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Re: Manipulation

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Craig:

I believe the issue is that chiropractors want

mobilization lumped under manipulation, so that would preclude us

from utilizing and billing for mobilization techniques. It is once again

primarily a turf war issue rather than an issue born out of professional

concerns.

G. Flickinger, PT

Butturff, Craig wrote:

Thanks I found it and as a PT I was happy to hear

the news. But, what about

PT's doing manipulations that appears to be the hot topic. Some PT's

("may

or may not") for example do not want Chiropractors to do modalities

and in

turn some Chiropractors ("may or may not")for example do not want PTs

to do

manipulations. Why or why not? Just curious what the average PT thinks.

Craig M.S.P.T.

CHIROPRACTOR INVOLVED IN AQUATIC THERAPY

SCAM

> >

> > Thought you'd find this interesting.

> >

> > CHIROPRACTOR INVOLVED IN AQUATIC THERAPY SCAM

> > Dickson, a chiropractor and investor in a program of

aquatic

therapy

> > called "AquaHab," was sentenced to five years probation,

a $10,000

> fine, and

> > $1,564.30 restitution for insurance fraud when he misrepresented

pool

> > aerobics classes as reimbursable physical therapy, Harry

Litman, U.S.

> > Attorney for the Western District of Pennsylvania, said on

July 15.

Dickson

> > also illegally performed initial evaluations of patients

and wrote

> > physicians orders and reports under another physician's name,

Litman

said.

> > Those physican reports and orders were sent to Three Rivers

Physical

> Therapy

> > and Occupational Therapy as a means to fraudulently bill

insurers.

Three

> > other participants in the AquaHab scheme--ph Edlestein,

,

> > and Spatz--previously pleaded guilty to health care

fraud,

Litman

> > said.

> >

> > COMPLIANCE MONITOR

> > July 28, 1999

> > Vol. 2, No. 30

> >

> > R. Kovacek, MSA, PT

> > Email Pkovacek@...

> > 313 884-8920

> > Visit <www.PTManager.com>

> >

> > TOGETHER WE CAN MAKE A DIFFERENCE !

> >

> >

------------------------------------------------------------------------

> >

> > eGroups.com home: /group/ptmanager

> >

- Simplifying group communications

> >

> >

------------------------------------------------------------------------

> >

> > eGroups.com home: /group/ptmanager

> >

- Simplifying group communications

>

>

>

>

>------------------------------------------------------------------------

>

>eGroups.com home: /group/ptmanager

>

- Simplifying group communications

>

>

>

R. Kovacek, MSA, PT

Email Pkovacek@...

313 884-8920

Visit <www.PTManager.com>

TOGETHER WE CAN MAKE A DIFFERENCE !

------------------------------------------------------------------------

eGroups.com home: /group/ptmanager

- Simplifying

group communications

------------------------------------------------------------------------

eGroups.com home: /group/ptmanager

- Simplifying

group communications

R. Kovacek, MSA, PT

Email Pkovacek@...

313 884-8920

Visit <www.PTManager.com>

TOGETHER WE CAN MAKE A DIFFERENCE !

------------------------------------------------------------------------

eGroups.com home: /group/ptmanager

- Simplifying

group communications

------------------------------------------------------------------------

eGroups.com home: /group/ptmanager

- Simplifying

group communications

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Guest guest

Thanks I found it and as a PT I was happy to hear the news. But, what about

PT's doing manipulations that appears to be the hot topic. Some PT's ( " may

or may not " ) for example do not want Chiropractors to do modalities and in

turn some Chiropractors ( " may or may not " )for example do not want PTs to do

manipulations. Why or why not? Just curious what the average PT thinks.

Craig M.S.P.T.

CHIROPRACTOR INVOLVED IN AQUATIC THERAPY SCAM

> >

> > Thought you'd find this interesting.

> >

> > CHIROPRACTOR INVOLVED IN AQUATIC THERAPY SCAM

> > Dickson, a chiropractor and investor in a program of aquatic

therapy

> > called " AquaHab, " was sentenced to five years probation, a $10,000

> fine, and

> > $1,564.30 restitution for insurance fraud when he misrepresented pool

> > aerobics classes as reimbursable physical therapy, Harry Litman, U.S.

> > Attorney for the Western District of Pennsylvania, said on July 15.

Dickson

> > also illegally performed initial evaluations of patients and wrote

> > physicians orders and reports under another physician's name, Litman

said.

> > Those physican reports and orders were sent to Three Rivers Physical

> Therapy

> > and Occupational Therapy as a means to fraudulently bill insurers.

Three

> > other participants in the AquaHab scheme--ph Edlestein,

,

> > and Spatz--previously pleaded guilty to health care fraud,

Litman

> > said.

> >

> > COMPLIANCE MONITOR

> > July 28, 1999

> > Vol. 2, No. 30

> >

> > R. Kovacek, MSA, PT

> > Email Pkovacek@...

> > 313 884-8920

> > Visit <www.PTManager.com>

> >

> > TOGETHER WE CAN MAKE A DIFFERENCE !

> >

> >

------------------------------------------------------------------------

> >

> > eGroups.com home: /group/ptmanager

> > - Simplifying group communications

> >

> >

------------------------------------------------------------------------

> >

> > eGroups.com home: /group/ptmanager

> > - Simplifying group communications

>

>

>

>

>------------------------------------------------------------------------

>

>eGroups.com home: /group/ptmanager

> - Simplifying group communications

>

>

>

R. Kovacek, MSA, PT

Email Pkovacek@...

313 884-8920

Visit <www.PTManager.com>

TOGETHER WE CAN MAKE A DIFFERENCE !

------------------------------------------------------------------------

eGroups.com home: /group/ptmanager

- Simplifying group communications

------------------------------------------------------------------------

eGroups.com home: /group/ptmanager

- Simplifying group communications

R. Kovacek, MSA, PT

Email Pkovacek@...

313 884-8920

Visit <www.PTManager.com>

TOGETHER WE CAN MAKE A DIFFERENCE !

------------------------------------------------------------------------

eGroups.com home: /group/ptmanager

- Simplifying group communications

Link to comment
Share on other sites

Guest guest

Ok, I'll wade into this one.

I view the relationship btwn PTs and Chiros no differently than btwn

PTs and any other health care provider.

As far as the scope of practice goes that would all depend on what state

you are practicing in. Generally, I view PT scope of practice as

encompassing every treatment technique that is chiropractic and chiropractic

encompassing manipulation/mobilization of the spine and superficially some

physical agents. Recently, chiros have tried to expand their scope of practice

in many states to include more physical agents and therapeutic exercise.

In my opinion they do not have the education to support this expanded scope

of practice.

Manipulation or mobilization is semantics as far as I am concerned.

Each one is a skilled passive movement to a joint.

PTs have a responsibility to coordinate their treatment with any other

health care provider actively treating the patient. One of the reasons

for coordinating the treatment is to ensure there is not duplication of

services. If one of my patients is seeing a chiro and I am treating the

same body part then I usually ask the patient to make a choice btwn the

chiro and me. The primary reason for this is that in most cases my treatment

plan would be duplicative to the chiro treatment. I will not, as many PTs

do, give up part of my scope of practice to the chiro by not doing manipulations.

If I can make one more generalization, in the thousands of cases I have

reviewed PT/Chiro dual treatment is problematic. Patients often receive

duplicative services, the length of treatment is longer than with just

PT and the outcome is less satisfactory than PT alone.

Did I stir the pot enough to get a response from some lurkers? :)

"G. Flickinger" wrote:

Craig:

I believe the issue is that chiropractors want

mobilization

lumped under manipulation, so that would preclude us from utilizing

and billing for mobilization techniques. It is once again primarily a turf

war issue rather than an issue born out of professional concerns.

G. Flickinger, PT

Butturff, Craig wrote:

Thanks I found it and as a PT I was happy to hear

the news. But, what about

PT's doing manipulations that appears to be the hot topic. Some PT's

("may

or may not") for example do not want Chiropractors to do modalities

and in

turn some Chiropractors ("may or may not")for example do not want PTs

to do

manipulations. Why or why not? Just curious what the average PT thinks.

Craig M.S.P.T.

CHIROPRACTOR INVOLVED IN AQUATIC THERAPY

SCAM

> >

> > Thought you'd find this interesting.

> >

> > CHIROPRACTOR INVOLVED IN AQUATIC THERAPY SCAM

> > Dickson, a chiropractor and investor in a program of

aquatic

therapy

> > called "AquaHab," was sentenced to five years probation,

a $10,000

> fine, and

> > $1,564.30 restitution for insurance fraud when he misrepresented

pool

> > aerobics classes as reimbursable physical therapy, Harry

Litman, U.S.

> > Attorney for the Western District of Pennsylvania, said on

July 15.

Dickson

> > also illegally performed initial evaluations of patients

and wrote

> > physicians orders and reports under another physician's name,

Litman

said.

> > Those physican reports and orders were sent to Three Rivers

Physical

> Therapy

> > and Occupational Therapy as a means to fraudulently bill

insurers.

Three

> > other participants in the AquaHab scheme--ph Edlestein,

,

> > and Spatz--previously pleaded guilty to health care

fraud,

Litman

> > said.

> >

> > COMPLIANCE MONITOR

> > July 28, 1999

> > Vol. 2, No. 30

> >

> > R. Kovacek, MSA, PT

> > Email Pkovacek@...

> > 313 884-8920

> > Visit <www.PTManager.com>

> >

> > TOGETHER WE CAN MAKE A DIFFERENCE !

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