Guest guest Posted February 21, 2008 Report Share Posted February 21, 2008 We've been using the units for a month or so now.....our Empi rep turned me on to them when a physician requested positively charged medication. We have been previously using the " Action Patch " , but were limited to only negatively charged meds. We love the units b/c the hybresis mode is preset to 80 mA/min....their less expensive, easier to use, and just as, if not more, effective than other units and patches used in the past. As far as billing, we just use the typical Ionto code.....hiope that helps a little! Hill, PT Meridian, MS -------------- Original message from " Mourning, Todd " : -------------- Greetings group. Has anyone had any experience with the new Hybresis ionto unit from Empi and more importantly, how are you billing if using the hybresis function? Thanks. Todd Mourning, PT Manager of Therapy Services Abraham Lincoln Memorial Hospital 315 8th Street Lincoln, IL 62656 (direct) (fax) mourning.todd@... This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 21, 2008 Report Share Posted February 21, 2008 We are very happy with the results we are having with hybresis. Since it is a timed modality it is tabulated with your timed codes and follows the 8 minute rule. Kathi Lee PT Mgr Carson Health Network Physical Rehabilitation Center 602 E. Elm Street Carson City, MI 48811 ext 256 Fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2008 Report Share Posted February 22, 2008 Thanks for all the reponses thus far. I am glad that you are getting good results with the hybresis and look forward to the same with our use. With respect to the billing, the hybresis function only lasts 3-4 minutes then the unit comes off. Rick G had stated in an earlier discussion (last year regarding the iontopatch) that if the patient then leaves the clinic (after hybresis), you can't bill for that time. So, if you can't count set up time and they leave the clinic after the hybresis portion is done but the patch is still in place, your timed treatment is generally less then the 8 min and that is not enough to count by itself. Of course, we can count the several minutes and capture that time in another code per general billing rules but we would like to be able to bill the ionto itself. Please give me your thoughts. Thanks. Todd Mourning, PT Manager of Therapy Services Abraham Lincoln Memorial Hospital 315 8th Street Lincoln, IL 62656 (direct) (fax) mourning.todd@... ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of klee@... Sent: Thursday, February 21, 2008 4:04 PM To: PTManager Subject: Re: Hybresis We are very happy with the results we are having with hybresis. Since it is a timed modality it is tabulated with your timed codes and follows the 8 minute rule. Kathi Lee PT Mgr Carson Health Network Physical Rehabilitation Center 602 E. Elm Street Carson City, MI 48811 ext 256 Fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2008 Report Share Posted February 22, 2008 We have been using a couple of months without any problems and bill hybresis mode same as any other mode Pierre H. Rougny, PT,OCS, MTC Director of Rehabilitation Services Sebasticook Valley Hospital 141 Leighton St. Pittsfield, ME 04967 (207)487-9293 ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Mourning, Todd Sent: Thursday, February 21, 2008 12:35 PM To: 'PTManager ' Subject: Hybresis Greetings group. Has anyone had any experience with the new Hybresis ionto unit from Empi and more importantly, how are you billing if using the hybresis function? Thanks. Todd Mourning, PT Manager of Therapy Services Abraham Lincoln Memorial Hospital 315 8th Street Lincoln, IL 62656 (direct) (fax) mourning.todd@... <mailto:mourning.todd%40mhsil.com> <mailto:mourning.todd@... <mailto:mourning.todd%40mhsil.com> > This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2008 Report Share Posted February 22, 2008 The empi rep just demonstrated this to our therapist. According to the rep and our administration you can use set up time as part of the total time, similar to ultrasound. Amy Kerr PT _____ From: PTManager [mailto:PTManager ] On Behalf Of Mourning, Todd Sent: Friday, February 22, 2008 9:13 AM To: 'PTManager ' Subject: RE: Hybresis Thanks for all the reponses thus far. I am glad that you are getting good results with the hybresis and look forward to the same with our use. With respect to the billing, the hybresis function only lasts 3-4 minutes then the unit comes off. Rick G had stated in an earlier discussion (last year regarding the iontopatch) that if the patient then leaves the clinic (after hybresis), you can't bill for that time. So, if you can't count set up time and they leave the clinic after the hybresis portion is done but the patch is still in place, your timed treatment is generally less then the 8 min and that is not enough to count by itself. Of course, we can count the several minutes and capture that time in another code per general billing rules but we would like to be able to bill the ionto itself. Please give me your thoughts. Thanks. Todd Mourning, PT Manager of Therapy Services Abraham Lincoln Memorial Hospital 315 8th Street Lincoln, IL 62656 (direct) (fax) mourning.todd@ <mailto:mourning.todd%40mhsil.com> mhsil.com<mailto:mourning.todd@ <mailto:mourning.todd%40mhsil.com> mhsil.com> ________________________________ From: PTManager@yahoogrou <mailto:PTManager%40yahoogroups.com> ps.com [mailto:PTManager@yahoogrou <mailto:PTManager%40yahoogroups.com> ps.com] On Behalf Of klee@carsoncityhosp <mailto:klee%40carsoncityhospital.com> ital.com Sent: Thursday, February 21, 2008 4:04 PM To: PTManager@yahoogrou <mailto:PTManager%40yahoogroups.com> ps.com Subject: Re: Hybresis We are very happy with the results we are having with hybresis. Since it is a timed modality it is tabulated with your timed codes and follows the 8 minute rule. Kathi Lee PT Mgr Carson Health Network Physical Rehabilitation Center 602 E. Elm Street Carson City, MI 48811 ext 256 Fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2008 Report Share Posted February 22, 2008 No one seems to be addressing Todd's obvious question. How do you bill the Hyrbresis mode of the EMPI unit if you send them out the door with it. It only takes 3 minutes to charge then you send them home. Without getting into the " why is ionto a timed code anyway discussion, " it is okay to bill for time other than the actual charging of the electrode. I was told that you can bill for the setup time. I have patients remain at the clinic for an appropriate time. If you're not comfortable using the Hybresis mode, don't. It does set up some ethical issues. It could potentially set you up to send some out with a charged electrode because perhaps it won't be enough minutes for the additional ionto charge, while you keep someone else in the clinic just to be able to charge for ionto when you could have sent them out the door with a charged electrode. I would pick one mode and use that for everyone. I just like the Hybresis units because they run more reliably than traditional units. The traditional units cut off sometimes and are a little slower to set up. By the way everyone, remember to use compounded ionto solutions! If it comes with a sharp in a bladdered bottle, it's not buffered optimally to do ionto! Read the research. Bisesi MPT COMT Winter Haven, Fl. --- " Rougny, Pierre " wrote: > We have been using a couple of months without any > problems and bill > hybresis mode same as any other mode > > > > Pierre H. Rougny, PT,OCS, MTC > Director of Rehabilitation Services > Sebasticook Valley Hospital > 141 Leighton St. > Pittsfield, ME 04967 > (207)487-9293 > > > > > > ________________________________ > > From: PTManager > [mailto:PTManager ] On > Behalf Of Mourning, Todd > Sent: Thursday, February 21, 2008 12:35 PM > To: 'PTManager ' > Subject: Hybresis > > > > Greetings group. > > Has anyone had any experience with the new Hybresis > ionto unit from Empi > and more importantly, how are you billing if using > the hybresis > function? > > Thanks. > > Todd Mourning, PT > Manager of Therapy Services > Abraham Lincoln Memorial Hospital > 315 8th Street > Lincoln, IL 62656 > > > (direct) > (fax) > > mourning.todd@... > <mailto:mourning.todd%40mhsil.com> > <mailto:mourning.todd@... > <mailto:mourning.todd%40mhsil.com> > > > This message (including any attachments) contains > confidential > information intended for a > specific individual and purpose, and is protected by > law. If you are not > the intended recipient, > you should delete this message. Any disclosure, > copying, or distribution > of this message, or the > taking of any action based on it, is strictly > prohibited. > > [Non-text portions of this message have been > removed] > > > > > > [Non-text portions of this message have been > removed] > > ________________________________________________________________________________\ ____ Looking for last minute shopping deals? Find them fast with Yahoo! Search. http://tools.search.yahoo.com/newsearch/category.php?category=shopping Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2008 Report Share Posted February 22, 2008 Setup time, discussion of how it works, monitoring the patient on their status while the Hybresis module is " warming up " , applying medication to the electrode, applying the electrode, etc, all add up to 8 minutes quite easily... When was the last time you went to the Pharmacy and the pharmacist DIDN'T ask you if you have any questions, and then proceeded to explain to you how your medication worked, even if you'd been taking it for months, or years already?? There's really no reason for an insurance company to deny your charge for " medical necessity " because it is very important that you verify with every patient that they know what they are doing, and what their treatment includes. We're billing Iontophoresis for Hybresis, and we won't have any problems with insurance companies as long as we do the documentation properly. Adam Jeschke Office Manager Optimal Physical Therapy, LLC Lake Mills, WI On Fri, Feb 22, 2008 at 8:13 AM, Mourning, Todd wrote: > Thanks for all the reponses thus far. > > I am glad that you are getting good results with the hybresis and look > forward to the same with our use. With respect to the billing, the hybresis > function only lasts 3-4 minutes then the unit comes off. Rick G had stated > in an earlier discussion (last year regarding the iontopatch) that if the > patient then leaves the clinic (after hybresis), you can't bill for that > time. So, if you can't count set up time and they leave the clinic after the > hybresis portion is done but the patch is still in place, your timed > treatment is generally less then the 8 min and that is not enough to count > by itself. Of course, we can count the several minutes and capture that time > in another code per general billing rules but we would like to be able to > bill the ionto itself. Please give me your thoughts. > > > Thanks. > > Todd Mourning, PT > Manager of Therapy Services > Abraham Lincoln Memorial Hospital > 315 8th Street > Lincoln, IL 62656 > > > (direct) > (fax) > > mourning.todd@... <mourning.todd%40mhsil.com><mailto: > mourning.todd@... <mourning.todd%40mhsil.com>> > ________________________________ > From: PTManager <PTManager%40yahoogroups.com> [mailto: > PTManager <PTManager%40yahoogroups.com>] On Behalf Of > klee@... <klee%40carsoncityhospital.com> > Sent: Thursday, February 21, 2008 4:04 PM > To: PTManager <PTManager%40yahoogroups.com> > Subject: Re: Hybresis > > We are very happy with the results we are having with hybresis. Since it > is a timed modality it is tabulated with your timed codes and follows the > 8 minute rule. > > Kathi Lee PT > Mgr Carson Health Network Physical Rehabilitation Center > 602 E. Elm Street > Carson City, MI 48811 > ext 256 Fax > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 25, 2008 Report Share Posted February 25, 2008 we capture minutes from another billing code, but often still bill the ionto because then the charges are a better picture of the treatments given Kathi Lee PT Mgr Carson Health Network Physical Rehabilitation Center 602 E. Elm Street Carson City, MI 48811 ext 256 Fax Quote Link to comment Share on other sites More sharing options...
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