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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Pulmonary Rehabilitation Policies Revamped

Revisions to coverage and payment guidelines outlined in the calendar year (CY) 2022 Medicare Physician Fee Schedule (MPFS) final rule for outpatient pulmonary rehabilitation (PR) — a physician-supervised program for certain chronic respiratory diseases designed to optimize physical functioning and improve quality of life — expand eligibility and introduce two new codes for reporting these […]

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AAPC Knowledge Center

Billing E/M services in a rehabilitation facility

One of our providers is concerned about billing patients in rehabilitation facilities. Our providers are not rehabiliation physicians; they are hospitalist, billing E/M services. They have been told that there are restrictions of how often a physician can see a patient in a rehabilitation facility, depending on how many days they are in short-term vs. long-term, as well as restrictions for what they can be seen for.

Has anyone heard of this? I can not find anything to verify these statements.

Thank you!

Medical Billing and Coding Forum

Rehabilitation Equipment For Medical Centers Buying Guide

Many folks don’t realize that rehabilitation equipment for medical centers requires some special thought behind the buying decision. Deciding what commercial fitness equipment you are going to use, what programs of rehabilitation you are going to offer.

The average ages of the individuals that will be using the fitness equipment because there is a difference in exercise equipment. For instance there is a fitness machine called the Lamar Stridewell 4450 that is incredibly easy to use from an entry and exit standpoint. Meaning getting in and out of the machine is very easy plus you get a low impact full body workout.

Opting for commercial equipment rather than home gym equipment will be a better decision as well because the commercial equipment is designed to take the rigors of a full professional health club facility, a rehabilitation clinic would most likely demand the same exercise performance. The only difference between a commercial and a home gym piece of equipment is the design of the equipment which the reflects the difference in pricing. A commercial grade fitness machine will run thousands and thousands of dollars while a home gym a few hundred.

Working in a rehabilitation center the equipment will most likely be asked to hold up to the same strenuous regimen of a full scale health club. For a rehabilitation center to save some costs without sacrificing quality they should look to the used exercise equipment market. They will find gym equipment that is as good or better than brand new equipment and save 50% or more on their exercise equipment, just make sure you talk to their customer service department, they have a good reputation, been in the industry for at least 5 years and have their own used exercise equipment repair service.

By looking into the used exercise equipment market the rehabilitation centers can get the rehabilitation equipment they need to add to their center to meet the growing needs of their patients.

Bill Jones is an avid self proclaimed fitness equipment guru. Taking the time to understand the Rehabilitation Equipment market. To see what company he personally recommends visit http://afsfit.com for quality commercial quality fitness equipment plus used exercise equipment repair service and more.

What Is Medical Rehabilitation?

Though people who need physical therapy are in contact with their PTs in the course of their physical rehabilitation rather than with their doctors, the fact is that one cannot undergo a course of rehabilitation procedure without a consult with a legitimate PM&R or rehab doctor.

A cardiac patient who underwent a coronary bypass will be likely referred by his cardiologist to a rehab doctor to get back into shape so to speak.
A patient who recovered from a stroke that affected his motor skill, would be referred by his neurologist to a rehab doctor gain back some of his lost mobility.

Cardiac rehabilitation is highly recommended for heart patients for them their quick recovery relating to not only their physical functions but also to their mental and social functions. The ultimate goal of a cardiac rehabilitation is to slowly and ultimately reverse the progression of the heart disease condition which could in turn reduce if not totally eliminate the risk of another cardiac attack or any related heart disease. Cardiac rehabilitation programs basically include:

Guidance and counseling for the patient to better understand and mange the disease
A set of exercise program
Basic counseling on nutrition and his prescribed medications
Help the heart patients to modify high risk factors e.g. high cholesterol level and high blood pressure; obesity; diabetes and smoking.
Give the patient the right information on his physical limitations and guide him to facilitate the patient to return to work, if applicable.
Stroke rehabilitation is more of a team effort since most stroke patients suffer brain injury too at different levels. A rehabilitation team normally consists of neurologists, physiatrists (rehab doctors), physical and occupational therapists, psychologists, speech and language pathologists and in some cases, cardiologists too.
A good medical rehabilitation team would have to address six major areas of concern:
The patients mobility relating to basics such as getting in and out of a bed, sitting up and sitting down
The patients locomotion movements such as walking, climbing stairs, using a walker or wheelchair maneuverability.
Basic self-care like self-grooming and hygiene, cooking and even driving a car.
Communication as stroke patients have speech problems, difficulty in swallowing and remembering suitable words
Cognitive functions and memory problems
Control of bladder and bowel movement

The primary team members are the physiatrist or rehab doctor and his team of physical, occupational and speech therapists. There are other medical cases where physical rehabilitation is needed e.g. carpal tunnel syndrome, cervical spondylosis, tendinitis, whiplash, sciatica, back pain, patella-femoral syndrome and other muscle, bone and nerve disorders.

Finding the right team of http://www.samitivejhospitals.com/Doctor/FindDoctor.aspx?pageno=1〈=ALL&siteid=2&fn=⊂spcid=REH&pgsz=15&spcid=ALL&img=True&search=true&ln=&exp=&gnd=A&lid=en”> rehab specialists in Thailand is not a problem as there are highly qualified physiatrists who are into specialized physical rehabilitation programs in Bangkok and Chonburi.