Research and Markets: The Managed PT/OT and Rehab Manual, 3rd Edition 2004.

Business Editors/Health/Medical Writers

DUBLIN, Ireland--(BUSINESS WIRE)--May 7, 2004

A review of criteria guidelines organized by body region for OT,

PT, and Speech Therapy

Research and Markets (http://www.researchandmarkets.com) has announced the addition of The Managed PT/OT and Rehab Manual, 3rd edition 2004 to their offering.

This report consists of a 430-page compendium of detailed review criteria guidelines organized by body region for OT, PT, and Speech Therapy.

The recommended number of visits required to treat specific conditions and instruct patient for self-directed home care are listed as well as review criteria policies for admission, continued stay, and discharge from inpatient rehabilitation care.

Example protocols and quality monitors are included throughout the manual. References. Resources include the Oregon Pediatric guidelines for rehab.

Report Contents:

Introduction to rehabilitation services; Utilization management; Medical Necessity Criteria; Physical Medicine and Rehabilitation - Medicare LMRP; Physical Therapy/Occupational Therapy provided by physicians and physician employees Policy; Maintenance Therapy/ Medicare treatment parameters for medically necessary items/services -Medicare LMRP; Therapeutic activities, direct (one on one) patient contact by the provider; Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and propioception, Therapeutic Procedure; Therapeutic exercises to develop strength and endurance, range of motion and flexibility; Physical Therapy - Defined; Automobile Driving Therapy; Level of care for therapy; Therapy and Rehabilitation Modalities - medical review criteria for Medicare Covered (and noncovered) Modalities including: Hot or cold packs, Traction, mechanical, Electrical stimulation, (unattended), Vasopneumatic devices, Paraffin bath, Microwave, Whirlpool, Diathermy, Infrared, Ultraviolet, Laser Physical Therapy; Electrical stimulation, manual, Iontophoresis, Contrast baths, Ultrasound, Hubbard Tank. Specific Medicare Policy Guidelines for procedures including: Therapeutic exercises, Neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture and proprioception, Aquatic therapy with therapeutic exercises, Gait training, Massage, Manual therapy techniques - traction, soft tissue mobilization, manipulation, joint mobilization, Therapeutic procedures (group), Orthotics training, Orthotics fitting and training, Prosthetic training, Therapeutic activities, Self-care/Home management training, Community work/Reintegration training, Training in Activities of Daily Living (ADLs), Wheelchair management/propulsion training, Tests and Measurements, Development of cognitive skills; Sensory integrative techniques, Disease specific guidelines - (Pulmonary, Parkinson's), Maintenance therapy, Work hardening/Conditioning. Therapeutic Ultrasound for wound healing; Training in ADLs;

Post-acute Care Therapy; Maintenance Therapy Criteria; Claims review for therapy services; Physical Medicine Guidelines for Duplicative Services; Occupational Therapy Services; Neuropsychological Testing; Neurocognitive Therapy; Chronic Pain Assessment and Treatment; Pain Rehabilitation Program review criteria; Pharmacologic challenges for sympathetically maintained pain; Gait analysis; Electrodynogram; Phonophoresis; Treatment Plan Modalities - including transfer training, strength, ROM, Pain management review policies; Evaluation (injury, exacerbation, re-injury, pain, strength definitions); Pain Rehabilitation Programs, Outpatient - Medicare LMRP; Chronic Pain Assessment/Pain Centers; Outcome measures for chronic pain management; Pharmacologic Challenges for Sympathetically Maintained Pain - Medicare LMRP; Standing orders for therapy; Outcome management; Functional Independence Measures (FIM); Quality Improvement Guidelines/Outcome studies; Gait Analysis, Computerized; Dynamic, Electromyographic; Gait analyses, Electrodynogram including Medicare P&P; Electrodynogram - Medicare LMRP; Phonophoresis; Treadmill - evaluation and teaching use of - Medicare LMRP; Rehabilitation Treatment Plan Modalities including Transfer Training, Strength, Range of Motion, Pain Management, Other; Acupuncture; Biofeedback; 'Prehab"; Standing orders for therapy services.

Visit authorization Review Guidelines by Skeletal Structure: Spine: Lumbosacral spine; low back pain, acute and chronic, Back School Program, Manipulation of the spine under anesthesia; Lumbar spine, pre-surgical or non-surgical, Lumbar spine, post-surgical, Magnet Therapy for low back pain, Cervical spine, pre-surgical or non-surgical, Cervical spine, post-surgical, Neck Pain, Shoulder: pre-surgical or non-surgical, post-surgical, Total Shoulder - post-operative protocol, Rotator Cuff Repair/Impingement syndrome, Adhesive capsulitis, Ultrasound therapy for calcific tendinitis, shoulder, Elbow: pre-surgical or non-surgical, post-surgical, Lateral and medial epicondylitis, Wrist: pre-surgical or non-surgical, post-surgical, Carpal tunnel syndrome therapy;

Hand/fingers: pre-surgical or non-surgical, post-surgical, Tenosynovitis/Flexor tendinitis involving the hand/fingers, Post Dupuytren's Release OT, Hip: pre-surgical or non-surgical, post-surgical, Total hip replacement, Knee: pre-surgical or non-surgical, post-surgical, Patello-femoral syndrome, Osteoarthritis of the knee, Total knee replacement, post-op, Complete MCL tears rehabilitation program, ACL reconstruction rehabilitation protocol (Ventura), ACL reconstruction rehabilitation protocol (Appleton), Ankle: pre-surgical or non-surgical, post-surgical, Achilles tendinitis, Ankle sprains/strains, Foot/toes, pre-surgical or non-surgical, Foot/toes, post-surgical, Morton's neuroma, Plantar fasciitis; Amputations, upper or lower extremities;

Other conditions - treatment review policies: Cerebral Palsy; Foot drop; Hypermobility, Polymyalgia, Multiple Sclerosis; R. A.; Osteoporosis; Reflex Sympathetic Dystrophy (RSD); Fibromyalgia; Botulinum Toxin Injections; Complex Regional Pain Syndrome; Temporomandibular Joint (TMJ) Disorders; Chronic Fatigue Syndrome (CFS); Visual Loss - Medicare Coverage of Rehab Services; Osteoarthritis; Normal Range of Motion, Hippotherapy/Therapeutic Horseback Riding/Equestrian Therapy.

Speech and language therapy review policies - Skilled Speech Services; Unskilled Speech Services; Aphasia; Vestibular Rehabilitation; Melodic Intonation Therapy for Persistent Aphasia; Speech-Language Initial Visits for Specific Abnormalities; Discontinuation of Speech-Language Benefits; Dysphagia: Oral-Motor Therapy; HCFA Edits for Speech-Language Pathology; Speech-Language Pathology Terms, Acronyms; References and Resources for Speech-Language Therapy

Acute Inpatient Rehabilitation Services: Review criteria for admission to a rehabilitation hospital, CORF medical review policy; Inpatient assessment of potential for rehabilitation; Clinical conditions; Pre-Admission Authorization Review Rehabilitation Services, Continued Stay Review, Discharge Status Review and Criteria for discharge; ; Case mix, severity and complexity measures

Authorization criteria for admission by diagnosis: Stroke, Outcome measures for stroke management; Cancer care rehabilitation; Spinal Cord Dysfunction, Dorsal/lumbar areas, Nontraumatic spinal cord injuries; Cervical, Amputation, lower extremities, Brain Injury, Functional Improvement Outcome Measures following Brain Injury, Femur Fracture and other entities; Cognitive Rehabilitation Therapy

For more information visit http://www.researchandmarkets.com/reports/c1819