RE: Private pay & home health

[Guest guest]

Hi ,

Please let us know what insurance coverage you are talking about: Medicare

disability? Medicare-Medicaid? Medicaid? Other insurance? There are

state rules, federal rules and insurance rules that have to be considered

and knowing the insurance helps.

Thanks

Tom Howell, P.T., M.P.T.

Howell Physical Therapy

Eagle, ID

thowell@...

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From: PTManager [mailto:PTManager ] On Behalf

Of Brodina

Sent: Sunday, March 13, 2011 1:24 PM

To: PTmanager

Subject: Private pay & home health

I have a home health physical therapy patient who has congenital cerebral

palsy. She is now 24 years old. She has had therapy off and on throughout

her life. Currently, her program consists of a stretching/flexibility

program, which is to be carried out by the nursing aides and family. No

functional goals for therapy at this time, other than improving her

flexibilty to prevent further contractures. The family wants and is willing

to pay out of pocket for our therapy services once a week.

My question is: due to this patient still being on caseload for home health

nursing, can we legally have this patient pay out of pocket for our therapy

services? We would have the family sign the appropriate ABN forms.

Thanks,

Brodina, MPT

Choice Therapy

[Guest guest]

Evidence based food for thought.

I recently read the following in the Journal of American Physical Therapy

Association

Effectiveness of Stretch for the Treatment and Prevention of Contractures in

People With Neurological Conditions: A Systematic Review by Owen M. Katalinic,

A. Harvey and D. Herbert

The abstract can be viewed at the following link:

http://ptjournal.apta.org/content/91/1/11.abstract

In time, it's possible that insurance companies will refer to our own evidence

and decline coverage if the studies indicate that certain interventions " do not

produce clinically important changes " . At that time, will we request the

patient to sign an ABN and pay out of pocket?

Question: When do we as a profession discard certain interventions that are not

supported by evidence?

Jon Mark Pleasant, PT

Methodist Medical Center

>

>

> I have a home health physical therapy patient who has congenital cerebral

palsy. She is now 24 years old. She has had therapy off and on throughout her

life. Currently, her program consists of a stretching/flexibility program,

which is to be carried out by the nursing aides and family. No functional goals

for therapy at this time, other than improving her flexibilty to prevent further

contractures. The family wants and is willing to pay out of pocket for our

therapy services once a week.

>

> My question is: due to this patient still being on caseload for home health

nursing, can we legally have this patient pay out of pocket for our therapy

services? We would have the family sign the appropriate ABN forms.

>

> Thanks,

> Brodina, MPT

> Choice Therapy

>

>

[Guest guest]

Evidence based food for thought.

I recently read the following in the Journal of American Physical Therapy

Association

Effectiveness of Stretch for the Treatment and Prevention of Contractures in

People With Neurological Conditions: A Systematic Review by Owen M. Katalinic,

A. Harvey and D. Herbert

The abstract can be viewed at the following link:

http://ptjournal.apta.org/content/91/1/11.abstract

In time, it's possible that insurance companies will refer to our own evidence

and decline coverage if the studies indicate that certain interventions " do not

produce clinically important changes " . At that time, will we request the

patient to sign an ABN and pay out of pocket?

Question: When do we as a profession discard certain interventions that are not

supported by evidence?

Jon Mark Pleasant, PT

Methodist Medical Center

>

>

> I have a home health physical therapy patient who has congenital cerebral

palsy. She is now 24 years old. She has had therapy off and on throughout her

life. Currently, her program consists of a stretching/flexibility program,

which is to be carried out by the nursing aides and family. No functional goals

for therapy at this time, other than improving her flexibilty to prevent further

contractures. The family wants and is willing to pay out of pocket for our

therapy services once a week.

>

> My question is: due to this patient still being on caseload for home health

nursing, can we legally have this patient pay out of pocket for our therapy

services? We would have the family sign the appropriate ABN forms.

>

> Thanks,

> Brodina, MPT

> Choice Therapy

>

>