RE: RE: Re: TENS not covered for chronic LBP

[Guest guest]

Actually I received this communication from CMS Friday, I didn't read it until

yesterday.

Here is the link:

http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCA\

Id=256%3Chttp://links.govdelivery.com:80/track?type=click & enid=ZWFzPTEmbWFpbGluZ\

2lkPTIwMTIwNjA4LjgxNTMyMDEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTIwNjA4LjgxNTMyMDEmZ\

GF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzAyNDU3MCZlbWFpbGlkPXB2YW53ZWwxQGhmaHMub3JnJnVzZ\

XJpZD1wdmFud2VsMUBoZmhzLm9yZyZmbD0mZXh0cmE9TXVsdGl2YXJpYXRlSWQ9JiYm & & & 100 & & & http\

://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=2\

56%3E

You may need to cut and paste it.

Sent from my 'new' iPad

On Jun 12, 2012, at 15:16, " Geoffriau, Jean-Michel "

wrote:

> We know that CMS is considering altering its TENS coverage criteria for

chronic low back pain, but I have not heard anything official from CMS as of yet

regarding a final decision. The NCD site from CMS does not yet include any

information under " Revision History " for the NCD #280.13 which pertains to TENS.

>

> Can you clarify what kind of communication you received from CMS?

>

> [cid:image001.jpg@...]

> Jean-Michel Geoffriau, PT | Director of Rehabilitation | Sta-Home Health &

Hospice | JGEOFFRIAU@...

> 406 Briarwood Drive, Bldg. 200 | , MS 39206 | Office: |

Fax: | Mobile:

>

> From: PTManager [mailto:PTManager ] On Behalf

Of Scheiman,

> Sent: Tuesday, June 12, 2012 11:59 AM

> To: PTManager

> Subject: Re: TENS not covered for chronic LBP

>

> Regarding this post:

>

> In a communication I received yesterday from CMS they formally communicated

that they would not cover TENS in the treatment of chronic low back pain. It

wasn't so much a surprise and it hasn't been a standard of practice in our

clinics for quite some time. However we do get occasional referrals from MDs

requesting TENS instruction for a patient. Does anyone have any perspective on

whether this recent communication is both for more traditional intervention

using TENS, or also for the instruction of patients in the safe use of TENS?

Final question, has anyone created a self pay structure yet around such

non-coverage items like this one?

>

> van Well, PT

> Henry Ford Health System

> Detroit, MI

>

> Sent from my 'new' iPad

> **********************

>

> We have some further questions as well if anyone can help:

>

> 1. Does this only apply to patients referred to PT with the specific diagnosis

of " chronic LBP "

>

> 2. Does this apply to using TENS in the clinic or issuing a TENS unit for home

use?

>

> Thank you!

>

> Scheiman, MHS, OTR/L, CLT-LANA, CKTP, CEES, CSST

> Occupational Therapist

> Clinical Manager of Rehabilitation Services

> Florida Hospital DeLand | Sports Medicine and Rehab

> voice | fax

>

> Occupational Therapy: Living Life To Its Fullest

>

> [cid:image001.jpg@...<mailto:image001.jpg%4001CD489B.2AE40610>]

>

>

[Guest guest]

Actually I received this communication from CMS Friday, I didn't read it until

yesterday.

Here is the link:

http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCA\

Id=256%3Chttp://links.govdelivery.com:80/track?type=click & enid=ZWFzPTEmbWFpbGluZ\

2lkPTIwMTIwNjA4LjgxNTMyMDEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTIwNjA4LjgxNTMyMDEmZ\

GF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzAyNDU3MCZlbWFpbGlkPXB2YW53ZWwxQGhmaHMub3JnJnVzZ\

XJpZD1wdmFud2VsMUBoZmhzLm9yZyZmbD0mZXh0cmE9TXVsdGl2YXJpYXRlSWQ9JiYm & & & 100 & & & http\

://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=2\

56%3E

You may need to cut and paste it.

Sent from my 'new' iPad

On Jun 12, 2012, at 15:16, " Geoffriau, Jean-Michel "

wrote:

> We know that CMS is considering altering its TENS coverage criteria for

chronic low back pain, but I have not heard anything official from CMS as of yet

regarding a final decision. The NCD site from CMS does not yet include any

information under " Revision History " for the NCD #280.13 which pertains to TENS.

>

> Can you clarify what kind of communication you received from CMS?

>

> [cid:image001.jpg@...]

> Jean-Michel Geoffriau, PT | Director of Rehabilitation | Sta-Home Health &

Hospice | JGEOFFRIAU@...

> 406 Briarwood Drive, Bldg. 200 | , MS 39206 | Office: |

Fax: | Mobile:

>

> From: PTManager [mailto:PTManager ] On Behalf

Of Scheiman,

> Sent: Tuesday, June 12, 2012 11:59 AM

> To: PTManager

> Subject: Re: TENS not covered for chronic LBP

>

> Regarding this post:

>

> In a communication I received yesterday from CMS they formally communicated

that they would not cover TENS in the treatment of chronic low back pain. It

wasn't so much a surprise and it hasn't been a standard of practice in our

clinics for quite some time. However we do get occasional referrals from MDs

requesting TENS instruction for a patient. Does anyone have any perspective on

whether this recent communication is both for more traditional intervention

using TENS, or also for the instruction of patients in the safe use of TENS?

Final question, has anyone created a self pay structure yet around such

non-coverage items like this one?

>

> van Well, PT

> Henry Ford Health System

> Detroit, MI

>

> Sent from my 'new' iPad

> **********************

>

> We have some further questions as well if anyone can help:

>

> 1. Does this only apply to patients referred to PT with the specific diagnosis

of " chronic LBP "

>

> 2. Does this apply to using TENS in the clinic or issuing a TENS unit for home

use?

>

> Thank you!

>

> Scheiman, MHS, OTR/L, CLT-LANA, CKTP, CEES, CSST

> Occupational Therapist

> Clinical Manager of Rehabilitation Services

> Florida Hospital DeLand | Sports Medicine and Rehab

> voice | fax

>

> Occupational Therapy: Living Life To Its Fullest

>

> [cid:image001.jpg@...<mailto:image001.jpg%4001CD489B.2AE40610>]

>

>

[Guest guest]

Actually I received this communication from CMS Friday, I didn't read it until

yesterday.

Here is the link:

http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCA\

Id=256%3Chttp://links.govdelivery.com:80/track?type=click & enid=ZWFzPTEmbWFpbGluZ\

2lkPTIwMTIwNjA4LjgxNTMyMDEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTIwNjA4LjgxNTMyMDEmZ\

GF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzAyNDU3MCZlbWFpbGlkPXB2YW53ZWwxQGhmaHMub3JnJnVzZ\

XJpZD1wdmFud2VsMUBoZmhzLm9yZyZmbD0mZXh0cmE9TXVsdGl2YXJpYXRlSWQ9JiYm & & & 100 & & & http\

://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=2\

56%3E

You may need to cut and paste it.

Sent from my 'new' iPad

On Jun 12, 2012, at 15:16, " Geoffriau, Jean-Michel "

wrote:

> We know that CMS is considering altering its TENS coverage criteria for

chronic low back pain, but I have not heard anything official from CMS as of yet

regarding a final decision. The NCD site from CMS does not yet include any

information under " Revision History " for the NCD #280.13 which pertains to TENS.

>

> Can you clarify what kind of communication you received from CMS?

>

> [cid:image001.jpg@...]

> Jean-Michel Geoffriau, PT | Director of Rehabilitation | Sta-Home Health &

Hospice | JGEOFFRIAU@...

> 406 Briarwood Drive, Bldg. 200 | , MS 39206 | Office: |

Fax: | Mobile:

>

> From: PTManager [mailto:PTManager ] On Behalf

Of Scheiman,

> Sent: Tuesday, June 12, 2012 11:59 AM

> To: PTManager

> Subject: Re: TENS not covered for chronic LBP

>

> Regarding this post:

>

> In a communication I received yesterday from CMS they formally communicated

that they would not cover TENS in the treatment of chronic low back pain. It

wasn't so much a surprise and it hasn't been a standard of practice in our

clinics for quite some time. However we do get occasional referrals from MDs

requesting TENS instruction for a patient. Does anyone have any perspective on

whether this recent communication is both for more traditional intervention

using TENS, or also for the instruction of patients in the safe use of TENS?

Final question, has anyone created a self pay structure yet around such

non-coverage items like this one?

>

> van Well, PT

> Henry Ford Health System

> Detroit, MI

>

> Sent from my 'new' iPad

> **********************

>

> We have some further questions as well if anyone can help:

>

> 1. Does this only apply to patients referred to PT with the specific diagnosis

of " chronic LBP "

>

> 2. Does this apply to using TENS in the clinic or issuing a TENS unit for home

use?

>

> Thank you!

>

> Scheiman, MHS, OTR/L, CLT-LANA, CKTP, CEES, CSST

> Occupational Therapist

> Clinical Manager of Rehabilitation Services

> Florida Hospital DeLand | Sports Medicine and Rehab

> voice | fax

>

> Occupational Therapy: Living Life To Its Fullest

>

> [cid:image001.jpg@...<mailto:image001.jpg%4001CD489B.2AE40610>]

>

>

[Guest guest]

Thanks, . You are correct!

The actual link seems to be quite shorter, as follows:

http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCA\

Id=256

[cid:image001.jpg@...]

Jean-Michel Geoffriau, PT | Director of Rehabilitation | Sta-Home Health &

Hospice | JGEOFFRIAU@...

406 Briarwood Drive, Bldg. 200 | , MS 39206 | Office: | Fax:

| Mobile:

From: PTManager [mailto:PTManager ] On Behalf Of

van Well

Sent: Tuesday, June 12, 2012 7:40 PM

To: PTManager

Cc: PTManager

Subject: Re: RE: Re: TENS not covered for chronic LBP

Actually I received this communication from CMS Friday, I didn't read it until

yesterday.

Here is the link:

http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCA\

Id=256%3Chttp://links.govdelivery.com:80/track?type=click & enid=ZWFzPTEmbWFpbGluZ\

2lkPTIwMTIwNjA4LjgxNTMyMDEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTIwNjA4LjgxNTMyMDEmZ\

GF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzAyNDU3MCZlbWFpbGlkPXB2YW53ZWwxQGhmaHMub3JnJnVzZ\

XJpZD1wdmFud2VsMUBoZmhzLm9yZyZmbD0mZXh0cmE9TXVsdGl2YXJpYXRlSWQ9JiYm & & & 100 & & & http\

://www.cms.gov/medicare-coverage-datab

ase/details/nca-decision-memo.aspx?NCAId=256%3E<http://www.cms.gov/medicare-cove\

rage-database/details/nca-decision-memo.aspx?NCAId=256%3Chttp://links.govdeliver\

y.com:80/track?type=click & enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTIwNjA4LjgxNTMyMDEmbWVzc\

2FnZWlkPU1EQi1QUkQtQlVMLTIwMTIwNjA4LjgxNTMyMDEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xN\

zAyNDU3MCZlbWFpbGlkPXB2YW53ZWwxQGhmaHMub3JnJnVzZXJpZD1wdmFud2VsMUBoZmhzLm9yZyZmb\

D0mZXh0cmE9TXVsdGl2YXJpYXRlSWQ9JiYm & & & 100 & & & http://www.cms.gov/medicare-coverage\

-database/details/nca-decision-memo.aspx?NCAId=256%3E>

You may need to cut and paste it.

Sent from my 'new' iPad

On Jun 12, 2012, at 15:16, " Geoffriau, Jean-Michel "

<jgeoffriau@...<mailto:jgeoffriau%40sta-home.com>> wrote:

> We know that CMS is considering altering its TENS coverage criteria for

chronic low back pain, but I have not heard anything official from CMS as of yet

regarding a final decision. The NCD site from CMS does not yet include any

information under " Revision History " for the NCD #280.13 which pertains to TENS.

>

> Can you clarify what kind of communication you received from CMS?

>

> [cid:image001.jpg@...<mailto:image001.jpg%4001CCAFFA.A2BD9500>]

> Jean-Michel Geoffriau, PT | Director of Rehabilitation | Sta-Home Health &

Hospice |

JGEOFFRIAU@...<mailto:JGEOFFRIAU%40sta-home.com><mailto:JGEOFFRIAU@sta-\

home.com<mailto:JGEOFFRIAU%40sta-home.com>>

> 406 Briarwood Drive, Bldg. 200 | , MS 39206 | Office: |

Fax: | Mobile:

>

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

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

Of Scheiman,

> Sent: Tuesday, June 12, 2012 11:59 AM

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

> Subject: Re: TENS not covered for chronic LBP

>

> Regarding this post:

>

> In a communication I received yesterday from CMS they formally communicated

that they would not cover TENS in the treatment of chronic low back pain. It

wasn't so much a surprise and it hasn't been a standard of practice in our

clinics for quite some time. However we do get occasional referrals from MDs

requesting TENS instruction for a patient. Does anyone have any perspective on

whether this recent communication is both for more traditional intervention

using TENS, or also for the instruction of patients in the safe use of TENS?

Final question, has anyone created a self pay structure yet around such

non-coverage items like this one?

>

> van Well, PT

> Henry Ford Health System

> Detroit, MI

>

> Sent from my 'new' iPad

> **********************

>

> We have some further questions as well if anyone can help:

>

> 1. Does this only apply to patients referred to PT with the specific diagnosis

of " chronic LBP "

>

> 2. Does this apply to using TENS in the clinic or issuing a TENS unit for home

use?

>

> Thank you!

>

> Scheiman, MHS, OTR/L, CLT-LANA, CKTP, CEES, CSST

> Occupational Therapist

> Clinical Manager of Rehabilitation Services

> Florida Hospital DeLand | Sports Medicine and Rehab

> voice | fax

>

> Occupational Therapy: Living Life To Its Fullest

>

>

[cid:image001.jpg@...<mailto:image001.jpg%4001CD489B.2AE40610><mai\

lto:image001.jpg%4001CD489B.2AE40610>]

>

>