Industry Updates

Safe Utilization of Hydrocollator Packs

Most all physical and occupational therapists as well as assistants are familiar with the use and indications for hot packs: increases vasodilation resulting in increased blood flow; reduction of pain…

Clinical Management of Acute Exacerbations of COPD

The World Health Organization (WHO) (2017), classified chronic obstructive pulmonary disease (COPD) as the third leading cause of death and disability. COPD is defined as any restriction of the bronch…

Documenting for Co-Treatment: What is Required?

Co-treatment may be appropriate when clinicians from different professional disciplines can effectively address their treatment goals while the patient is engaged in a single therapy session. For exam…

Importance of Care Planning

The therapist plan of care and the nursing care plan should be the “drivers” when determining the appropriate amount of skilled intervention required by each discipline. The plan of care should be…

Documentation Requirements: When Plan of Care Frequency is NOT Met (For Medicare A and Med A like Payers)

Definition of Frequency:
• Frequency refers to the number of times in a week the type of treatment is provided.
• There is not clear guidance from CMS on what a week is. Is it Sunday through Sa…

February American Heart Month 2017

So, what is a VAD?
A ventricular assist device (VAD) — also known as a mechanical circulatory support device — is an implantable mechanical
pump that helps pump blood from the lower chambers of…

Additional PT and OT Evaluation Code FAQs

1.Q: What are the factors that could have an impact on the level of complexity during Evaluation?
A:
•Patient’s age
•Time since onset of injury/illness/exacerbation
•Mechanism of injury/il…

Progress Notes – Ensuring Skilled Service is Documented

Every year since 2010, there have been significant changes to Medicare regulations, all affecting reimbursement. Due to payment reductions and ongoing medical reviews, it is imperative that we are ab…

Part 2 Documenting Therapeutic Exercises and the Use of Exercise Machines

• Rationale, i.e., reciprocal pre-gait activities, reciprocal UE motion, improving ROM, strength, tone, flexibility, coordination, reduce pain, reduce edema, improvement in balance, cardiovascular e…

Part 1: Therapeutic Exercises and the Use of Exercise Equipment – 97110: When is it Skilled?

As clinicians caring for the long term population, we have a multitude of therapeutic exercise protocols and programs at our disposal to restore strength, ROM and flexibility for a documented loss or…