(No subject)

[Guest guest]

Matt;

I hope the rebuild is going well and your clinic is fully restored by now.

Please see my comments below. They are not meant to be totally accurate, since

I am at home and do not have all of the resources availabe to use right now.

By the way, ISU managed to steal the best coach in the state away from the

best University in the state!

Jim <///><

In a message dated 4/19/2006 2:16:44 PM Central Daylight Time,

acceleratedptbsl@... writes:

1. Does anyone know what provider UPIN number is used for Federal providers?

Try checking www.ecare.com Once there, the menu bar across the top you will

want to click on UPIN. Type the doctor's name and state they practice in. I

don't know if this will work for VA Docs, but it is worth a check.

2. How do you bill Medicare for Traction 97012 and Gait Training 97116?

We continue to have these two procedures denied. Can anyone tell me exactly

what we are allowed to bill when billing these two procedures? We have

checked the CCI edits for mutually exlusive or bundled codes but still

cannot seem

to get a handle on this?

Billing scenario 1.

97110 GP

97110 GP

97116 GP

97116 GP

Medicare denies the gait training, 97116, and allows the ther ex's of 97110.

Billing scenario 2.

97012 GP

97110 GP

97110 GP

97140 GP 59

97140 GP 59

Medicare is allowing the 97140 and 97110 and denying the traction 97012.

Although both cases might appear to be CCI edits, I do not believe that

either one is. I suspect you have an LCD-Local r Determination (formerly

known as LMRP-Local Medical Review Policy) issue that has been put into place

that is causing these denials. In order to confirm that, you will need to look

up the LCD on your r's web site and find the Physical Medicine policy.

In the last couple of years Medicare rs have been programming their

software to examine the ICD9 codes (Diagnosis Codes) you are submitting and

compare

them to the CPT codes you are billing. They have effectively programmed

their software to compare the diagnosis you are billing against the CPT code

billed to determine whether or not a reimburseable event has taken place.

Hope this helps!

If you have any questions, please call me.

Jim Hall, CPA <///><

General Manager

Rehab Management Services, LLC

Cedar Rapids, IA

319/892-0142

[Guest guest]

Heidi,This is alittle away from this topic but hope you have some insight!! I am wanting to try Cumanda, Revestrol, Samento....some of the microbials that you mention but am concerned about a couple of things. We have tried Cumanda with him and saw some great things but about day 16 or so he got white bumps all over his mouth, tongue, lips and they hurt him greatly. I was ready to push through this but I am pregnant with our 3rd child due in Nov. and got scared of what might be coming out of him could be measles, rubella, etc and something that I may get and harm the baby. I have read quite abit about how you have to be careful when pregnant and what viruses my come out when treating. I hate to stop treating this as we saw good things but also have to thank of the baby. I am also so frustrated as I obviously wont be

able to do this treatment in the near future if viruses are coming out as we are not vaccinating the baby. Do you know if herbs like I listed bring the viruses out where if you use Valtrex it will kill them off and my concerns would be nill. I hope this makes sense and any help would be appreciated!Tami

[Guest guest]

Tami:

I understand your concerns. I will share some thoughts. I have been told that one is no longer contagious once their immune system is strongly fighting a pathogen. This is mostly referring to acute infections. Basically, docs tell me that once you have a cold, you are no longer contagious once you start to feel better, even though you have symptoms left. Not sure if I believe this.

My other thoughts are about things like Bartonella. Bartonella is said to be so contagious that if you have a family member with it, everyone is going to get it. Not all doctors will say this, but many doctors who dedicate their practice to specializing in Bartonella do. They say it's in feces, in flea feces, so it's in dust. Cumanda is often used for Bartonella. Keep in mind that whole families are testing positive for Lyme, Mycoplasma, Bartonella, even though many family members didn't feel they were sick. As a matter of fact, I heard some autism specialists say that the moms were testing positive for Lyme even though they felt they were not ill. So, being a carrier is well, kind of expected, if your children are ill. So, basically, the pathogens and toxins our children have, well, likely came from us. Not to alarm you, many just have one child with autism. All my children had symptoms of some sort, but are all now indistinguishable from peers. (I say that to give you hope).

But then we do know that Herpes is contagious via the blisters, which only appear when the immune system is fighting it. So, this leaves a quandry. I can not say or even give a good educated guess as to what those bumps would be doing as far as contagiousness. But, I feel exposure may happen with at least some pathogen types no matter what. At my house, everyone gets treated for all pathogen types at the same time. This could be why we have been successful are ridding symptoms. I have heard that some doctors feel the whole family has to be treated. For example, since many pathogens are transferred via sex, many feel that both husband and wife have to be treated. So, once again, it really is a family thing. My son does get white bumps when treating Bartonella. He gets them on his back. They don't pop, so I have not thought about them being contagious, but surely the contents of them is some sort of infection or waste product his body is trying to rid through the skin. He has been on Bartonella treatment about a year, and they do get worse the more we try to kill Bartonella and go away when he stops treatment. He is the only one who gets those bumps. He also has the stretch-mark rash. I have Bartonella, but never got any of those rashes. I get the forehead rash, which is tiny red bumps that can easily be covered with make-up. Lucky me. So, here are my thoughts. I guess I would treat. But the decision you must make for your family has to be yours. I always pray and go with my gut. I guess many refer to it also as mommy instinct.

Love and prayers,

Heidi N

Heidi,

This is alittle away from this topic but hope you have some insight!! I am wanting to try Cumanda, Revestrol, Samento....some of the microbials that you mention but am concerned about a couple of things. We have tried Cumanda with him and saw some great things but about day 16 or so he got white bumps all over his mouth, tongue, lips and they hurt him greatly. I was ready to push through this but I am pregnant with our 3rd child due in Nov. and got scared of what might be coming out of him could be measles, rubella, etc and something that I may get and harm the baby. I have read quite abit about how you have to be careful when pregnant and what viruses my come out when treating. I hate to stop treating this as we saw good things but also have to thank of the baby. I am also so frustrated as I obviously wont be able to do this treatment in the near future if viruses are coming out as we are not vaccinating the baby. Do you know if herbs likeI listed bring the viruses out where if you use Valtrex it will kill them off and my concerns would be nill. I hope this makes sense and any help would be appreciated!Tami