Guest guest Posted April 6, 2003 Report Share Posted April 6, 2003 Joan..the APTA does have a lot of information on this subject. If you visit <A HREF= " www.apta.org " > www.apta.org</A>, there are mutiple links on reimbursement, practice, FAQ's, and more that could help you in situations like this. I have always found the asociation to be helpful in answering questions on the phone too. Performed 7 mins of manual therapy (97140) and 30 mins of ther. ex. (97110)....do we just lose the 7 mins. of skilled intervention? or can we group that time into the ther. ex. code for billing purposes. --- You don't lose the 7 min.....30 + 7 = 37 min which means you can bill 2 units...probably 2 units of 97110 would be most appropraite since this was the majority of your time. Any is this question really only meant for Medicare patients and no other carriers? OR does this apply to all carriers not just medicare? You can always check with your carriers, but most follow medicare guidelines. Any help with time and specific coding language other than the obvious CPT-4 Book would be helpful. Check out AB-00-14.60....it is the program transmittal explaining the use of timed codes for billing and documenting. In a message dated 4/5/2003 5:27:40 PM Central Standard Time, Westwdpt@... writes: > To the group: > > Anyone having trouble explaining to their staff therapists how to bill and > code out for outpatient p.t. services with respect to the following > example: > Performed 7 mins of manual therapy (97140) and 30 mins of ther. ex. > (97110)....do we just lose the 7 mins. of skilled intervention? or can we > group that time into the ther. ex. code for billing purposes. My staff is > looking for any written documentation from a reliable source that they can > be > comfortable with and sleep at night. I as a employer need to provide them > strong evidence that we are properly billing our time and NOT upcoding. > > Any is this question really only meant for Medicare patients and no other > carriers? OR does this apply to all carriers not just medicare? > > Any help with time and specific coding language other than the obvious > CPT-4 > Book would be helpful. I looked up this concern with APTA will little > written support. And when I did present to my staff some language from > APTA > they challenged me on the fact " does Apta really having any say so on how > insurance carriers view and pay on certain situations " . I would like to > think that our professional organization is on the cutting edge to support > > us on this vague situations. Please help...anyone. > > Joan Schmidt, PT > Ellen R. Strunk, PT, GCS Clinical Consultant Birmingham, AL erstrunk@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2012 Report Share Posted July 17, 2012 I think 15 drops at a start was probably too much for you and that you were in the midst of a herx that was a bad one.If you are having this much issue with any part of the things you are doing , it means you have to add much more detox and probably a different binder or an additional one. Chronic lyme IS a neurological disease , or at least parts of it are, and so you must get past the blood brain barrier in anything you use.an idea is to take a binder and hour before and then again after you take a detox agent.The lightheadedness is not remarkable , I was often lightheaded early in treatment. feeling really bad with the protocol likely means you are in a constant herx and you likely will want to slow this down some.When you first start just about any protocol you will get severe herxing .It means lower the killing agents and step up much more on detox agents.Are you taking anything to help the liver detox burbur addresses lymph and brain but not liver and its the liver that filters a lot of the toxins in the blood.I personally would do the muscle testing for how often your body wants something.It may be wise to cut the samento/banderol down to 2 or 3 times a week.Dont coil if you are herxing from the banderol/samento or dont take the drops if you are herxing from the coil.Get through the majority of a herx before doing more killing.You are overloading your body with the neurotoxins from die off, to a point your body cannot handle itare you also taking supplements to help your body cope like electrolytes and sea salt, magnesium a good whole foods multi vitamin, extra B vitamins, kudzu( pueraria) might also help the head symptoms. adrenal supplements also will help healthe body and make surviving this illness much easierI also want to tell you that I remember being right where you are, the feeling like I was going to die tomorrow feeling and I dearly wish I had all the knowledge I have now when I started fighting this illness.You have the benefit of several peoples experiences here.Its still all trial and error, but we wil ltell you what works for us.killing too fast is dangerous to the body. This is a walk do not run fight and somedays it feels like a step backwards , but you will get to the point where steps forward occur.Just do not try to rush it hun.Rushing it will make you sicker.Detox detox detox.First thing.Stop all killing and just do detox and adrenal support for a week or two.when the herx ends then take more killing agents , but in small dosages and only more killing when you have the herxing under control with detoxjan "Im not trying to counsel any of you to do anything really special,except to dare to think, and to dare to go with the truth ,and to dare to love completely." -R. Buckminster Fullerhttp://www.purposefairy.com/4899/15-powerful-things-happy-people-do-differently/ Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.