Guest guest Posted July 8, 2002 Report Share Posted July 8, 2002 I know in florida that Hyperbaric are covered for certain things. However my freind that works at the Hospital has to have a Dr. there when the paitent goes down and we the paitent goes comes up. That is the only way they can be reimbursed for the treatment. THis is at Forida Medical center's Hyperbaric unit. Hope this helps some. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 8, 2002 Report Share Posted July 8, 2002 , 1. Who " wrote " this law--and why? 2. Does this specifically apply to hyperbaric clinics and only hyperbaric clinics? 3. Can you post here a copy of the entire law? >In North Carolina, a new law goes into effect which will require us to >have a Licensed Respiratory Therapist on premises at all times. >Considering the fact there is a major shortage of respiratory therapists >here this will put us out of business. Even if we could find one, the >cost would be so prohibitive that we could no longer operate as a >cooperative. The law takes effect Oct. 1 of this year. I plan on >appealing and applying for an exemption so does anyone have any >information pertaining to other states which may give us some teeth. I do >not need suggestions on what you may think should apply, I need actual >facts which may have merit in our case. > > Hartsoe >www.miraclemountain.org > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ " Delight yourself in the LORD and he will give you the desires of your heart. " [Psalm 37:4] Freels 2948 Windfield Circle Tucker, GA 30084-6714 770/491-6776 (phone and fax) 509/275-1618 (efax, sends fax as email attachment) mailto:dfreels@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 8, 2002 Report Share Posted July 8, 2002 Dear , and , the NC law (HOUSE BILL 1340), applies to respiratory care practice. The part that defines the scope of RCP is inclusive of hyperbaric oxygen therapy, flat... ................................................................. (10) Practice of respiratory care. -- As defined by the written order of a physician licensed under Article 1 of this Chapter, the observing and monitoring of signs and symptoms, general behavior, and general physical response to respiratory care treatment and diagnostic testing, including the determination of whether such signs, symptoms, reactions, behavior, or general response exhibit abnormal characteristics, and the performance of diagnostic testing and therapeutic application of: a. Medical gases, humidity, and aerosols including the maintenance of associated apparatus, except for the purpose of anesthesia. b. Pharmacologic agents related to respiratory care procedures, including those agents necessary to perform hemodynamic monitoring. c. Mechanical or physiological ventilatory support. d. Cardiopulmonary resuscitation and maintenance of natural airways, the insertion and maintenance of artificial airways under the direct supervision of a recognized medical director in a health care environment which identifies these services within the scope of practice by the facility's governing board. e. Hyperbaric oxygen therapy. f. Nontraditional cardiopulmonary support techniques in appropriately identified environments and under the training and practice guidelines established by the appropriate professional associations. The term also means the interpretation and implementation of a physician's written or verbal order pertaining to the acts described in this subdivision. (11) Respiratory care. -- As defined by the written order of a physician licensed under Article 1 of Chapter 90, the treatment, management, diagnostic testing, and care of patients with deficiencies and abnormalities associated with the cardiopulmonary system. (12) Respiratory care practitioner. -- A person who has been licensed by the Board to engage in the practice of respiratory care. (13) Support activities. -- Procedures that do not require formal academic training, including the delivery, setup, and maintenance of apparatus. The term also includes giving instructions on the use, fitting, and application of apparatus, but does not include therapeutic evaluation and assessment. In full, at: http://www.geocities.com/timfultz/Pages/css/license.html A physician in charge, or any unlicensed but qualified individuals should be able to perform the duties. Extrapolating from " Pennsylvania State Board of Medicine Interprets Respiratory Care Practice Ac On April 28, 1998 : " .....the Medical Practice Act at section 13a exempts from certification persons executing medical orders pursuant to the lawful delegation by a physician. Physicians may delegate tasks to unlicensed persons where the physician ensured that the person performing the task is qualified through documented education and training. Additionally, the physician remains responsible for the performance of the procedure and for the safety of the patient. " It may apply, but it doesn´t help much: either a physician or a RCP... Are they qualified for HBO at all? Not a word about CHTs. Best regards, Ignacio Fojgel, M.D. Buenos Aires, Argentina Freels wrote: > , > > 1. Who " wrote " this law--and why? > > 2. Does this specifically apply to hyperbaric clinics and only hyperbaric > clinics? > > 3. Can you post here a copy of the entire law? > > >In North Carolina, a new law goes into effect which will require us to > >have a Licensed Respiratory Therapist on premises at all times. > >Considering the fact there is a major shortage of respiratory therapists > >here this will put us out of business. Even if we could find one, the > >cost would be so prohibitive that we could no longer operate as a > >cooperative. The law takes effect Oct. 1 of this year. I plan on > >appealing and applying for an exemption so does anyone have any > >information pertaining to other states which may give us some teeth. I do > >not need suggestions on what you may think should apply, I need actual > >facts which may have merit in our case. > > > > Hartsoe > >www.miraclemountain.org > > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > " Delight yourself in the LORD and he will give you the desires of your heart. " > [Psalm 37:4] > > Freels > 2948 Windfield Circle > Tucker, GA 30084-6714 > 770/491-6776 (phone and fax) > 509/275-1618 (efax, sends fax as email attachment) > mailto:dfreels@... > > > _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. > > Free downloads of nearly 50 pdf files on HBOT efficacy medicaid/files/ > > Download your state EPSDT program here http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the word " ameliorate " . State Medicaid websites http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . State Medicaid waiver programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html > > Hyperbaric Oxygen Therapy (HBOT) can save billions of dollars and millions of heartaches. Subscribe to this discussion group by sending an email now to mailto:medicaid-subscribe > > Click here to unsubscribe mailto:medicaid-unsubscribe . > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 8, 2002 Report Share Posted July 8, 2002 >Dear , >and , >the NC law (HOUSE BILL 1340), applies to respiratory care practice. >The part that defines the scope of RCP is inclusive of hyperbaric oxygen >therapy, flat... > c. Mechanical or physiological > ventilatory support. This is interesting that this should be included as a mandatory as well. When Paragraph 5 of the EPSDT statute was originally introduced it was so that brain-injured children who were ventilator-dependent* could stay at home instead of being hooked up to a ventilator in the hospital. This documentation can be downloaded from medicaid/files/Legislative_intent_Par._5.PD F Under this new NC law it appears that it would be illegal to have a ventilator-dependent child hooked up to a ventilator at home without a respiratory therapist present. Hmmm. Of course, the brain-injured child could be weaned off a ventilator with Hyperbaric Oxygen Therapy. *i.e., so that brain-injured children could get more oxygen ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ " Delight yourself in the LORD and he will give you the desires of your heart. " [Psalm 37:4] Freels 2948 Windfield Circle Tucker, GA 30084-6714 770/491-6776 (phone and fax) 509/275-1618 (efax, sends fax as email attachment) mailto:dfreels@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 8, 2002 Report Share Posted July 8, 2002 The NC law also states: " § 90-664. Persons and practices not affected. The requirements of this Article shall not apply to: (1) Any person registered, certified, credentialed, or licensed to engage in another profession or occupation or any person working under the supervision of a person registered, certified, credentialed, or licensed to engage in another profession or occupation in this State who is performing work incidental to the practice of that profession or occupation and does not represent himself or herself as a respiratory care practitioner. " So though HBO is considered a respiratory care procedure under the act, it doesn't seem to prohibit otherwise " registered, certified, credentialed, or licensed " professionals from performing RC procedures, so long as they don't represent themselves as RCPs. Steve " RCP in a past life " Wood > > > , > > > > 1. Who " wrote " this law--and why? > > > > 2. Does this specifically apply to hyperbaric clinics and only hyperbaric > > clinics? > > > > 3. Can you post here a copy of the entire law? > > > > >In North Carolina, a new law goes into effect which will require us to > > >have a Licensed Respiratory Therapist on premises at all times. > > >Considering the fact there is a major shortage of respiratory therapists > > >here this will put us out of business. Even if we could find one, the > > >cost would be so prohibitive that we could no longer operate as a > > >cooperative. The law takes effect Oct. 1 of this year. I plan on > > >appealing and applying for an exemption so does anyone have any > > >information pertaining to other states which may give us some teeth. I do > > >not need suggestions on what you may think should apply, I need actual > > >facts which may have merit in our case. > > > > > > Hartsoe > > >www.miraclemountain.org > > > > > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > " Delight yourself in the LORD and he will give you the desires of your heart. " > > [Psalm 37:4] > > > > Freels > > 2948 Windfield Circle > > Tucker, GA 30084-6714 > > 770/491-6776 (phone and fax) > > 509/275-1618 (efax, sends fax as email attachment) > > mailto:dfreels@m... > > > > > > _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. _._. > > > > Free downloads of nearly 50 pdf files on HBOT efficacy medicaid/files/ > > > > Download your state EPSDT program here http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the word " ameliorate " . State Medicaid websites http://www.medi- cal.ca.gov/RelSites_Oth_States.asp . State Medicaid waiver programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html > > > > Hyperbaric Oxygen Therapy (HBOT) can save billions of dollars and millions of heartaches. Subscribe to this discussion group by sending an email now to mailto:medicaid-subscribe@y... > > > > Click here to unsubscribe mailto:medicaid- unsubscribe@y... . > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2002 Report Share Posted July 9, 2002 Dear Dr. Spiegel, Thank you for your input and you present a powerful voice as a neurologist, one that most of the naysayers will not be able to counter. And those of us like myself feel so inadequate in trying to deal with the establishment since there does not appear to be much money in HBOT. I tried for months to interest Washington Hospital in putting in an HBO Chamber but the top neurologist at Washington said it would no be economic to do so and told the nurses advocating same that it was a non issue. Capt. Manson USN Ret. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2002 Report Share Posted July 9, 2002 Contrary to your remarks,there is no shortage of respiratory therapist.If anything there is a glut. The medicare system has down graded the reimbursement for many of the procedures they used to do. The hospitals have fired many in the last 3-4 years. Where I'm from in Florida, you can hire one for $12-14 per hour. This is a desirable job for them as they do not have to work nights or weekends.My first HBO tech was a respiratory therapist who crossed trained in hyperbarics Allan Spiegel [ ] new law > In North Carolina, a new law goes into effect which will require us to have a Licensed Respiratory Therapist on premises at all times. Considering the fact there is a major shortage of respiratory therapists here this will put us out of business. Even if we could find one, the cost would be so prohibitive that we could no longer operate as a cooperative. The law takes effect Oct. 1 of this year. I plan on appealing and applying for an exemption so does anyone have any information pertaining to other states which may give us some teeth. I do not need suggestions on what you may think should apply, I need actual facts which may have merit in our case. > > Hartsoe > www.miraclemountain.org > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2002 Report Share Posted July 10, 2002 There is a shortage in NC. In fact, this new law has made it worse. I would be happy to hire one so if anyone knows any respiratory therapists running around unemployed, send them my way. Hartsoe > Contrary to your remarks,there is no shortage of respiratory therapist.If > anything there is a glut. The medicare system has down graded the > reimbursement for many of the procedures they used to do. The hospitals have > fired many in the last 3-4 years. Where I'm from in Florida, you can hire > one for $12-14 per hour. This is a desirable job for them as they do not > have to work nights or weekends.My first HBO tech was a respiratory > therapist who crossed trained in hyperbarics > Allan Spiegel > [ ] new law > > > > In North Carolina, a new law goes into effect which will require us to > have a Licensed Respiratory Therapist on premises at all times. Considering > the fact there is a major shortage of respiratory therapists here this will > put us out of business. Even if we could find one, the cost would be so > prohibitive that we could no longer operate as a cooperative. The law takes > effect Oct. 1 of this year. I plan on appealing and applying for an > exemption so does anyone have any information pertaining to other states > which may give us some teeth. I do not need suggestions on what you may > think should apply, I need actual facts which may have merit in our case. > > > > Hartsoe > > www.miraclemountain.org > > > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.