Incontinece program

[Guest guest]

Our clinic is attempting to develop an incontinence program at the request of

several local OB/GYN's. Anyone that could offer information and/or advice about

a program that they have found to be satisfactory would be greatly appreciated.

Some of the items/ questions I have considered or encountered this far are the

following:

1) What are the acceptable codes for appropriate diagnoses as well as the

typical codes used in treatment (neuromuscular re-education???)

2) Any issues with gender interaction, (I'm the only PT, and am male and have 2

female PTA's in our clinic)...how does this factor into my evaluation and the

avoidance of uncomfortable situations?

Thanks

J. Hill, PT

Work:

Email: hilljeremy@...

[Guest guest]

Hi.. just an FYI. My practice is in Illinois and I use to provide pelvic

floor/ UI program. Unfortunately, in Illinois, Wisconsin Physician

Services/ Medicare Intermediary only pay Electrical Stimulation for

treatment and I could not charge any other codes except E-Stim. No

Biofeedback, no manual therapy, no therapeutic exercises! This is insane!

Unfortunately, I had to discontinue this program in my facility.

Rhoda Astronomo, PT

President

R.A. Physical Therapy, PC

_____

From: PTManager [mailto:PTManager ] On Behalf

Of hilljeremy@...

Sent: Wednesday, September 19, 2007 3:38 PM

To: PTManager

Subject: Incontinece program

Our clinic is attempting to develop an incontinence program at the request

of several local OB/GYN's. Anyone that could offer information and/or advice

about a program that they have found to be satisfactory would be greatly

appreciated. Some of the items/ questions I have considered or encountered

this far are the following:

1) What are the acceptable codes for appropriate diagnoses as well as the

typical codes used in treatment (neuromuscular re-education???)

2) Any issues with gender interaction, (I'm the only PT, and am male and

have 2 female PTA's in our clinic)...how does this factor into my evaluation

and the avoidance of uncomfortable situations?

Thanks

J. Hill, PT

Work:

Email: hilljeremy@bellsout <mailto:hilljeremy%40bellsouth.net> h.net

[Guest guest]

Rhoda,

I'm not sure I understand. Which diagnosis codes were they referring to?

Pelvic Floor Muscle weakness should fall under the regular Muscle Weakness ICD 9

codes. I can't understand why Medicare would not pay for therapeutic exercise

for this??

Jill Piazza, PT, MSPT

Florida Hospital DeLand

---- rhodapt@... wrote:

=============

Hi.. just an FYI. My practice is in Illinois and I use to provide pelvic

floor/ UI program. Unfortunately, in Illinois, Wisconsin Physician

Services/ Medicare Intermediary only pay Electrical Stimulation for

treatment and I could not charge any other codes except E-Stim. No

Biofeedback, no manual therapy, no therapeutic exercises! This is insane!

Unfortunately, I had to discontinue this program in my facility.

Rhoda Astronomo, PT

President

R.A. Physical Therapy, PC

_____

From: PTManager [mailto:PTManager ] On Behalf

Of hilljeremy@...

Sent: Wednesday, September 19, 2007 3:38 PM

To: PTManager

Subject: Incontinece program

Our clinic is attempting to develop an incontinence program at the request

of several local OB/GYN's. Anyone that could offer information and/or advice

about a program that they have found to be satisfactory would be greatly

appreciated. Some of the items/ questions I have considered or encountered

this far are the following:

1) What are the acceptable codes for appropriate diagnoses as well as the

typical codes used in treatment (neuromuscular re-education???)

2) Any issues with gender interaction, (I'm the only PT, and am male and

have 2 female PTA's in our clinic)...how does this factor into my evaluation

and the avoidance of uncomfortable situations?

Thanks

J. Hill, PT

Work:

Email: hilljeremy@bellsout <mailto:hilljeremy%40bellsouth.net> h.net