnosis codes may be appropriate for some situations, but there will be other situations where the same diagnosis code is used for both the procedure and the E/M service. Be sure that the physician documented both the procedure and the E/M service. The documentation for the two should be clearly separated. Know whether your payer requires that you submit the documentation with the claim or submit the documentation only if the claim is reviewed. Even in the latter situation, it is important to have good documentation. You never know when you will have to submit it. When is an E/M not separately reportable with EDX testing?

3 All services and procedures include an inherent E/M component. A brief history and physical prior to a same-day scheduled outpatient procedure are included components of the procedure itself. For Medicare patients and those third-party payers that follow Medicare guidelines, even when the physician provides an assessment and plan, an E/M is not separately reportable unless the patient has a new, unrelated complaint or has experienced a worsening of symptoms that prompts a new history, exam and medical decision-making process that might include additional testing or therapy. Third-party payers who do not follow Medicare guidelines may pay for a separately identifiable E/M service when a physician provides an assessment and plan when the patient's condition and documentation justify. When deciding if an E/M is separately reportable, it is important to be able to clearly identify from the documentation that a history, physical examination and medical decision-making process was completed separate from any other procedures the physician performs on the same day. If these elements are not clearly identifiable, a truly significant and separately identifiable E/M service was not provided and is not separately reportable. What E/M work is inherent in EDX testing? Inherent in EDX testing is the physician or other qualified health care professional s review of the medical records, a brief history, and a brief examination (these steps are necessary to ensure that the test is performed in a way that addresses the relevant clinical question). The physician or other qualified health care professional considers the clinical presentation, the potential anatomic lesions that could cause the clinical manifestations, any anatomic or other factors that may cause technical limitations (such as body habitus, edema, prior surgery), and/or questions being posed by the referring physician. The stimulating, recording, and ground electrode placement and the test design are individualized to the patient's unique anatomy and the particular clinical question being investigated. When is an E/M separately reportable with EDX testing? The following clinical scenarios will help to identify times when an E/M service is separately reportable with an EDX service. Clinical Scenario 1 A patient is referred for a physiatric evaluation. During the E/M process the physician determines that EDX testing is necessary A 53-year old male, that is an established patient, presents to the physician in follow-up for a known problem of numbness in the right thumb. The review of systems is positive for neck pain and physical examination is significant for positive Tinel's sign on the right. Previous cervical spine MRI revealed mild foraminal stenosis on the right at C5-6. EMG and NCS of the right upper extremity are performed to evaluate for carpal tunnel syndrome and/or right C6 radiculopathy. No specific treatment plan is identified after the EDX test Nerve conduction studies; 5-6 studies

4 Needle electromyography, each extremity, with related paraspinal areas, when Clinical Scenario 1A A 53-year old male, that is an established patient, presents to the physician for a new problem of numbness in the right thumb. The review of systems is positive for neck pain and physical examination is significant for positive Tinel's sign on the right. Previous cervical spine MRI revealed mild foraminal stenosis on the right at C5-6. EMG and NCS of the right upper extremity are performed to evaluate for carpal tunnel syndrome and/or right C6 radiculopathy. Diagnosis of cervical radiculopathy is made. The patient is started on gabapentin and scheduled for physical therapy Office or other outpatient visit for the evaluation and management of an established patient Nerve conduction studies; 5-6 studies Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, 5 or more muscles studied, innervated by 3 or more nerves or 4 or more spinal levels (List Clinical Scenario 2 A patient is referred for EDX testing of one medical problem; however, the patient has additional problems requiring E/M. 42-year old female waitress was referred by her Primary Care Physician for EDX testing to assess for carpal tunnel due to right wrist pain and hand tingling for the past 3 months. The test was positive for moderate carpal tunnel syndrome on the right. During the visit the patient complained of right shoulder pain without weakness, which had been present for 6 months. Additional physical examination of the shoulder was performed with positive impingement signs. She was referred for a course of PT for the right shoulder and given a follow up appointment for reassessment in 6 weeks Office or other outpatient visit for the evaluation and management of a new patient Nerve conduction studies; 5-6 studies Needle electromyography, each extremity, with related paraspinal areas, when

5 Clinical Scenario 3 A patient is referred for EDX testing of one medical problem, but actually has a different problem that demands additional E/M. 55-year old female was referred by Neurosurgery for EDX testing of the lower extremities to assess for radiculopathy. The patient reported a history of low back and bilateral leg pain with paresthesias in the feet. Physical exam was significant for diminished lower extremity reflexes. EDX testing was negative for radiculopathy but revealed a distal symmetric sensorimotor axonal polyneuropathy. Additional history was taken to assess for neuropathy risk factors and a lab work-up was ordered to potentially determine the cause of the peripheral neuropathy Office or other outpatient visit for the evaluation and management of a new patient Nerve conduction studies; 7-8 studies x 2 Needle electromyography, each extremity, with related paraspinal areas, when Clinical Scenario 4 A patient is referred for EDX testing with no diagnosis other than subjective symptoms, requiring further E/M of the patient. 68-year old male is referred by an Orthopedic Surgeon for EDX testing due to pain and numbness in the lower extremities. EDX testing is normal. Further clinical evaluation is indicative of neurogenic claudication. MRI of the lumbar spine is ordered to assess for lumbar spinal stenosis Office or other outpatient visit for the evaluation and management of a new patient Nerve conduction studies; 7-8 studies x 2 Needle electromyography, each extremity, with related paraspinal areas, when It is important to remember that when an E/M and EDX test are performed on the same day, and modifier 25 is applied to the E/M portion, there needs to be full documentation of the E/M with clear demonstration of the work which goes above and beyond that which is inherent to the EDX test. Do you have coding-related questions? Your Academy wants to help! your questions to CPT and CodeManager are registered trademarks of the American Medical Association.

6 All specific references to CPT codes and descriptions are 2014 American Medical Association. All rights reserved. Please note: Accurate coding is the responsibility of the provider. This article is intended only as a resource to assist in the billing process.

December 29, 2012. Dear Acting Administrator Tavenner:

December 29, 2012. Dear Acting Administrator Tavenner: December 29, 2012 Marilyn B. Tavenner Acting Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services Attention: CMS-1590-FC P.O. Box 8013 Baltimore, MD 21244

More information

Corporate Medical Policy

Corporate Medical Policy Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: electrodiagnostic_studies 2/2008 10/2015 10/2016 10/2015 Description of Procedure or Service Electrodiagnostic

More information

Electrodiagnostic Testing

Electrodiagnostic Testing Electrodiagnostic Testing Electromyogram and Nerve Conduction Study North American Spine Society Public Education Series What Is Electrodiagnostic Testing? The term electrodiagnostic testing covers a

More information

Billing and Coding Guidelines: NEURO-005 Nerve Conduction Studies and Electromyography. Contractor Name Wisconsin Physicians Service (WPS)

Billing and Coding Guidelines: NEURO-005 Nerve Conduction Studies and Electromyography. Contractor Name Wisconsin Physicians Service (WPS) Billing and Coding Guidelines: NEURO-005 Nerve Conduction Studies and Electromyography Contractor Name Wisconsin Physicians Service (WPS) Contractor Number 00951, 00952, 00953, 00954 05101, 05201, 05301,

More information

QUESTIONABLE BILLING FOR MEDICARE ELECTRODIAGNOSTIC TESTS

QUESTIONABLE BILLING FOR MEDICARE ELECTRODIAGNOSTIC TESTS Department of Health and Human Services OFFICE OF INSPECTOR GENERAL QUESTIONABLE BILLING FOR MEDICARE ELECTRODIAGNOSTIC TESTS Daniel R. Levinson Inspector General April 2014 OEI-04-12-00420 EXECUTIVE SUMMARY:

More information

EMG and the Electrodiagnostic Consultation for the Family Physician

EMG and the Electrodiagnostic Consultation for the Family Physician EMG and the Electrodiagnostic Consultation for the Family Physician Stephanie Kopey, D.O., P.T. 9/27/15 The American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) Marketing Committee

More information

eglobaltech CBR201406 Electrodiagnostic Testing Moderator: Molly Wesley July 09, 2014 3:00 p.m. ET

eglobaltech CBR201406 Electrodiagnostic Testing Moderator: Molly Wesley July 09, 2014 3:00 p.m. ET CBR201406 Electrodiagnostic Testing July 09, 2014 3:00 p.m. ET Contents Miscellaneous Topics... 2 NCS Codes (95905, 95907 95913)... 4 EMG Codes (95860, 95861, 95863 95870)... 4 NCS & EMG Combination Codes

More information

Differentiating Cervical Radiculopathy and Peripheral Neuropathy. Adam P. Smith, MD

Differentiating Cervical Radiculopathy and Peripheral Neuropathy. Adam P. Smith, MD Differentiating Cervical Radiculopathy and Peripheral Neuropathy Adam P. Smith, MD I have no financial, personal, or professional conflicts of interest to report Radiculopathy versus Neuropathy Radiculopathy

More information

WHEN TO ORDER; HOW TO INTERPRET

WHEN TO ORDER; HOW TO INTERPRET ELECTROMYOGRAPHY AND 1 NERVE CONDUCTION TESTING: WHEN TO ORDER; HOW TO INTERPRET Ronald N. Kent, M.D., Ph.D. 2 ELECTROMYOGRAPHY AND NERVE CONDUCTION TESTING EMG/NCS Testing is a component of a complete

More information

A Hidden Challenge in WORKERS COMPENSATION

A Hidden Challenge in WORKERS COMPENSATION Published by the Public Risk Management Association www.primacentral.org A Hidden Challenge in WORKERS COMPENSATION APRIL 2015 A Hidden Challenge in WORKERS COMPENSATION By Dr. John Robinton 2 PUBLIC RISK

More information

Aetna Nerve Conduction Study Policy

Aetna Nerve Conduction Study Policy Aetna Nerve Conduction Study Policy Policy Aetna considers nerve conduction velocity (NCV) studies medically necessary when both of the following criteria are met: 1. Member has any of the following indications:

More information

ELECTROMYOGRAPHY (EMG), NEEDLE, NERVE CONDUCTION STUDIES (NCS) AND QUANTITATIVE SENSORY TESTING (QST)

ELECTROMYOGRAPHY (EMG), NEEDLE, NERVE CONDUCTION STUDIES (NCS) AND QUANTITATIVE SENSORY TESTING (QST) AND QUANTITATIVE SENSORY TESTING (QST) Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Medical

More information

Intra-operative Nerve Monitoring Coding Guide. March 1, 2011

Intra-operative Nerve Monitoring Coding Guide. March 1, 2011 Intra-operative Nerve Monitoring Coding Guide March 1, 2011 Please direct any questions to: Patty Telgener, RN Vice President, Reimbursement Services Emerson Consultants (303) 526-7604 (office) (303) 570-2159

More information

Electrodiagnostic Testing Electromyogram and Nerve Conduction Study

Electrodiagnostic Testing Electromyogram and Nerve Conduction Study Electrodiagnostic Testing Electromyogram and Nerve Conduction Study North American Spine Society Public Education Series What Is Electrodiagnostic Testing? The term electrodiagnostic testing covers a

More information

MedStar Health, Inc. POLICY AND PROCEDURE MANUAL

MedStar Health, Inc. POLICY AND PROCEDURE MANUAL MedStar Health, Inc. POLICY AND PROCEDURE MANUAL SUBJECT: Nerve Conduction Velocity Studies/Electrodiagnostic INDEX TITLE: Studies/Neuromuscular Medical Management Junction Testing ORIGINAL DATE: March

More information

BEFORE THE ARKANSAS WORKERS COMPENSATION COMMISSION CLAIM NUMBER F205928 DOUGLAS EUGENE WHIPKEY, EMPLOYEE CLAIMANT XPRESS BOATS, EMPLOYER RESPONDENT

BEFORE THE ARKANSAS WORKERS COMPENSATION COMMISSION CLAIM NUMBER F205928 DOUGLAS EUGENE WHIPKEY, EMPLOYEE CLAIMANT XPRESS BOATS, EMPLOYER RESPONDENT BEFORE THE ARKANSAS WORKERS COMPENSATION COMMISSION CLAIM NUMBER F205928 DOUGLAS EUGENE WHIPKEY, EMPLOYEE CLAIMANT XPRESS BOATS, EMPLOYER RESPONDENT CONTINENTAL CASUALTY CO., INSURANCE CARRIER RESPONDENT

More information

Modifiers 25 and 59. Modifier 25

Modifiers 25 and 59. Modifier 25 Modifiers 25 and 59 This article discusses the appropriate use of modifier 25, Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure

More information

Joseph M. Ihm, MD EDUCATION GRADUATE MEDICAL EDUCATION. BOARD CERTIFI CATION and MEDICAL LICENSURE FACULTY APPOINTMENTS HOSPITAL APPOINTMENTS

Joseph M. Ihm, MD EDUCATION GRADUATE MEDICAL EDUCATION. BOARD CERTIFI CATION and MEDICAL LICENSURE FACULTY APPOINTMENTS HOSPITAL APPOINTMENTS Joseph M. Ihm, MD EDUCATION 1990-1994 Bachelor of Science, Exercise Physiology University of Illinois at Chicago GRADUATE MEDICAL EDUCATION 1996-2000 Doctor of Medicine Rush Medical College 2000-2004 Residency,

More information

Intraoperative Nerve Monitoring Coding Guide. March 1, 2010

Intraoperative Nerve Monitoring Coding Guide. March 1, 2010 Intraoperative Nerve Monitoring Coding Guide March 1, 2010 Please direct any questions to: Kim Brew Manager Reimbursement and Therapy Access Medtronic ENT (904) 279-7569 Rev 9/10 KB TO OUR PARTNERS IN

More information

Coding and Payment Guide for the Physical Therapist. An essential coding, billing, and payment resource for the physical therapist

Coding and Payment Guide for the Physical Therapist. An essential coding, billing, and payment resource for the physical therapist Coding and Payment Guide for the Physical Therapist An essential coding, billing, and payment resource for the physical therapist 2013 Contents Introduction...1 Coding Systems... 1 Claim Forms... 3 Contents

More information

3nd Biennial Contemporary Clinical Neurophysiological Symposium October 12, 2013 Fundamentals of NCS and NMJ Testing

3nd Biennial Contemporary Clinical Neurophysiological Symposium October 12, 2013 Fundamentals of NCS and NMJ Testing 3nd Biennial Contemporary Clinical Neurophysiological Symposium October 12, 2013 Fundamentals of NCS and NMJ Testing Peter D. Donofrio, M.D. Professor of Neurology Vanderbilt University Medical Center

More information

A Guide to Neuropathy

A Guide to Neuropathy Neuropathy Action Foundation Awareness Education Empowerment A Guide to Neuropathy Jonathan Katz, MD Michelle Greer, RN The Neuropathy Action Foundation (NAF), a 501(c)(3) non profit, is dedicated to ensuring

More information

Update: The Care of the Patient with Amyotrophic Lateral Sclerosis

Update: The Care of the Patient with Amyotrophic Lateral Sclerosis Update: The Care of the Patient with Amyotrophic Lateral Sclerosis Case Presentation: Part I A 54-year-old woman presents to the neurology clinic referred by her primary care physician for evaluation of

More information

Radiculopathy vs. Peripheral Neuropathy. What to do with arm pain? Defining Arm Pain. Arm Pain

Radiculopathy vs. Peripheral Neuropathy. What to do with arm pain? Defining Arm Pain. Arm Pain Radiculopathy vs. Peripheral Neuropathy What to do with arm pain? Miriana G. Popadich RN, MSN Clinical Care Coordinator Brachial Plexus Program Department of Neurosurgery University of Michigan Timing

More information

SUMMARY. Carpal tunnel syndrome; Permanent impairment [NEL] (rating schedule) (AMA Guides) (functional impairment).

SUMMARY. Carpal tunnel syndrome; Permanent impairment [NEL] (rating schedule) (AMA Guides) (functional impairment). SUMMARY DECISION NO. 1033/98 Carpal tunnel syndrome; Permanent impairment [NEL] (rating schedule) (AMA Guides) (functional impairment). The worker was a stope miner for four years beginning in 1987. In

More information

a) Nerve conduction studies (NCS) test the peripheral nervous system for:

a) Nerve conduction studies (NCS) test the peripheral nervous system for: Health Plan Coverage Policy ARBenefits Approval: 11/02/2011 Effective Date: 01/01/2012 Revision Date: 09/18/2013 Comments: Code additions only. Title: Electrodiagnostic Testing Document: ARB0256 Public

More information

Employees Compensation Appeals Board

Employees Compensation Appeals Board U. S. DEPARTMENT OF LABOR Employees Compensation Appeals Board In the Matter of BARBARA SNYDER and DEPARTMENT OF THE TREASURY, INTERNAL REVENUE SERVICE, Germansville, PA Docket No. 03-1467; Submitted on

More information

Notice of Independent Review Decision DESCRIPTION OF THE SERVICE OR SERVICES IN DISPUTE:

Notice of Independent Review Decision DESCRIPTION OF THE SERVICE OR SERVICES IN DISPUTE: Notice of Independent Review Decision DATE OF REVIEW: 08/15/08 IRO CASE #: NAME: DESCRIPTION OF THE SERVICE OR SERVICES IN DISPUTE: Determine the appropriateness of the previously denied request for physical

More information

Recommended Policy for Electrodiagnostic Medicine American Association of Neuromuscular & Electrodiagnostic Medicine

Recommended Policy for Electrodiagnostic Medicine American Association of Neuromuscular & Electrodiagnostic Medicine Recommended Policy for Electrodiagnostic Medicine American Association of Neuromuscular & Electrodiagnostic Medicine Executive Summary The electrodiagnostic medicine (EDX) evaluation is an important and

More information

Consensus & Practice Policy Guidelines July 7, 2015 - Volume 31

Consensus & Practice Policy Guidelines July 7, 2015 - Volume 31 American Association of Sensory Electrodiagnostic Medicine Consensus & Practice Policy Guidelines July 7, 2015 - Volume 31 GOLD STANDARD - PAIN DIAGNOSIS PAIN FIBER NERVE CONDUCTION STUDY (PF- NCS) NATIONAL

More information

Electrodiagnostic Testing

Electrodiagnostic Testing Electrodiagnostic Testing Table of Contents Related Policies Policy Number 359 Policy Statement Purpose.. 1 2 Competency in Electrophysiologic Testing Original Effective Date: Current Approval Date: 1/1997

More information

A 34-year-old female with a history of multiple sclerosis (MS) returns to the neurology clinic for follow-up.

A 34-year-old female with a history of multiple sclerosis (MS) returns to the neurology clinic for follow-up. Complementary and Alternative Medicine in Multiple Sclerosis Case Presentation: A 34-year-old female with a history of multiple sclerosis (MS) returns to the neurology clinic for follow-up. The patient

More information

TABLE OF CONTENTS CPT

TABLE OF CONTENTS CPT TABLE OF CONTENTS CPT Coding Basics...1 National Correct Coding Initiative Edits...1 How to Use NCCI Edits...2 Evaluation and Management...3 Integumentary System... 20 Debridement... 20 Surgery/Musculoskeletal...

More information

Name of Policy: Neuromuscular and Electrodiagnostic Testing (EDX): Nerve Conduction Studies (NCS) and Electromyography (EMG) Studies

Name of Policy: Neuromuscular and Electrodiagnostic Testing (EDX): Nerve Conduction Studies (NCS) and Electromyography (EMG) Studies Name of Policy: Neuromuscular and Electrodiagnostic Testing (EDX): Nerve Conduction Studies (NCS) and Electromyography (EMG) Studies Policy #: 228 Latest Review Date: August 2015 Category: Medicine Policy

More information

Modifier -25 Significant, Separately Identifiable E/M Service

Modifier -25 Significant, Separately Identifiable E/M Service Manual: Policy Title: Reimbursement Policy Modifier -25 Significant, Separately Identifiable E/M Service Section: Modifiers Subsection: None Date of Origin: 1/1/2000 Policy Number: RPM028 Last Updated:

More information

Multifocal Motor Neuropathy. Jonathan Katz, MD Richard Lewis, MD

Multifocal Motor Neuropathy. Jonathan Katz, MD Richard Lewis, MD Multifocal Motor Neuropathy Jonathan Katz, MD Richard Lewis, MD What is Multifocal Motor Neuropathy? Multifocal Motor Neuropathy (MMN) is a rare condition in which multiple motor nerves are attacked by

More information

BEFORE THE ARKANSAS WORKERS' COMPENSATION COMMISSION CLAIM NO. F102457 OPINION FILED JULY 20, 2004

BEFORE THE ARKANSAS WORKERS' COMPENSATION COMMISSION CLAIM NO. F102457 OPINION FILED JULY 20, 2004 BEFORE THE ARKANSAS WORKERS' COMPENSATION COMMISSION CLAIM NO. F102457 KEN WATERS, EMPLOYEE CENTURY TUBE CORPORATION, EMPLOYER CROCKETT ADJUSTMENT, CARRIER CLAIMANT RESPONDENT RESPONDENT OPINION FILED

More information

8 th Annual W/C Spine Summit. Ted A. Lennard, MD Feb. 12, 2015

8 th Annual W/C Spine Summit. Ted A. Lennard, MD Feb. 12, 2015 8 th Annual W/C Spine Summit Ted A. Lennard, MD Feb. 12, 2015 Case Study 45 y.o. male Truck Accident on 1/15/12 Slid on ice and crossed median. Case Study Taken by ambulance to ER in Texas +Loss of consciousness

More information

Clinical and Diagnostic Findings in Patients with Lumbar Radiculopathy and Polyneuropathy Ayse Lee-Robinson, MD Aaron Taylor Lee

Clinical and Diagnostic Findings in Patients with Lumbar Radiculopathy and Polyneuropathy Ayse Lee-Robinson, MD Aaron Taylor Lee 80 American Journal of Clinical Medicine Spring 2010 Volume Seven, Number Two Clinical and Diagnostic Findings in Patients with Lumbar Radiculopathy and Polyneuropathy Ayse Lee-Robinson, MD Aaron Taylor

More information

Return to same game if sx s resolve within 15 minutes. Return to next game if sx s resolve within one week Return to Competition

Return to same game if sx s resolve within 15 minutes. Return to next game if sx s resolve within one week Return to Competition Assessment Skills of the Spine on the Field and in the Clinic Ron Burke, MD Cervical Spine Injuries Sprains and strains Stingers Transient quadriparesis Cervical Spine Injuries Result in critical loss

More information

Welcome to the July 2012 edition of Case Studies from the files of the Institute for Nerve Medicine in Santa Monica, California.

Welcome to the July 2012 edition of Case Studies from the files of the Institute for Nerve Medicine in Santa Monica, California. Welcome to the July 2012 edition of Case Studies from the files of the Institute for Nerve Medicine in Santa Monica, California. In this issue, we focus on a 23-year-old female patient referred by her

More information

Payment Policy. Evaluation and Management

Payment Policy. Evaluation and Management Purpose Payment Policy Evaluation and Management The purpose of this payment policy is to define how Health New England (HNE) reimburses for Evaluation and Management Services. Applicable Plans Definitions

More information

Miscellaneous Services

Miscellaneous Services Miscellaneous Services Acute Physical Medicine and Rehabilitation (Acute PM&R) Inpatient PM&R is limited to Department-contracted facilities. Please see the Department s Acute PM&R Billing Instructions

More information

SUPER EMGPLUS. February 18-25, Frenchman s Reef and Morning Star Marriott Beach Resort St. Thomas, U.S. Virgin Islands

SUPER EMGPLUS. February 18-25, Frenchman s Reef and Morning Star Marriott Beach Resort St. Thomas, U.S. Virgin Islands The Ohio State Medical Center Department of Physical Medicine and Rehabilitation SUPER EMGPLUS A practical update on clinical neuromuscular physiology, electrodiagnostic medicine, ultrasonography and neuropathic

More information

SECOND OPINIONS AND INDEPENDENT MEDICAL EXAMINATIONS

SECOND OPINIONS AND INDEPENDENT MEDICAL EXAMINATIONS SECOND OPINIONS AND INDEPENDENT MEDICAL EXAMINATIONS OBJECTIVES: Understand the roles of the patient, original treating physician, and second-opinion physician in the process of initiating, obtaining,

More information

DIFFERENTIAL DIAGNOSIS OF LOW BACK PAIN. Arnold J. Weil, M.D., M.B.A. Non-Surgical Orthopaedics, P.C. Atlanta, GA

DIFFERENTIAL DIAGNOSIS OF LOW BACK PAIN. Arnold J. Weil, M.D., M.B.A. Non-Surgical Orthopaedics, P.C. Atlanta, GA DIFFERENTIAL DIAGNOSIS OF LOW BACK PAIN Arnold J. Weil, M.D., M.B.A. Non-Surgical Orthopaedics, P.C. Atlanta, GA MEDICAL ALGORITHM OF REALITY LOWER BACK PAIN Yes Patient will never get better until case

More information

Coding and Payment Guide for Anesthesia Services. An essential coding, billing, and reimbursement resource for anesthesiology and pain management

Coding and Payment Guide for Anesthesia Services. An essential coding, billing, and reimbursement resource for anesthesiology and pain management Coding and Payment Guide for Anesthesia Services An essential coding, billing, and reimbursement resource for anesthesiology and pain management 2011 Contents Introduction...1 Coding Systems... 1 Claim

More information

Neuromuscular Medicine Fellowship Curriculum

Neuromuscular Medicine Fellowship Curriculum Neuromuscular Medicine Fellowship Curriculum General Review Goals and Objectives Attend weekly EMG sessions as assigned Take a Directed History and Exam of each EMG patient Attend every other week Muscle

More information

Treatment of Painful Diabetic Neuropathy

Treatment of Painful Diabetic Neuropathy Treatment of Painful Diabetic Neuropathy Case Presentation: Part I A 60-year-old male with a history of diabetes mellitus type 2 is referred to the neurology clinic by his primary care office for pain

More information

Informed Patient Tutorial Copyright 2012 by the American Academy of Orthopaedic Surgeons

Informed Patient Tutorial Copyright 2012 by the American Academy of Orthopaedic Surgeons Informed Patient Tutorial Copyright 2012 by the American Academy of Orthopaedic Surgeons Informed Patient - Carpal Tunnel Release Surgery Introduction Welcome to the American Academy of Orthopaedic Surgeons'

More information

Care and Prevention of Sedentary Workplace Injuries. By: Colin Beattie, BKIN, mpt, cafci Registered physical therapist & medical acupuncturist

Care and Prevention of Sedentary Workplace Injuries. By: Colin Beattie, BKIN, mpt, cafci Registered physical therapist & medical acupuncturist Care and Prevention of Sedentary Workplace Injuries By: Colin Beattie, BKIN, mpt, cafci Registered physical therapist & medical acupuncturist Learning Objectives By the end of this presentation you should

More information

BEFORE THE ARKANSAS WORKERS' COMPENSATION COMMISSION CLAIM NO. F002116 OPINION FILED AUGUST 27, 2003

BEFORE THE ARKANSAS WORKERS' COMPENSATION COMMISSION CLAIM NO. F002116 OPINION FILED AUGUST 27, 2003 BEFORE THE ARKANSAS WORKERS' COMPENSATION COMMISSION CLAIM NO. F002116 KAY JARRELL, EMPLOYEE STANT MANUFACTURING, INC., EMPLOYER AIG CLAIM SERVICES, CARRIER CLAIMANT RESPONDENT RESPONDENT OPINION FILED

More information

CERVICAL DISC HERNIATION

CERVICAL DISC HERNIATION CERVICAL DISC HERNIATION Most frequent at C 5/6 level but also occur at C 6 7 & to a lesser extent at C4 5 & other levels In relatively younger persons soft disk protrusion is more common than hard disk

More information

Medical Report Checklist: Upper Extremities Peripheral Nerve Disorders Impairments (PND)

Medical Report Checklist: Upper Extremities Peripheral Nerve Disorders Impairments (PND) http://www.pdratings.com/ Craig Andrew Lange craig@pdratings.com California Workers Compensation Certified AMA Guides Impairment & Disability Rating Specialists Voice: (415) 861-4040 / Fax: (415) 276-3741

More information

Nerve Conduction Velocity (NCV) & Electromyography (EMG) Studies

Nerve Conduction Velocity (NCV) & Electromyography (EMG) Studies Nerve Conduction Velocity (NCV) & Electromyography (EMG) Studies [Preauthorization Required] Medical Policy: MP-ME-09-09 Original Effective Date: November 5, 2010 Reviewed: November 5, 2010 Reviewed: November

More information

Employees Compensation Appeals Board

Employees Compensation Appeals Board U. S. DEPARTMENT OF LABOR Employees Compensation Appeals Board In the Matter of BRENDA K. ANDREWS and U.S. POSTAL SERVICE, POST OFFICE, Chillicothe, OH Docket No. 03-780; Submitted on the Record; Issued

More information

CURRICULUM VITAE. Syed M. Zaffer, M.D. 13020 Telecom Parkway N. Temple Terrace, FL 33637-0925 Tel: (813) 978-9700 ext. 6739 Fax: 813-558-6174

CURRICULUM VITAE. Syed M. Zaffer, M.D. 13020 Telecom Parkway N. Temple Terrace, FL 33637-0925 Tel: (813) 978-9700 ext. 6739 Fax: 813-558-6174 CURRICULUM VITAE Syed M. Zaffer, M.D. 13020 Telecom Parkway N. Temple Terrace, FL 33637-0925 Tel: (813) 978-9700 ext. 6739 Fax: 813-558-6174 PERSONAL DATA: Date of Birth: November 22, 1965 Place of Birth:

More information

Neurometer CPT Sensory Nerve Conduction Threshold (snct ) Electrodiagnostic Evaluation

Neurometer CPT Sensory Nerve Conduction Threshold (snct ) Electrodiagnostic Evaluation Neurometer CPT Sensory Nerve Conduction Threshold (snct ) Electrodiagnostic Evaluation Overview and References Appendix C. Utilization Guidelines By Medical Specialty Contents Appendix C. Utilization Guidelines

More information

Khaled s Radiology report

Khaled s Radiology report Khaled s Radiology report Patient Name: Khaled Adli Moustafa Date 06/15/2014 The patient is not present. And the following report is based upon what was in the MRI of the cervical and lumbar spine report

More information

Role of Electrodiagnostic Tests in Neuromuscular Disease

Role of Electrodiagnostic Tests in Neuromuscular Disease Role of Electrodiagnostic Tests in Neuromuscular Disease Electrodiagnostic tests Electroencephalogram (EEG) Electromyography (NCV, EMG) Cerebral evoked potentials (CEP) Motor evoked potentials (MEP) Electronystagmogram

More information

UltraEMG Course Schedule ULTRA EMG I: Neuromuscular Emphasis Sunday February 9 Introduction and Fundamentals

UltraEMG Course Schedule ULTRA EMG I: Neuromuscular Emphasis Sunday February 9 Introduction and Fundamentals UltraEMG Course Schedule 2014 Saturday February 8 Travel Date 5:00-6:00 Early Onsite Registration ULTRA EMG I: Neuromuscular Emphasis Sunday February 9 Introduction and Fundamentals 6:15am Registration

More information

OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY PROTOCOL GUIDELINES

OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY PROTOCOL GUIDELINES OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY PROTOCOL GUIDELINES General Therapy Guidelines 1. Therapy evaluations must be provided by licensed physical and/or occupational therapists. Therapy evaluations

More information

ELECTRODIAGNOSTIC MEDICINE

ELECTRODIAGNOSTIC MEDICINE ELECTRODIAGNOSTIC MEDICINE OBJECTIVES BEGINNER Patient Care Perform a comprehensive electrodiagnostic evaluation of each patient and to provide a concise diagnosis and plan for further treatment Describe

More information

CLINICAL PRACTICE GUIDELINES FOR MANAGEMENT OF LOW BACK PAIN

CLINICAL PRACTICE GUIDELINES FOR MANAGEMENT OF LOW BACK PAIN CLINICAL PRACTICE GUIDELINES FOR MANAGEMENT OF LOW BACK PAIN Low back pain is very common, up to 90+% of people are affected by back pain at some time in their lives. Most often back pain is benign and

More information

Applying Modifiers. Applying Modifiers

Applying Modifiers. Applying Modifiers $traight Talk XXII November 11, 2013 Sandy Steele, CPC, CPMA, CEDC, CAC What is a Modifier? A modifier added to a CPT code will help provide additional information on the claim. A modifier can help answer

More information

Ulnar Neuropathy Differential Diagnosis and Prognosis. Disclosures: None

Ulnar Neuropathy Differential Diagnosis and Prognosis. Disclosures: None Ulnar Neuropathy Differential Diagnosis and Prognosis Disclosures: None Goals of Lecture Describe anatomy: sites of entrapment Ulnar nerve Discuss differential diagnosis of ulnar nerve pathology Identify

More information

Modifiers and all you will need to know!

Modifiers and all you will need to know! Modifiers and all you will need to know! 24Unrelated Evaluation and Management Service by the Same Physician during a Postoperative Period: The physician may need to indicate that an evaluation and management

More information

NON SURGICAL SPINAL DECOMPRESSION. Dr. Douglas A. VanderPloeg

NON SURGICAL SPINAL DECOMPRESSION. Dr. Douglas A. VanderPloeg NON SURGICAL SPINAL DECOMPRESSION Dr. Douglas A. VanderPloeg CONTENTS I. Incidence of L.B.P. II. Anatomy Review III. IV. Disc Degeneration, Bulge, and Herniation Non-Surgical Spinal Decompression 1. History

More information

CTS the Best EDX. Ernest W Johnson MD Emeritus Professor Physical Medicine & Rehabilitation The Ohio State University

CTS the Best EDX. Ernest W Johnson MD Emeritus Professor Physical Medicine & Rehabilitation The Ohio State University CTS the Best EDX Ernest W Johnson MD Emeritus Professor Physical Medicine & Rehabilitation The Ohio State University 1 Definition of CTS A syndrome 2d to dysfunction of median nerve in carpal tunnel resulting

More information

Coding for OMT. Rance McClain, DO Assistant Professor Family Medicine KCUMB-COM

Coding for OMT. Rance McClain, DO Assistant Professor Family Medicine KCUMB-COM Coding for OMT Rance McClain, DO Assistant Professor Family Medicine KCUMB-COM Learning Objectives n Understand CPT codes for Osteopathic Manipulative Treatment (OMT) n Apply correct coding to a thorough

More information

LUMBAR DISC INJURY JUANITA CASE PRESENTATION

LUMBAR DISC INJURY JUANITA CASE PRESENTATION LUMBAR DISC INJURY JUANITA CASE PRESENTATION presented by Lucio Evangelista, DC Burlington & Hamilton, Ontario, Canada certified Cox Technic physician APRIL 2012 TORONTO COX SEMINAR PART II AGENDA 1. Initial

More information

Coding and Payment Guide for the Physical Therapist. An essential coding, billing, and payment resource for the physical therapist

Coding and Payment Guide for the Physical Therapist. An essential coding, billing, and payment resource for the physical therapist Coding and Payment Guide for the Physical Therapist An essential coding, billing, and payment resource for the physical therapist 2014 Contents Introduction...1 Coding Systems... 1 Claim Forms... 3 Contents

More information

WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP?

WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP? WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP? Stenosis is a narrowing of the spinal canal. It usually occurs in the lower back (lumbar spine) or the neck (cervical spine) It occurs

More information

Herniated Disk. This reference summary explains herniated disks. It discusses symptoms and causes of the condition, as well as treatment options.

Herniated Disk. This reference summary explains herniated disks. It discusses symptoms and causes of the condition, as well as treatment options. Herniated Disk Introduction Your backbone, or spine, has 24 moveable vertebrae made of bone. Between the bones are soft disks filled with a jelly-like substance. These disks cushion the vertebrae and keep

More information

Modifiers. This modifier can be located in the following rule(s): Anesthesia Global Maternity

Modifiers. This modifier can be located in the following rule(s): Anesthesia Global Maternity The Medical Clean Claims Task force has developed this modifier grid to identify modifiers that are considered to be important in the overall adjudication of a claim from a commercial payer perspective.

More information

Spinal Tumor. North American Spine Society Public Education Series

Spinal Tumor. North American Spine Society Public Education Series Spinal Tumor North American Spine Society Public Education Series What Are Spinal Tumors? Spine tumors may arise from any of the structures of the spine or the spinal column. They may arise in the cervical

More information

Full version is >>> HERE <<<

Full version is >>> HERE <<< Full version is >>> HERE http://dbvir.com/glbrdr/pdx/natu2571/ Tags: :: download, preventing carpal tunnel

More information

Cervical Spondylosis (Arthritis of the Neck)

Cervical Spondylosis (Arthritis of the Neck) Copyright 2009 American Academy of Orthopaedic Surgeons Cervical Spondylosis (Arthritis of the Neck) Neck pain is extremely common. It can be caused by many things, and is most often related to getting

More information

EMG AND NCS: A PRACTICAL APPROACH TO ELECTRODIAGNOSTICS

EMG AND NCS: A PRACTICAL APPROACH TO ELECTRODIAGNOSTICS EMG AND NCS: A PRACTICAL APPROACH TO ELECTRODIAGNOSTICS Dr. Harp Sangha, Dr. Tania R. Bruno Staff Physiatrists Toronto Rehab UHN Lecturers, Department of Medicine University of Toronto February 1, 2013

More information

Electromyography and Nerve Conduction Studies

Electromyography and Nerve Conduction Studies Electromyography and Nerve Conduction Studies Policy Number: 2.01.95 Last Review: 10/2015 Origination: 10/2015 Next Review: 10/2016 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will provide

More information

ICD-9 and ICD-10 ORTHOPEDIC

ICD-9 and ICD-10 ORTHOPEDIC ICD-9 and ICD-10 ORTHOPEDIC Payers and Providers Partnering for Success Shannon Chase, CPC, AHIMA Approved ICD-10-CM/PCS Trainer July 2014 ICD-9 & ICD-10 - ORTHOPEDIC AGENDA Importance of Documentation

More information

Chiropractic Physician and Clinical Director, Advanced Physical Medicine of Yorkville, Ltd., Yorkville, IL, 2003-present

Chiropractic Physician and Clinical Director, Advanced Physical Medicine of Yorkville, Ltd., Yorkville, IL, 2003-present Brian D. Berkey, DC, ACRB-Level 1, CGFI, CFCE 207 Hillcrest Ave. Suite A, Yorkville, IL 60560 630-553-2111 630-553-0022 fax DrBerkey@AdvancedPhysicalMedicine.net SELECTED OCCUPATIONAL HISTORY Chiropractic

More information

Get Back to the Life You Love! The MedStar Spine Center in Chevy Chase

Get Back to the Life You Love! The MedStar Spine Center in Chevy Chase Get Back to the Life You Love! The MedStar Spine Center in Chevy Chase The MedStar Spine Center in Chevy Chase Relief from Pain, Restoration of Function Non-surgical, Minimally Invasive and Complex Surgical

More information

BEFORE THE APPEALS BOARD FOR THE KANSAS DIVISION OF WORKERS COMPENSATION

BEFORE THE APPEALS BOARD FOR THE KANSAS DIVISION OF WORKERS COMPENSATION BEFORE THE APPEALS BOARD FOR THE KANSAS DIVISION OF WORKERS COMPENSATION BARBARA SHEREE HUTSON ) Claimant ) ) VS. ) Docket No. 1,035,700 ) CUSTOM CAMPERS, INC. ) Self-Insured Respondent ) ORDER Claimant

More information

The Carpal Tunnel CTS. Stålberg 1. Dysfunction of median nerve in the carpal tunnel resulting in

The Carpal Tunnel CTS. Stålberg 1. Dysfunction of median nerve in the carpal tunnel resulting in The Carpal Tunnel CTS Dysfunction of median nerve in the carpal tunnel resulting in 1 Symptoms in CTS pain and numbness in the abd worse on finger activity aggravated by forceful gripping g symptoms more

More information

INDEPENDENT MEDICAL EVALUATION

INDEPENDENT MEDICAL EVALUATION Claimant: Requested by: Date of Injury: February 3, 2003 Date of Examination: April 22, 2008 Claim #: INDEPENDENT MEDICAL EVALUATION All information contained herein is from medical records provided to

More information

Case Studies Updated 10.24.11

Case Studies Updated 10.24.11 S O L U T I O N S Case Studies Updated 10.24.11 Hill DT Solutions Cervical Decompression Case Study An 18-year-old male involved in a motor vehicle accident in which his SUV was totaled suffering from

More information

Options for Cervical Disc Degeneration A Guide to the Fusion Arm of the M6 -C Artificial Disc Study

Options for Cervical Disc Degeneration A Guide to the Fusion Arm of the M6 -C Artificial Disc Study Options for Cervical Disc Degeneration A Guide to the Fusion Arm of the M6 -C Artificial Disc Study Each year, hundreds of thousands of adults are diagnosed with Cervical Disc Degeneration, an upper spine

More information

IN THE COURT OF APPEALS OF INDIANA

IN THE COURT OF APPEALS OF INDIANA Pursuant to Ind. Appellate Rule 65(D), this Memorandum Decision shall not be regarded as precedent or cited before any court except for the purpose of establishing the defense of res judicata, collateral

More information

L. R. v. Fletcher Allen Health Care (January 4, 2007) STATE OF VERMONT DEPARTMENT OF LABOR

L. R. v. Fletcher Allen Health Care (January 4, 2007) STATE OF VERMONT DEPARTMENT OF LABOR L. R. v. Fletcher Allen Health Care (January 4, 2007) STATE OF VERMONT DEPARTMENT OF LABOR L. R. Opinion No. 57-06WC By: Margaret A. Mangan v. Hearing Officer Fletcher Allen Health Care For: Patricia Moulton

More information

BEFORE THE APPEALS BOARD FOR THE KANSAS DIVISION OF WORKERS COMPENSATION

BEFORE THE APPEALS BOARD FOR THE KANSAS DIVISION OF WORKERS COMPENSATION BEFORE THE APPEALS BOARD FOR THE KANSAS DIVISION OF WORKERS COMPENSATION MARY JANE WAGGONER ) Claimant ) VS. ) ) Docket No. 1,001,815 THE BOEING COMPANY ) Respondent ) AND ) ) INSURANCE COMPANY ) STATE

More information

CODE AUDITING RULES. SAMPLE Medical Policy Rationale

CODE AUDITING RULES. SAMPLE Medical Policy Rationale CODE AUDITING RULES As part of Coventry Health Care of Missouri, Inc s commitment to improve business processes, we are implemented a new payment policy program that applies to claims processed on August

More information

NOT DESIGNATED FOR PUBLICATION

NOT DESIGNATED FOR PUBLICATION NOT DESIGNATED FOR PUBLICATION BEFORE THE ARKANSAS WORKERS' COMPENSATION COMMISSION CLAIM NO. F503749 EVLYNENE KIRKENDOLPH, EMPLOYEE C L A I M ANT DF&A REVENUE SERVICES DIVISION/ OFFICE OF CHILD SUPPORT

More information

My Coding Connection, LLC 618-530-1196. 24 Unrelated E/M by the same physician during a postoperative period

My Coding Connection, LLC 618-530-1196. 24 Unrelated E/M by the same physician during a postoperative period MODIFIERS Rachel Coon, CCS-P, CPC, CPC-P, CPMA, CPC-I, CEMC, ICD-10 My Coding Connection, LLC 618-530-1196 GLOBAL PACKAGE MODIFIERS 24 Unrelated E/M by the same physician during a postoperative period

More information

Documentation Guidelines for Physicians Interventional Pain Services

Documentation Guidelines for Physicians Interventional Pain Services Documentation Guidelines for Physicians Interventional Pain Services Pamela Gibson, CPC Assistant Director, VMG Coding Anesthesia and Surgical Divisions 343.8791 1 General Principles of Medical Record

More information

Lower Back Pain: Multiple Disciplines for Optimal Outcomes: Surgeon s Perspective

Lower Back Pain: Multiple Disciplines for Optimal Outcomes: Surgeon s Perspective Lower Back Pain: Multiple Disciplines for Optimal Outcomes: Surgeon s Perspective Joel Bauman, MD Neurosurgeon, Hartford HealthCare Medical Group Hartford Hospital Midstate Medical Center Adjunct Clinical

More information

A WCRI FLASHREPORT. Benchmarking Pennsylvania s Workers Compensation Medical Fee Schedule. Stacey Eccleston Xiaoping Zhao. Updated February, 2002

A WCRI FLASHREPORT. Benchmarking Pennsylvania s Workers Compensation Medical Fee Schedule. Stacey Eccleston Xiaoping Zhao. Updated February, 2002 A WCRI FLASHREPORT Benchmarking Pennsylvania s Workers Compensation Medical Fee Schedule Stacey Eccleston Xiaoping Zhao Updated February, 2002 FR-01-06 WCRI FLASHREPORTS are data-based analyses of specific

More information

Sample Treatment Protocol

Sample Treatment Protocol Sample Treatment Protocol 1 Adults with acute episode of LBP Definition: Acute episode Back pain lasting

More information

Nerve Conduction Studies

Nerve Conduction Studies Nerve Conduction Studies Presenter: Jeff White, Data Analysis Manager Significant contributor: Chad Landtroop, Chief Statistician Advancing Healthcare Integrity 10/9/2009 1:59:33 PM 9858-08 1 Nerve Conduction

More information