Re: Annual Medicare expenses for PT

[Guest guest]

Hi Group,

 

Need help...Im writing a rebuttal to a recent ortho article in JBJS that

proposes to save money, post TKA PT should be reduced/diminished/eliminated. 

I want to contrast the annual expense to Medicare for joint replacement (3.2

billion) to their annual cost for physical therapy for knee OA.

 

Anyone have knowledge of where medicare keeps this data?

Thanks for helping to defend our profession.

Schweitzer, DPT

Florida

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

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issues, you may contact Sampson Regional Medical Center at .

[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]

Hi ,

I'm not sure where you are at in the process of rebuttal.

I'm catching up with my RSS feeds and came upon this.

http://tinyurl.com/3l8as88

Maybe the authors in the above study would be open to your questions and helping

you find the information you are interested in knowing? It sounds like their

interest in policy and the effect of policy on health kind of meshes with your

endeavor.

The paper is behind a paywall... maybe someone has full text access and would be

willing to share it? You might find information within it or within the

references of it. Heck, most authors I know readily share a PDF of their work,

if nicely asked.

Selena Horner, PT

>

>

>

> Subject: RE: Iontophoresis

> To: " 'PTManager ' " <PTManager >

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

>

>

> Â

>

>

>

> 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 .

>

>