Re: Annual Medicare expenses for PT

[Guest guest]

Hey , I can't tell you where to find that data, but I'm a research geek and

make sure you reference these articles in your rebuttal...good for you by the

way fighting back on our behalf.  Articles that say similar things are coming

out more often and it's disturbing to say the least.  I can't tell you how many

people I have seen over the years that actually need MORE therapy once they

start because the physician said they didn't need it. 

 

Sánchez Labraca N, et al. Clin Rehabil. March 7, 2011. - Level I evidence about

effectiveness of rehab post TKR

 

Swank AM, et al. J Strength Cond Res. 2011; 25(2):318-325.  - Need for prehab

to maximize outcomes.

 

Dan Lorenz

Olathe, KS

Subject: RE: Iontophoresis

To: " 'PTManager ' " <PTManager >

Date: Monday, May 23, 2011, 1:44 PM

 

Hi ,

Good question. I would also like to add to this: Are clinics requiring patients

to get their own prescription or does the clinic stock the medication? ( we

mostly use dexamethasone and require the patient to get their own prescription).

We have tried, unsuccessfully, to find out by our state PT board if we can keep

the medication in the clinic name and provide it for patients when we have a

prescription for ionto. I was of the understanding that iontophoresis was not

covered by insurance. We ask the patient to purchase the electrodes each visit

and do not charge for the visit.

Lori Libolt, OTR/L,CHT

ReBound Physical, Occupational, and Hand Therapies

805 Orchard Drive Suite2

Bellingham, WA 98264

360 752-1575

From: PTManager [mailto:PTManager ] On Behalf Of

Thagard

Sent: Monday, May 23, 2011 7:08 AM

To: PTManager

Subject: Iontophoresis

What is everyone using for Iontophoresis these days... Are you doing Ionto in

the clinic ? Is the patient using patches at home? If so, how are you supplying

them?

I was told by a consultant that Medicare is only paying for 2 iontophoresis

visits in the clinic because of the widespread use of the patches at home.

Thagard

Director, Rehabilitation

Sampson Regional Medical Center

405 Beaman St

Clinton, NC 28328

This email and any files transmitted with it are confidential and intended

solely for the use of the individual or entity to whom they are addressed. If

you are not the intended recipient you are notified that disclosing, copying,

distributing, or taking any action in reliance on the contents of this

information is strictly prohibited. If you have received this email in error

please notify the sender and delete the email. Please note that any views or

opinions presented in this email are solely those of the author and do not

necessarily represent those of Sampson Regional Medical Center. Finally, the

recipient should check this email and any attachments for the presence of

viruses. Sampson Regional Medical Center accepts no liability for any damage

caused by any virus transmitted by this email. If you have further questions or

issues, you may contact Sampson Regional Medical Center at .

[Guest guest]

Can only direct you to APTA resources for that info but I wanted to add that you

should definitely include the research that came out in 2009 or 2010 showing the

continued strength deficits in the operated leg years after surgery. I read

that as evidence, also, that TKA patients were not getting enough rehab or

improper rehab but it adds some additional support to the argument to keep the

post op rehab.

M. Howell, P.T., M.P.T.

Howell Physical Therapy

Eagle, Idaho

thowell@...

This email and any files transmitted with it may contain PRIVILEGED or

CONFIDENTIAL information and may be read or used only by the intended recipient.

If you are not the intended recipient of the email or any of its attachments,

please be advised that you have received this email in error and that any use,

dissemination, distribution, forwarding, printing or copying of this email or

any attached files is strictly prohibited. If you have received this email in

error, please immediately purge it and all attachments and notify the sender by

reply email.

From: PTManager [mailto:PTManager ] On Behalf Of

Lorenz

Sent: Monday, May 23, 2011 1:17 PM

To: PTManager

Subject: Re: Annual Medicare expenses for PT

Hey , I can't tell you where to find that data, but I'm a research geek and

make sure you reference these articles in your rebuttal...good for you by the

way fighting back on our behalf. Articles that say similar things are coming

out more often and it's disturbing to say the least. I can't tell you how many

people I have seen over the years that actually need MORE therapy once they

start because the physician said they didn't need it.

Sánchez Labraca N, et al. Clin Rehabil. March 7, 2011. - Level I evidence about

effectiveness of rehab post TKR

Swank AM, et al. J Strength Cond Res. 2011; 25(2):318-325. - Need for prehab to

maximize outcomes.

Dan Lorenz

Olathe, KS

From: Libolt, Lori F. <lflibolt@... <mailto:lflibolt%40hinet.org> >

Subject: RE: Iontophoresis

To: " 'PTManager <mailto:%27PTManager%40yahoogroups.com> ' "

<PTManager <mailto:PTManager%40yahoogroups.com> >

Date: Monday, May 23, 2011, 1:44 PM

Hi ,

Good question. I would also like to add to this: Are clinics requiring patients

to get their own prescription or does the clinic stock the medication? ( we

mostly use dexamethasone and require the patient to get their own prescription).

We have tried, unsuccessfully, to find out by our state PT board if we can keep

the medication in the clinic name and provide it for patients when we have a

prescription for ionto. I was of the understanding that iontophoresis was not

covered by insurance. We ask the patient to purchase the electrodes each visit

and do not charge for the visit.

Lori Libolt, OTR/L,CHT

ReBound Physical, Occupational, and Hand Therapies

805 Orchard Drive Suite2

Bellingham, WA 98264

360 752-1575

From: PTManager <mailto:PTManager%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On

Behalf Of Thagard

Sent: Monday, May 23, 2011 7:08 AM

To: PTManager <mailto:PTManager%40yahoogroups.com>

Subject: Iontophoresis

What is everyone using for Iontophoresis these days... Are you doing Ionto in

the clinic ? Is the patient using patches at home? If so, how are you supplying

them?

I was told by a consultant that Medicare is only paying for 2 iontophoresis

visits in the clinic because of the widespread use of the patches at home.

Thagard

Director, Rehabilitation

Sampson Regional Medical Center

405 Beaman St

Clinton, NC 28328

This email and any files transmitted with it are confidential and intended

solely for the use of the individual or entity to whom they are addressed. If

you are not the intended recipient you are notified that disclosing, copying,

distributing, or taking any action in reliance on the contents of this

information is strictly prohibited. If you have received this email in error

please notify the sender and delete the email. Please note that any views or

opinions presented in this email are solely those of the author and do not

necessarily represent those of Sampson Regional Medical Center. Finally, the

recipient should check this email and any attachments for the presence of

viruses. Sampson Regional Medical Center accepts no liability for any damage

caused by any virus transmitted by this email. If you have further questions or

issues, you may contact Sampson Regional Medical Center at .

[Guest guest]

Can only direct you to APTA resources for that info but I wanted to add that you

should definitely include the research that came out in 2009 or 2010 showing the

continued strength deficits in the operated leg years after surgery. I read

that as evidence, also, that TKA patients were not getting enough rehab or

improper rehab but it adds some additional support to the argument to keep the

post op rehab.

M. Howell, P.T., M.P.T.

Howell Physical Therapy

Eagle, Idaho

thowell@...

This email and any files transmitted with it may contain PRIVILEGED or

CONFIDENTIAL information and may be read or used only by the intended recipient.

If you are not the intended recipient of the email or any of its attachments,

please be advised that you have received this email in error and that any use,

dissemination, distribution, forwarding, printing or copying of this email or

any attached files is strictly prohibited. If you have received this email in

error, please immediately purge it and all attachments and notify the sender by

reply email.

From: PTManager [mailto:PTManager ] On Behalf Of

Lorenz

Sent: Monday, May 23, 2011 1:17 PM

To: PTManager

Subject: Re: Annual Medicare expenses for PT

Hey , I can't tell you where to find that data, but I'm a research geek and

make sure you reference these articles in your rebuttal...good for you by the

way fighting back on our behalf. Articles that say similar things are coming

out more often and it's disturbing to say the least. I can't tell you how many

people I have seen over the years that actually need MORE therapy once they

start because the physician said they didn't need it.

Sánchez Labraca N, et al. Clin Rehabil. March 7, 2011. - Level I evidence about

effectiveness of rehab post TKR

Swank AM, et al. J Strength Cond Res. 2011; 25(2):318-325. - Need for prehab to

maximize outcomes.

Dan Lorenz

Olathe, KS

From: Libolt, Lori F. <lflibolt@... <mailto:lflibolt%40hinet.org> >

Subject: RE: Iontophoresis

To: " 'PTManager <mailto:%27PTManager%40yahoogroups.com> ' "

<PTManager <mailto:PTManager%40yahoogroups.com> >

Date: Monday, May 23, 2011, 1:44 PM

Hi ,

Good question. I would also like to add to this: Are clinics requiring patients

to get their own prescription or does the clinic stock the medication? ( we

mostly use dexamethasone and require the patient to get their own prescription).

We have tried, unsuccessfully, to find out by our state PT board if we can keep

the medication in the clinic name and provide it for patients when we have a

prescription for ionto. I was of the understanding that iontophoresis was not

covered by insurance. We ask the patient to purchase the electrodes each visit

and do not charge for the visit.

Lori Libolt, OTR/L,CHT

ReBound Physical, Occupational, and Hand Therapies

805 Orchard Drive Suite2

Bellingham, WA 98264

360 752-1575

From: PTManager <mailto:PTManager%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On

Behalf Of Thagard

Sent: Monday, May 23, 2011 7:08 AM

To: PTManager <mailto:PTManager%40yahoogroups.com>

Subject: Iontophoresis

What is everyone using for Iontophoresis these days... Are you doing Ionto in

the clinic ? Is the patient using patches at home? If so, how are you supplying

them?

I was told by a consultant that Medicare is only paying for 2 iontophoresis

visits in the clinic because of the widespread use of the patches at home.

Thagard

Director, Rehabilitation

Sampson Regional Medical Center

405 Beaman St

Clinton, NC 28328

This email and any files transmitted with it are confidential and intended

solely for the use of the individual or entity to whom they are addressed. If

you are not the intended recipient you are notified that disclosing, copying,

distributing, or taking any action in reliance on the contents of this

information is strictly prohibited. If you have received this email in error

please notify the sender and delete the email. Please note that any views or

opinions presented in this email are solely those of the author and do not

necessarily represent those of Sampson Regional Medical Center. Finally, the

recipient should check this email and any attachments for the presence of

viruses. Sampson Regional Medical Center accepts no liability for any damage

caused by any virus transmitted by this email. If you have further questions or

issues, you may contact Sampson Regional Medical Center at .

[Guest guest]

Can only direct you to APTA resources for that info but I wanted to add that you

should definitely include the research that came out in 2009 or 2010 showing the

continued strength deficits in the operated leg years after surgery. I read

that as evidence, also, that TKA patients were not getting enough rehab or

improper rehab but it adds some additional support to the argument to keep the

post op rehab.

M. Howell, P.T., M.P.T.

Howell Physical Therapy

Eagle, Idaho

thowell@...

This email and any files transmitted with it may contain PRIVILEGED or

CONFIDENTIAL information and may be read or used only by the intended recipient.

If you are not the intended recipient of the email or any of its attachments,

please be advised that you have received this email in error and that any use,

dissemination, distribution, forwarding, printing or copying of this email or

any attached files is strictly prohibited. If you have received this email in

error, please immediately purge it and all attachments and notify the sender by

reply email.

From: PTManager [mailto:PTManager ] On Behalf Of

Lorenz

Sent: Monday, May 23, 2011 1:17 PM

To: PTManager

Subject: Re: Annual Medicare expenses for PT

Hey , I can't tell you where to find that data, but I'm a research geek and

make sure you reference these articles in your rebuttal...good for you by the

way fighting back on our behalf. Articles that say similar things are coming

out more often and it's disturbing to say the least. I can't tell you how many

people I have seen over the years that actually need MORE therapy once they

start because the physician said they didn't need it.

Sánchez Labraca N, et al. Clin Rehabil. March 7, 2011. - Level I evidence about

effectiveness of rehab post TKR

Swank AM, et al. J Strength Cond Res. 2011; 25(2):318-325. - Need for prehab to

maximize outcomes.

Dan Lorenz

Olathe, KS

From: Libolt, Lori F. <lflibolt@... <mailto:lflibolt%40hinet.org> >

Subject: RE: Iontophoresis

To: " 'PTManager <mailto:%27PTManager%40yahoogroups.com> ' "

<PTManager <mailto:PTManager%40yahoogroups.com> >

Date: Monday, May 23, 2011, 1:44 PM

Hi ,

Good question. I would also like to add to this: Are clinics requiring patients

to get their own prescription or does the clinic stock the medication? ( we

mostly use dexamethasone and require the patient to get their own prescription).

We have tried, unsuccessfully, to find out by our state PT board if we can keep

the medication in the clinic name and provide it for patients when we have a

prescription for ionto. I was of the understanding that iontophoresis was not

covered by insurance. We ask the patient to purchase the electrodes each visit

and do not charge for the visit.

Lori Libolt, OTR/L,CHT

ReBound Physical, Occupational, and Hand Therapies

805 Orchard Drive Suite2

Bellingham, WA 98264

360 752-1575

From: PTManager <mailto:PTManager%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On

Behalf Of Thagard

Sent: Monday, May 23, 2011 7:08 AM

To: PTManager <mailto:PTManager%40yahoogroups.com>

Subject: Iontophoresis

What is everyone using for Iontophoresis these days... Are you doing Ionto in

the clinic ? Is the patient using patches at home? If so, how are you supplying

them?

I was told by a consultant that Medicare is only paying for 2 iontophoresis

visits in the clinic because of the widespread use of the patches at home.

Thagard

Director, Rehabilitation

Sampson Regional Medical Center

405 Beaman St

Clinton, NC 28328

This email and any files transmitted with it are confidential and intended

solely for the use of the individual or entity to whom they are addressed. If

you are not the intended recipient you are notified that disclosing, copying,

distributing, or taking any action in reliance on the contents of this

information is strictly prohibited. If you have received this email in error

please notify the sender and delete the email. Please note that any views or

opinions presented in this email are solely those of the author and do not

necessarily represent those of Sampson Regional Medical Center. Finally, the

recipient should check this email and any attachments for the presence of

viruses. Sampson Regional Medical Center accepts no liability for any damage

caused by any virus transmitted by this email. If you have further questions or

issues, you may contact Sampson Regional Medical Center at .