Guest guest Posted June 5, 2012 Report Share Posted June 5, 2012 We provide lymphedema services through our hospital-based outpatient OT program. Medicare reimbursement for lymphedema is the same as with other services - very low. Manual therapy is manual therapy, therapeutic ex is therapeutic ex, whether it's with a lymph patient or an orthopedic patient. We almost always provide one-on-one treatments for all of our outpatients, so this is not that different a concept for us. We do have a fairly heavy caseload of Medicare patients particularly for LE lymphedema. UE lymphedema is often through commercial insurance as those patients are frequently women who have undergone mastectomies/lumpectomies/radiation etc. so they tend to be a younger population. The bandaging supplies unfortunately aren't reimbursed. We supply them for the first session, and then after that the patients are responsible for their future supplies. So, it's not a huge money-maker. We provide the service because it's desperately needed in our community. We do get the commercial insurance patients as well so it balances out. Plus, most of our patients are happy with us when they're done, so they help us to market this and other services within our system to their friends and their physicians. Ultimately the bottom line will depend on your payer mix and this will fluctuate. Hope this helps, ~a a Hranicka, OT/L Clinical Program Leader Occupational Therapy, HealthPlace Physical & Hand Therapy Tuality Healthcare | 1200 NE 48th Ave, Suite 700, Hillsboro, OR 97124 - office | - fax Quote Link to comment Share on other sites More sharing options...
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