Guest guest Posted April 24, 2012 Report Share Posted April 24, 2012 Manual. Â Damon C. Whitfield PT, ATC Tim Bondy Physical Therapy (work) (fax) To: " 'PTManager ' " <PTManager > Sent: Tuesday, April 24, 2012 3:19 PM Subject: PROM Â Group: Do you charge passive range of motion as 97110 Therapeutic Procedure or 97140 Manual Technique? Thanks! Trevor Huffman P.T., M.S., S.C.S., A.T.,C. Board Certified Sports Physical Therapist Director of Rehabilitation Services Passavant Area Hospital ville, IL 62650 trevor.huffman@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2012 Report Share Posted April 24, 2012 I was going to respond TherEx 97110, however seeing this response has made me rethink… Perhaps I am over thinking this but doesn’t it depend on why you are doing the PROM, and the skill required to perform the technique. 97110 is defined as therapeutic exercise to develop strength, endurance, range of motion and flexibility. But it requires that the patient perform the therapeutic exercises. 97140 is manual techniques (e.g mobilization/manipulation , manual lymphatic drainage, manual traction. The Physical Therapist is performing the technique ( and this seems more highly skilled to me) Passive ROM on a spastic muscle prior to a therapeutic training ( 79110?) does not necessarily require the skill to do segmental mobilization ( 97140?). Both are passive techniques, requiring different skills sets. But I would still have a really hard time billing manual therapy for passive ROM ( which we teach to family and is not typically considered a skilled technique) So- I guess it is just really important to justify your choice of CPT with your documentation. Marcy Stalvey, PT, NCS Edwin Shaw Rehabilitation Institute Cuyahoga Falls, OH 44221 From: PTManager [mailto:PTManager ] On Behalf Of Damon Whitfield Sent: Tuesday, April 24, 2012 4:04 PM To: PTManager Subject: Re: PROM Manual. Damon C. Whitfield PT, ATC Tim Bondy Physical Therapy (work) (fax) From: Trevor Huffman <trevor.huffman@...<mailto:trevor.huffman%40passavanthospital.\ com>> To: " 'PTManager <mailto:%27PTManager%40yahoogroups.com>' " <PTManager <mailto:PTManager%40yahoogroups.com>> Sent: Tuesday, April 24, 2012 3:19 PM Subject: PROM Group: Do you charge passive range of motion as 97110 Therapeutic Procedure or 97140 Manual Technique? Thanks! Trevor Huffman P.T., M.S., S.C.S., A.T.,C. Board Certified Sports Physical Therapist Director of Rehabilitation Services Passavant Area Hospital ville, IL 62650 trevor.huffman@...<mailto:trevor.huffman%40passavanthospital.c\ om> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2012 Report Share Posted April 24, 2012 Manual?!?! Can you justify that for me please? M. Ball, PT, DPT, PhD Northeast Rehabilitation Gateway Carolinas Rehabilitation Orthopedic PT Residency Faculty Charlotte/Concord, NC > Manual. > > Damon C. Whitfield PT, ATC > Tim Bondy Physical Therapy > (work) > (fax) > > > To: " 'PTManager ' " <PTManager > > Sent: Tuesday, April 24, 2012 3:19 PM > Subject: PROM > > > Group: > > Do you charge passive range of motion as 97110 Therapeutic Procedure or 97140 Manual Technique? > > Thanks! > > Trevor Huffman P.T., M.S., S.C.S., A.T.,C. > Board Certified Sports Physical Therapist > Director of Rehabilitation Services > Passavant Area Hospital > ville, IL 62650 > trevor.huffman@... > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2012 Report Share Posted April 24, 2012 I guess I was a little (or a lot) presumptuous in my response. I usually don't do just PROM without doing some other form of STM, joint mobs or lymphatic drainage. So, just PROM an that's all? I would not do that. Does that help? Damon C. Whitfield PT, ATC Tim Bondy Physical Therapy 930 S. State St. Suite 10 (office) (fax) > Manual?!?! Can you justify that for me please? > > M. Ball, PT, DPT, PhD > Northeast Rehabilitation Gateway > Carolinas Rehabilitation > Orthopedic PT Residency Faculty > Charlotte/Concord, NC > > > > > Manual. > > > > Damon C. Whitfield PT, ATC > > Tim Bondy Physical Therapy > > (work) > > (fax) > > > > > > To: " 'PTManager ' " <PTManager > > > Sent: Tuesday, April 24, 2012 3:19 PM > > Subject: PROM > > > > > > Group: > > > > Do you charge passive range of motion as 97110 Therapeutic Procedure or 97140 Manual Technique? > > > > Thanks! > > > > Trevor Huffman P.T., M.S., S.C.S., A.T.,C. > > Board Certified Sports Physical Therapist > > Director of Rehabilitation Services > > Passavant Area Hospital > > ville, IL 62650 > > trevor.huffman@... > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2012 Report Share Posted April 25, 2012 According to the Guide to Physical Therapy Practice the definition of manual therapy is: “a continuum of skilled passive movements to the joints and or related soft tissues that are applied at varying speeds and amplitudes, including a small velocity and high amplitude therapeutic movement.†Per the definition, Manual Therapy does cover PROM if the clinician is performing this treatment; however, if you are applying PROM to a patient using a device like a BIODEX, I would code it as Ther Ex. M. , DPT, CSCS Owner/Physical Therapist Discover Health & Wellness Services, LLC P. F. brussell@... www.discoverhealth-online.com > Manual?!?! Can you justify that for me please? > > M. Ball, PT, DPT, PhD > Northeast Rehabilitation Gateway > Carolinas Rehabilitation > Orthopedic PT Residency Faculty > Charlotte/Concord, NC > > > > > Manual. > > > > Damon C. Whitfield PT, ATC > > Tim Bondy Physical Therapy > > (work) > > (fax) > > > > > > To: " 'PTManager ' " <PTManager > > > Sent: Tuesday, April 24, 2012 3:19 PM > > Subject: PROM > > > > > > Group: > > > > Do you charge passive range of motion as 97110 Therapeutic Procedure or 97140 Manual Technique? > > > > Thanks! > > > > Trevor Huffman P.T., M.S., S.C.S., A.T.,C. > > Board Certified Sports Physical Therapist > > Director of Rehabilitation Services > > Passavant Area Hospital > > ville, IL 62650 > > trevor.huffman@... > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2012 Report Share Posted April 25, 2012 Yes, that helps. I agree that PROM with some kind of soft tissue mobilization would be manual therapy, if the arthrokinematic joint mobilization or soft tissue mobilization was described as such in the note. Osteokinematic passive motion alone? There are of course exceptions, but I'd have a hard time ethically billing manual therapy for simple PROM as a rule. M. Ball, PT, DPT, PhD Northeast Rehabilitation Gateway Carolinas Rehabilitation Orthopedic PT Residency Faculty Charlotte/Concord, NC > I guess I was a little (or a lot) presumptuous > in my response. I usually don't do just PROM > without doing some other form of STM, joint mobs > or lymphatic drainage. So, just PROM an that's all? > I would not do that. Does that help? > > Damon C. Whitfield PT, ATC > Tim Bondy Physical Therapy > 930 S. State St. Suite 10 > (office) > (fax) > > > > > Manual?!?! Can you justify that for me please? > > > > M. Ball, PT, DPT, PhD > > Northeast Rehabilitation Gateway > > Carolinas Rehabilitation > > Orthopedic PT Residency Faculty > > Charlotte/Concord, NC > > > > > > > > > Manual. > > > > > > Damon C. Whitfield PT, ATC > > > Tim Bondy Physical Therapy > > > (work) > > > (fax) > > > > > > > > > To: " 'PTManager ' " <PTManager > > > > Sent: Tuesday, April 24, 2012 3:19 PM > > > Subject: PROM > > > > > > > > > Group: > > > > > > Do you charge passive range of motion as 97110 Therapeutic Procedure or 97140 Manual Technique? > > > > > > Thanks! > > > > > > Trevor Huffman P.T., M.S., S.C.S., A.T.,C. > > > Board Certified Sports Physical Therapist > > > Director of Rehabilitation Services > > > Passavant Area Hospital > > > ville, IL 62650 > > > trevor.huffman@... > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2012 Report Share Posted April 25, 2012 I see your point , but disagree that it could be argued, in a court of law, that PROM ---- a simple technique often taught to nonprofessional family members --- constituted SKILLED intervention. I suppose it comes down to risk tolerance in the event of audit or lawsuit. That said, manual therapy is usually reimbursed at a lower rate (in no small part because some clinicians want to say PROM = massage = HVLAT) than therex, so I doubt anyone would truly care if they were being financially under billed. M. Ball, PT, DPT, PhD Northeast Rehabilitation Gateway Carolinas Rehabilitation Orthopedic PT Residency Faculty Charlotte/Concord, NC On Apr 25, 2012, at 6:21 AM, " M. , DPT, CSCS " wrote: > According to the Guide to Physical Therapy Practice the definition of manual therapy is: “a continuum of skilled passive movements to the joints and or related soft tissues that are applied at varying speeds and amplitudes, including a small velocity and high amplitude therapeutic movement.†> Per the definition, Manual Therapy does cover PROM if the clinician is performing this treatment; however, if you are applying PROM to a patient using a device like a BIODEX, I would code it as Ther Ex. > > M. , DPT, CSCS > Owner/Physical Therapist > Discover Health & Wellness Services, LLC > P. > F. > brussell@... > www.discoverhealth-online.com > > > > > Manual?!?! Can you justify that for me please? > > > > M. Ball, PT, DPT, PhD > > Northeast Rehabilitation Gateway > > Carolinas Rehabilitation > > Orthopedic PT Residency Faculty > > Charlotte/Concord, NC > > > > > > > > > Manual. > > > > > > Damon C. Whitfield PT, ATC > > > Tim Bondy Physical Therapy > > > (work) > > > (fax) > > > > > > > > > To: " 'PTManager ' " <PTManager > > > > Sent: Tuesday, April 24, 2012 3:19 PM > > > Subject: PROM > > > > > > > > > Group: > > > > > > Do you charge passive range of motion as 97110 Therapeutic Procedure or 97140 Manual Technique? > > > > > > Thanks! > > > > > > Trevor Huffman P.T., M.S., S.C.S., A.T.,C. > > > Board Certified Sports Physical Therapist > > > Director of Rehabilitation Services > > > Passavant Area Hospital > > > ville, IL 62650 > > > trevor.huffman@... > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2012 Report Share Posted April 25, 2012 I am glad to see this amount of discussion. I thought it was pretty straight forward until we started having these types of discussion in our department. After having these discussions, I do not believe one answer is correct. I believe it really depends on what technique you are using, what else you are doing with the technique and what is your expected outcome of the technique. I do believe that just PROM can be skilled in certain situations. If you don't agree with this, ask an orthopedic surgeon that has a patient's capsular shift in his shoulder be over stretched or a rotator cuff repair that turns into frozen shoulder. I would not feel comfortable instructing this to the majority of my patients or their families. Trevor Huffman P.T., M.S., S.C.S., A.T.,C. Board Certified Sports Physical Therapist Director of Rehabilitation Services Passavant Area Hospital ville, IL 62650 trevor.huffman@... ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Ball Sent: Wednesday, April 25, 2012 7:25 AM To: PTManager Subject: Re: PROM I see your point , but disagree that it could be argued, in a court of law, that PROM ---- a simple technique often taught to nonprofessional family members --- constituted SKILLED intervention. I suppose it comes down to risk tolerance in the event of audit or lawsuit. That said, manual therapy is usually reimbursed at a lower rate (in no small part because some clinicians want to say PROM = massage = HVLAT) than therex, so I doubt anyone would truly care if they were being financially under billed. M. Ball, PT, DPT, PhD Northeast Rehabilitation Gateway Carolinas Rehabilitation Orthopedic PT Residency Faculty Charlotte/Concord, NC On Apr 25, 2012, at 6:21 AM, " M. , DPT, CSCS " <brussellpt@...<mailto:brussellpt%40gmail.com>> wrote: > According to the Guide to Physical Therapy Practice the definition of manual therapy is: " a continuum of skilled passive movements to the joints and or related soft tissues that are applied at varying speeds and amplitudes, including a small velocity and high amplitude therapeutic movement. " > Per the definition, Manual Therapy does cover PROM if the clinician is performing this treatment; however, if you are applying PROM to a patient using a device like a BIODEX, I would code it as Ther Ex. > > M. , DPT, CSCS > Owner/Physical Therapist > Discover Health & Wellness Services, LLC > P. > F. > brussell@...<mailto:brussell%40discoverhealth-online.com> > www.discoverhealth-online.com > > On Apr 24, 2012, at 7:27 PM, Ball <drdrewpt@...<mailto:drdrewpt%40gmail.com>> wrote: > > > Manual?!?! Can you justify that for me please? > > > > M. Ball, PT, DPT, PhD > > Northeast Rehabilitation Gateway > > Carolinas Rehabilitation > > Orthopedic PT Residency Faculty > > Charlotte/Concord, NC > > > > On Apr 24, 2012, at 4:03 PM, Damon Whitfield <damonptatc@...<mailto:damonptatc%40yahoo.com>> wrote: > > > > > Manual. > > > > > > Damon C. Whitfield PT, ATC > > > Tim Bondy Physical Therapy > > > (work) > > > (fax) > > > > > > From: Trevor Huffman <trevor.huffman@...<mailto:trevor.huffman%40passavanthospital.\ com>> > > > To: " 'PTManager <mailto:%27PTManager%40yahoogroups.com>' " <PTManager <mailto:PTManager%40yahoogroups.com>> > > > Sent: Tuesday, April 24, 2012 3:19 PM > > > Subject: PROM > > > > > > > > > Group: > > > > > > Do you charge passive range of motion as 97110 Therapeutic Procedure or 97140 Manual Technique? > > > > > > Thanks! > > > > > > Trevor Huffman P.T., M.S., S.C.S., A.T.,C. > > > Board Certified Sports Physical Therapist > > > Director of Rehabilitation Services > > > Passavant Area Hospital > > > ville, IL 62650 > > > trevor.huffman@...<mailto:trevor.huffman%40passavanthospital.c\ om> > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2012 Report Share Posted April 25, 2012 I am glad to see this amount of discussion. I thought it was pretty straight forward until we started having these types of discussion in our department. After having these discussions, I do not believe one answer is correct. I believe it really depends on what technique you are using, what else you are doing with the technique and what is your expected outcome of the technique. I do believe that just PROM can be skilled in certain situations. If you don't agree with this, ask an orthopedic surgeon that has a patient's capsular shift in his shoulder be over stretched or a rotator cuff repair that turns into frozen shoulder. I would not feel comfortable instructing this to the majority of my patients or their families. Trevor Huffman P.T., M.S., S.C.S., A.T.,C. Board Certified Sports Physical Therapist Director of Rehabilitation Services Passavant Area Hospital ville, IL 62650 trevor.huffman@... ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Ball Sent: Wednesday, April 25, 2012 7:25 AM To: PTManager Subject: Re: PROM I see your point , but disagree that it could be argued, in a court of law, that PROM ---- a simple technique often taught to nonprofessional family members --- constituted SKILLED intervention. I suppose it comes down to risk tolerance in the event of audit or lawsuit. That said, manual therapy is usually reimbursed at a lower rate (in no small part because some clinicians want to say PROM = massage = HVLAT) than therex, so I doubt anyone would truly care if they were being financially under billed. M. Ball, PT, DPT, PhD Northeast Rehabilitation Gateway Carolinas Rehabilitation Orthopedic PT Residency Faculty Charlotte/Concord, NC On Apr 25, 2012, at 6:21 AM, " M. , DPT, CSCS " <brussellpt@...<mailto:brussellpt%40gmail.com>> wrote: > According to the Guide to Physical Therapy Practice the definition of manual therapy is: " a continuum of skilled passive movements to the joints and or related soft tissues that are applied at varying speeds and amplitudes, including a small velocity and high amplitude therapeutic movement. " > Per the definition, Manual Therapy does cover PROM if the clinician is performing this treatment; however, if you are applying PROM to a patient using a device like a BIODEX, I would code it as Ther Ex. > > M. , DPT, CSCS > Owner/Physical Therapist > Discover Health & Wellness Services, LLC > P. > F. > brussell@...<mailto:brussell%40discoverhealth-online.com> > www.discoverhealth-online.com > > On Apr 24, 2012, at 7:27 PM, Ball <drdrewpt@...<mailto:drdrewpt%40gmail.com>> wrote: > > > Manual?!?! Can you justify that for me please? > > > > M. Ball, PT, DPT, PhD > > Northeast Rehabilitation Gateway > > Carolinas Rehabilitation > > Orthopedic PT Residency Faculty > > Charlotte/Concord, NC > > > > On Apr 24, 2012, at 4:03 PM, Damon Whitfield <damonptatc@...<mailto:damonptatc%40yahoo.com>> wrote: > > > > > Manual. > > > > > > Damon C. Whitfield PT, ATC > > > Tim Bondy Physical Therapy > > > (work) > > > (fax) > > > > > > From: Trevor Huffman <trevor.huffman@...<mailto:trevor.huffman%40passavanthospital.\ com>> > > > To: " 'PTManager <mailto:%27PTManager%40yahoogroups.com>' " <PTManager <mailto:PTManager%40yahoogroups.com>> > > > Sent: Tuesday, April 24, 2012 3:19 PM > > > Subject: PROM > > > > > > > > > Group: > > > > > > Do you charge passive range of motion as 97110 Therapeutic Procedure or 97140 Manual Technique? > > > > > > Thanks! > > > > > > Trevor Huffman P.T., M.S., S.C.S., A.T.,C. > > > Board Certified Sports Physical Therapist > > > Director of Rehabilitation Services > > > Passavant Area Hospital > > > ville, IL 62650 > > > trevor.huffman@...<mailto:trevor.huffman%40passavanthospital.c\ om> > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2012 Report Share Posted April 25, 2012 Well stated Trevor. Excellent conversation. In our clinic we bill PROM as therapeutic exercise per the CPT code description. We are typically doing PROM for post-op shoulder surgeries. I think in this particular situation it is a skilled service but, it certainly can evolve into an unskilled service that can be taught to the patient and/or the caretaker/family member. My 2 cents! Have a terrific day! Chad Yoakam, MS, PT Livingston HealthCare From: PTManager [mailto:PTManager ] On Behalf Of Trevor Huffman Sent: Wednesday, April 25, 2012 8:49 AM To: 'PTManager ' Subject: RE: PROM I am glad to see this amount of discussion. I thought it was pretty straight forward until we started having these types of discussion in our department. After having these discussions, I do not believe one answer is correct. I believe it really depends on what technique you are using, what else you are doing with the technique and what is your expected outcome of the technique. I do believe that just PROM can be skilled in certain situations. If you don't agree with this, ask an orthopedic surgeon that has a patient's capsular shift in his shoulder be over stretched or a rotator cuff repair that turns into frozen shoulder. I would not feel comfortable instructing this to the majority of my patients or their families. Trevor Huffman P.T., M.S., S.C.S., A.T.,C. Board Certified Sports Physical Therapist Director of Rehabilitation Services Passavant Area Hospital ville, IL 62650 trevor.huffman@... <mailto:trevor.huffman%40passavanthospital.com> ________________________________ From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf Of Ball Sent: Wednesday, April 25, 2012 7:25 AM To: PTManager <mailto:PTManager%40yahoogroups.com> Subject: Re: PROM I see your point , but disagree that it could be argued, in a court of law, that PROM ---- a simple technique often taught to nonprofessional family members --- constituted SKILLED intervention. I suppose it comes down to risk tolerance in the event of audit or lawsuit. That said, manual therapy is usually reimbursed at a lower rate (in no small part because some clinicians want to say PROM = massage = HVLAT) than therex, so I doubt anyone would truly care if they were being financially under billed. M. Ball, PT, DPT, PhD Northeast Rehabilitation Gateway Carolinas Rehabilitation Orthopedic PT Residency Faculty Charlotte/Concord, NC On Apr 25, 2012, at 6:21 AM, " M. , DPT, CSCS " <brussellpt@... <mailto:brussellpt%40gmail.com> <mailto:brussellpt%40gmail.com>> wrote: > According to the Guide to Physical Therapy Practice the definition of manual therapy is: " a continuum of skilled passive movements to the joints and or related soft tissues that are applied at varying speeds and amplitudes, including a small velocity and high amplitude therapeutic movement. " > Per the definition, Manual Therapy does cover PROM if the clinician is performing this treatment; however, if you are applying PROM to a patient using a device like a BIODEX, I would code it as Ther Ex. > > M. , DPT, CSCS > Owner/Physical Therapist > Discover Health & Wellness Services, LLC > P. > F. > brussell@... <mailto:brussell%40discoverhealth-online.com> <mailto:brussell%40discoverhealth-online.com> > www.discoverhealth-online.com > > On Apr 24, 2012, at 7:27 PM, Ball <drdrewpt@... <mailto:drdrewpt%40gmail.com> <mailto:drdrewpt%40gmail.com>> wrote: > > > Manual?!?! Can you justify that for me please? > > > > M. Ball, PT, DPT, PhD > > Northeast Rehabilitation Gateway > > Carolinas Rehabilitation > > Orthopedic PT Residency Faculty > > Charlotte/Concord, NC > > > > On Apr 24, 2012, at 4:03 PM, Damon Whitfield <damonptatc@... <mailto:damonptatc%40yahoo.com> <mailto:damonptatc%40yahoo.com>> wrote: > > > > > Manual. > > > > > > Damon C. Whitfield PT, ATC > > > Tim Bondy Physical Therapy > > > (work) > > > (fax) > > > > > > From: Trevor Huffman <trevor.huffman@... <mailto:trevor.huffman%40passavanthospital.com> <mailto:trevor.huffman%40passavanthospital.com>> > > > To: " 'PTManager <mailto:%27PTManager%40yahoogroups.com> <mailto:%27PTManager%40yahoogroups.com>' " <PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com>> > > > Sent: Tuesday, April 24, 2012 3:19 PM > > > Subject: PROM > > > > > > > > > Group: > > > > > > Do you charge passive range of motion as 97110 Therapeutic Procedure or 97140 Manual Technique? > > > > > > Thanks! > > > > > > Trevor Huffman P.T., M.S., S.C.S., A.T.,C. > > > Board Certified Sports Physical Therapist > > > Director of Rehabilitation Services > > > Passavant Area Hospital > > > ville, IL 62650 > > > trevor.huffman@... <mailto:trevor.huffman%40passavanthospital.com> <mailto:trevor.huffman%40passavanthospital.com> > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2012 Report Share Posted April 25, 2012 Well stated Trevor. Excellent conversation. In our clinic we bill PROM as therapeutic exercise per the CPT code description. We are typically doing PROM for post-op shoulder surgeries. I think in this particular situation it is a skilled service but, it certainly can evolve into an unskilled service that can be taught to the patient and/or the caretaker/family member. My 2 cents! Have a terrific day! Chad Yoakam, MS, PT Livingston HealthCare From: PTManager [mailto:PTManager ] On Behalf Of Trevor Huffman Sent: Wednesday, April 25, 2012 8:49 AM To: 'PTManager ' Subject: RE: PROM I am glad to see this amount of discussion. I thought it was pretty straight forward until we started having these types of discussion in our department. After having these discussions, I do not believe one answer is correct. I believe it really depends on what technique you are using, what else you are doing with the technique and what is your expected outcome of the technique. I do believe that just PROM can be skilled in certain situations. If you don't agree with this, ask an orthopedic surgeon that has a patient's capsular shift in his shoulder be over stretched or a rotator cuff repair that turns into frozen shoulder. I would not feel comfortable instructing this to the majority of my patients or their families. Trevor Huffman P.T., M.S., S.C.S., A.T.,C. Board Certified Sports Physical Therapist Director of Rehabilitation Services Passavant Area Hospital ville, IL 62650 trevor.huffman@... <mailto:trevor.huffman%40passavanthospital.com> ________________________________ From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf Of Ball Sent: Wednesday, April 25, 2012 7:25 AM To: PTManager <mailto:PTManager%40yahoogroups.com> Subject: Re: PROM I see your point , but disagree that it could be argued, in a court of law, that PROM ---- a simple technique often taught to nonprofessional family members --- constituted SKILLED intervention. I suppose it comes down to risk tolerance in the event of audit or lawsuit. That said, manual therapy is usually reimbursed at a lower rate (in no small part because some clinicians want to say PROM = massage = HVLAT) than therex, so I doubt anyone would truly care if they were being financially under billed. M. Ball, PT, DPT, PhD Northeast Rehabilitation Gateway Carolinas Rehabilitation Orthopedic PT Residency Faculty Charlotte/Concord, NC On Apr 25, 2012, at 6:21 AM, " M. , DPT, CSCS " <brussellpt@... <mailto:brussellpt%40gmail.com> <mailto:brussellpt%40gmail.com>> wrote: > According to the Guide to Physical Therapy Practice the definition of manual therapy is: " a continuum of skilled passive movements to the joints and or related soft tissues that are applied at varying speeds and amplitudes, including a small velocity and high amplitude therapeutic movement. " > Per the definition, Manual Therapy does cover PROM if the clinician is performing this treatment; however, if you are applying PROM to a patient using a device like a BIODEX, I would code it as Ther Ex. > > M. , DPT, CSCS > Owner/Physical Therapist > Discover Health & Wellness Services, LLC > P. > F. > brussell@... <mailto:brussell%40discoverhealth-online.com> <mailto:brussell%40discoverhealth-online.com> > www.discoverhealth-online.com > > On Apr 24, 2012, at 7:27 PM, Ball <drdrewpt@... <mailto:drdrewpt%40gmail.com> <mailto:drdrewpt%40gmail.com>> wrote: > > > Manual?!?! Can you justify that for me please? > > > > M. Ball, PT, DPT, PhD > > Northeast Rehabilitation Gateway > > Carolinas Rehabilitation > > Orthopedic PT Residency Faculty > > Charlotte/Concord, NC > > > > On Apr 24, 2012, at 4:03 PM, Damon Whitfield <damonptatc@... <mailto:damonptatc%40yahoo.com> <mailto:damonptatc%40yahoo.com>> wrote: > > > > > Manual. > > > > > > Damon C. Whitfield PT, ATC > > > Tim Bondy Physical Therapy > > > (work) > > > (fax) > > > > > > From: Trevor Huffman <trevor.huffman@... <mailto:trevor.huffman%40passavanthospital.com> <mailto:trevor.huffman%40passavanthospital.com>> > > > To: " 'PTManager <mailto:%27PTManager%40yahoogroups.com> <mailto:%27PTManager%40yahoogroups.com>' " <PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com>> > > > Sent: Tuesday, April 24, 2012 3:19 PM > > > Subject: PROM > > > > > > > > > Group: > > > > > > Do you charge passive range of motion as 97110 Therapeutic Procedure or 97140 Manual Technique? > > > > > > Thanks! > > > > > > Trevor Huffman P.T., M.S., S.C.S., A.T.,C. > > > Board Certified Sports Physical Therapist > > > Director of Rehabilitation Services > > > Passavant Area Hospital > > > ville, IL 62650 > > > trevor.huffman@... <mailto:trevor.huffman%40passavanthospital.com> <mailto:trevor.huffman%40passavanthospital.com> > > > > > > Quote Link to comment Share on other sites More sharing options...
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