Utilization Review- Suggested Examiner/ URO Triggers
|
|
|
- Pierce Green
- 6 years ago
- Views:
Transcription
1 Utilization Review- Suggested Examiner/ URO Triggers UR Request EXAINER UR ACOE/TUS =ANDATORY ACOE TUS BODY PART/ EXAPLE Evaluation and anagement Non-emergency inpatient Hospital admissions () Evaluations of outpatient surgical and ambulatory surgical services (D) D X X All pre-approved NA Surgery Nursing home, convalescent, residential treatment () All non-emergent surgical procedures, unless recommended by AE/QE () UR Codes - 1
2 EXAINER UR ACOE/TUS =ANDATORY ACOE TUS BODY PART/ EXAPLE External and implantable bone growth stimulators () Injections: Botulinum Toxin (Bo-Tox); Epidural Spinal Injections (ESI); Trigger point injections () orphine pump implant () Emergency surgery (D) D NA NA All pre-approved NA All pre-operative tests related to approved surgery (D) D X X All pre-approved NA UR Codes - 2
3 EXAINER UR ACOE/TUS =ANDATORY ACOE TUS BODY PART/ EXAPLE Radiology yelograms, Discograms, Surface EG s () Repeat diagnostics ()*** Electromyelogram/ nerve conduction studies () Bone scans () Imaging (RI, CT Scans): Prior to 4 week course of conservative treatment () Imaging (RI, CT Scans): After 4 week course of conservative treatment (D) D X X VARIOUS NA UR Codes - 3
4 EXAINER UR ACOE/TUS =ANDATORY ACOE TUS BODY PART/ EXAPLE edicine Chemical dependency and weight loss programs () Chronic pain management/ interdisciplinary pain rehab programs - Inpatient/Outpatient () Initial Psychological testing and psychotherapy ()*** Aquatic therapy () Gym memberships () Speech therapy () UR Codes - 4
5 EXAINER UR ACOE/TUS =ANDATORY ACOE TUS BODY PART/ EXAPLE Work Hardening and Work Conditioning Programs () Repeat psychological interviews and biofeedback (D)*** D X Stress Relaxation Techniques Biofeedback Initial treatment requests for Physical/Occupational Therapy and Chiropractic Treatment/Acupuncture ALL BODY PARTS NOT TO EXCEED 12 VISITS (D) D X Shoulder Disorders PT/Chiro Strengthening/stabilization acute/subacute; may include massage or ultrasound when part of home exercise program Impingement Rotator cuff tear Shoulder instability Dislocation anipulation (acute) Adhesive capsulitis X Neck/Upper Back GENERAL: Stretching Specific neck exercises for range of motion and strengthening UR Codes - 5
6 EXAINER UR ACOE/TUS =ANDATORY ACOE TUS BODY PART/ EXAPLE Relaxation techniques Aerobic exercise 1-2 physical therapy visits for education, counseling, and evaluation of home exercise X Low Back Disorders Low Back Pain CHIRO or PT (acute/sub-acute/chronic) anipulation/mobilization (acute/sub acute only) assage (acute) Chronic Low Back Pain Acupuncture X Knee Disorders GENERAL: Stretching Specific knee exercises for range of motion and strengthening X Ankle/Foot Disorders GENERAL: Stretching Specific foot and ankle exercises for range of motion and strengthening Aerobic exercise UR Codes - 6
7 EXAINER UR ACOE/TUS =ANDATORY ACOE TUS BODY PART/ EXAPLE X Forearm/Wrist/ Hand GENERAL: Disorders Stretching Specific hand and wrist exercises for range of motion and strengthening Aerobic exercise to maintain general conditioning Initial and follow-up visits for education, counseling, and evaluating home exercise Possible Ultrasound X Elbow Disorders Lateral/edial Epicondylitis Specific elbow exercises for range of motion and, if needed, strengthening Aerobic exercise to maintain general conditioning Ultrasound Iontophoresis Acupuncture Possible massage Biceps Tendinosis UR Codes - 7
8 EXAINER UR ACOE/TUS =ANDATORY ACOE TUS BODY PART/ EXAPLE Range of motion exercises transitioning to strengthening Home health care services () Consultation or Specialist Request (D) D X X Pre-approved NA DE/ Pharmacy Transcutaneous/Percutaneous electrical stimulation (TENS, PENS), Interferential Unit (INF) () Durable edical Equipment (DE) that does not exceed $350 (e.g. inserts, braces, orthotics, cold therapy units)(d) D Pre-approved UR Codes - 8
9 EXAINER UR ACOE/TUS =ANDATORY Initial edication order (consult if narcotic use) (D) ACOE TUS BODY PART/ EXAPLE Sprains/strains musculoskeletal D X Pre-approved aches/pain NSAIDS Investigate, experimental services Repeat edication order (consult if narcotic use) (D) Intradiscal Electrotherapy (IDET) () D X Pre-approved Sprains/strains musculoskeletal aches/pain NSAIDS Vax-D () Non FDA approved procedures () Electroconvulsive therapy (ECT)(Psyche) () UR Codes - 9
10 EXAINER UR ACOE/TUS =ANDATORY ACOE TUS BODY PART/ EXAPLE Shock wave therapy (Orthopedic) () ***Requests relating to QE or AE examination are not covered by UR. UR Codes - 10
Certificate for Advanced Practice in Hand Therapy
Certificate for Advanced Practice in Hand Therapy Curriculum Effective: March 2016 EBP 6100 Evidence-based Practice I (15 hours/1 credit) ONLINE SELF-PACED, SELF-STUDY This course is designed to improve
Site: College of Rehabilitation Sciences Department of Physical Therapy NEUROMUSCULOSKELETAL CLINICAL SKILLS CHECKLIST
Name: Site: College of Rehabilitation Sciences Department of Physical Therapy NEUROMUSCULOSKELETAL CLINICAL SKILLS CHECKLIST ASSESSMENT PROCESS / TECHNIQUE Opportunity to review and integrate A. Information
Principal benefits for Kaiser Permanente Traditional HMO Plan (10/1/18 9/30/19)
Disclosure Form SISC - Self Insured Schools Of California Home Region: California Principal benefits for Kaiser Permanente Traditional HMO Plan (10/1/18 9/30/19) Accumulation Period The Accumulation Period
Principal Benefits for Kaiser Permanente Traditional Plan (10/1/16 9/30/17)
Benefit Summary SISC-SELF INSURED SCHOOLS OF CALIFORNIA Principal Benefits for Kaiser Permanente Traditional Plan (10/1/16 9/30/17) The Services described below are covered only if all of the following
Family Coverage Self-Only Coverage Amounts Per Accumulation Period (a Family of one Member) or more Members
Benefit Summary 128742 & 35995 ACWA JPIA Principal Benefits for Kaiser Permanente Traditional HMO Plan (1/1/18 12/31/18) Accumulation Period The Accumulation Period for this plan is 1/1/18 through 12/31/18
Page 1 of 6. Appendix 1
Page 1 Appendix 1 Rotation Objectives and Schedule 1. Introductory Month 4 weeks 2. Total Joints 4 weeks a. Diagnosis and management of hip and knee arthritis b. Indications for surgery c. Implant selection;
Principal benefits for Kaiser Permanente Traditional Plan (10/1/15 9/30/16)
Disclosure Form SISC-SELF INSURED SCHOOLS OF CALIFORNIA Principal benefits for Kaiser Permanente Traditional Plan (10/1/15 9/30/16) The Services described below are covered only if all of the following
Principal Benefits for Kaiser Permanente Senior Advantage (HMO) with Part D (7/1/18 6/30/19)
Benefit Summary 35876D 35876 SCHOOLS INSURANCE GROUP #35876 Principal Benefits for Kaiser Permanente Senior Advantage (HMO) with Part D (7/1/18 6/30/19) Plan Out-of-Pocket Maximum For Services subject
Effectiveness Of Manual Physical Therapy For Painful Shoulder Conditions A Systematic Review
Effectiveness Of Manual Physical Therapy For Painful Shoulder Conditions A Systematic Review Keeping Manual Physical Therapy In Effectiveness Manual Therapy of manual physical therapy for painful shoulder
Post-op / Pre-op Page (ALREADY DONE)
Post-op / Pre-op Page (ALREADY DONE) We offer individualized treatment plans based on your physician's recommendations, our evaluations, and your feedback. Most post-operative and preoperative rehabilitation
HISTORY OF PRESENT ILLNESS A. TELL US ABOUT YOUR PAIN PROBLEM
1 UT Health Austin Comprehensive Pain Management New Patient Questionnaire Thank you for scheduling a visit with the Comprehensive Pain Management Care Team. The responses you provide to these questions
Combined Chiropractic and Acupuncture Services Amendment of the Kaiser Foundation Health Plan, Inc., Evidence of Coverage for SAMPLE GROUP AGREEMENT
EOC #6 - Kaiser Foundation Health Plan, Inc. Southern California Region Combined Chiropractic and Acupuncture Services Amendment of the Kaiser Foundation Health Plan, Inc., Evidence of Coverage for SAMPLE
Summary of Benefits Chart for Kaiser Permanente Senior Advantage (HMO) with Part D (10/1/17 9/30/18)
SISC - KPSA $0 Summary of Benefits Chart for Kaiser Permanente Senior Advantage (HMO) with Part D (10/1/17 9/30/18) Plan Out-of-Pocket Maximum For Services subject to the maximum, you will not pay any
Principal Benefits for Kaiser Permanente Traditional HMO (1/1/16 12/31/16)
Benefit Summary 128742, 35995 ACWA/JPIA Principal Benefits for Kaiser Permanente Traditional HMO (1/1/16 12/31/16) The Services described below are covered only if all of the following conditions are satisfied:
Prevention Diagnosis Assessment Prescription and /or application of wide range of interventions and PRM program management
OA PATHOLOGY Characterized by progressive deterioration and ultimate loss of articular cartilage Reactive changes of joint margins and joint thickening of the capsule When OA symptomatic leads to: Pain
MEDICAL & RX BENEFIT MATRIX. American Environmental Group/PPO Plan HSB Customer Service: EFFECTIVE DATE: MEDICAL & RX BENEFITS
MEDICAL & RX BENEFIT MATRIX American Environmental Group/PPO Plan HSB Customer Service: EFFECTIVE DATE: 01-01-2011 MEDICAL & RX BENEFITS SCHEDULE OF BENEFITS MEDICAL BENEFITS COVERED SERVICE/PLAN IN-NETWORK
Principles of Treatment. Case Studies. Principles of Treatment. Clinical Perspectives for the GP
Principles of Treatment Clinical Perspectives for the GP Case Studies 1. Jumping athlete with an acute exacerbation of chronic patellar tendinopathy major competition in 9 days time 2 week tournament 2.
MVP PREMIER PLUS SCHEDULE OF BENEFITS Gold 4 MVP Health Plan, Inc. Embedded Deductible Off Exchange
COST-SHARING Deductible Individual Family Prescription Drug Deductible Individual Family Out-of-Pocket Limit Individual Family OFFICE VISITS Primary Care Visits (or Home Visits) Specialist Visits (or Home
Guidelines for Joint Injections Shoulder
Guidelines for Joint Injections Shoulder Clinic Manual The shoulder is the site of multiple injuries and inflammatory conditions that lend themselves to diagnostic and therapeutic injection. Joint injection
MEDICAL & RX BENEFIT MATRIX. American Environmental Group/HSA Plan EFFECTIVE DATE: MEDICAL & RX BENEFITS
MEDICAL & RX BENEFIT MATRIX American Environmental Group/HSA Plan EFFECTIVE DATE: 01-01-2011 MEDICAL & RX BENEFITS SCHEDULE OF BENEFITS MEDICAL BENEFITS COVERED SERVICE/PLAN IN-NETWORK OUT-OF-NETWORK CATEGORY
Principal Benefits for Kaiser Permanente Senior Advantage (HMO) with Part D (10/1/15 9/30/16)
SISC - SELF-INSURED SCHOOLS OF CALIFORNIA Principal Benefits for Kaiser Permanente Senior Advantage (HMO) with Part D (10/1/15 9/30/16) The Services described below are covered only if all of the following
Diagnostic Imaging Exams
Guide for Chiropractors Diagnostic Imaging Exams CREATED FOR OUR CHIROPRACTIC PARTNERS This document has been prepared by the specialized, board-certified radiologists who interpret patient exams for Center
LABETTE COMMUNITY COLLEGE BRIEF SYLLABUS. Please check with the LCC bookstore for the required texts for this class.
LABETTE COMMUNITY COLLEGE BRIEF SYLLABUS SPECIAL NOTE: This brief syllabus is not intended to be a legal contract. A full syllabus will be distributed to students at the first class session. TEXT AND SUPPLEMENTARY
The St. Mary Orthopedic Center A GUIDE FOR REFERRING PHYSICIANS
The St. Mary Orthopedic Center A GUIDE FOR REFERRING PHYSICIANS Comprehensive, State-of-the-art and Convenient St. Mary Medical Center offers advanced orthopedic care in a convenient setting. The facility
10/1/2009. October 15, 2009 Christina Kuo MD. Anatomy and pathophysiology of Epicondylitis Diagnosis
October 15, 2009 Christina Kuo MD Anatomy and pathophysiology of Epicondylitis Diagnosis Treatment options Lawn tennis elbow Morris 1882 - described as an injury occurring from the backhand stroke Age
SUMMARY OF CHANGES BETWEEN THE CURRENTLY EFFECTIVE RULE 17, EXHIBIT 4: SHOULDER INJURY MEDICAL TREATMENT GUIDELINES AND PROPOSED OF 2014
SUMMARY OF CHANGES BETWEEN THE CURRENTLY EFFECTIVE RULE 17, EXHIBIT 4: SHOULDER INJURY MEDICAL TREATMENT GUIDELINES AND PROPOSED OF 2014 Below is a Summary of Major Substantive Changes between the 2008
2016 MDwise Excel Network Hoosier Healthwise Medical Services that Require Prior Authorization
2016 MDwise Excel Network Hoosier Healthwise Medical Services that Require Prior Authorization Medical services that require Prior Authorization Type of Service Requires PA Coding All Out of Network services
Evaluation of the Knee and Shoulder
Evaluation of the Knee and Shoulder Karen J. Boselli, MD Northeast Regional Nurse Practitioner Conference May 2018 Knee Overview History Examination Top 5 diagnoses When to image When to refer Pain most
Your Kaiser Permanente CHIROPRACTIC and ACUPUNCTURE benefits
Provided by American Specialty Health Plans of California, Inc. (ASH Plans) Your Kaiser Permanente CHIROPRACTIC and ACUPUNCTURE benefits When you need chiropractic or acupuncture care, follow these simple
Therapeutic Exercise And Manual Therapy For Persons With Lumbar Spinal Stenosis
Therapeutic Exercise And Manual Therapy For Persons With Lumbar Spinal Stenosis The program consisted of manual therapy twice per week (eg, soft tissue and neural The components of the Boot Camp Program
Service Provider Department Phone Number
Service Provider Department Phone Number A Activities of Daily Living Occupational Therapy Rehabilitation Services 734-593-5620 Adaptive Equipment - home Occupational Therapy Rehabilitation Services 734-593-5620
REFERRAL GUIDELINES: ORTHOPAEDIC SURGERY
All patients referred to specialist clinics are assigned to a priority category based on their clinical need and related psychosocial factors. The examples given are indicative only and the clinician reviewing
Welcome to White Rock Orthopaedic Surgery Centre
White Rock Orthopaedic Surgery Excellence in Orthopaedic Surgery since 2008 Over 700 surgical cases (spring of 2013) Fully Accredited Class-1 Facility Expedient initial assessment Secure, online registration
Chiropractic Services Amendment of the Kaiser Foundation Health Plan, Inc., Evidence of Coverage for SANTA CLARA COUNTY SCHOOLS INSURANCE GROUP
EOC #82 - Kaiser Foundation Health Plan, Inc. Northern California Region Chiropractic Services Amendment of the Kaiser Foundation Health Plan, Inc., Evidence of Coverage for SANTA CLARA COUNTY SCHOOLS
Anatomy. Introduction
Anatomy Introduction Many adults (mostly women) between the ages of 40 and 60 years of age develop shoulder pain and stiffness called adhesive capsulitis. You may be more familiar with the term frozen
Regional Pain Syndromes: Neck and Low Back
Regional Pain Syndromes: Neck and Low Back Srinivas Nalamachu, MD Disclosures Consultant/Independent Contractor/Honoraria: Ferring 1 Learning Objectives Identify the most common painful conditions in the
Your Kaiser Permanente CHIROPRACTIC benefits
Provided by American Specialty Health Plans of California, Inc. (ASH Plans) Your Kaiser Permanente CHIROPRACTIC benefits When you need chiropractic care, follow these simple steps: 1. Find an ASH Plans
Combined Chiropractic and Acupuncture Services Amendment of the Kaiser Foundation Health Plan, Inc., Evidence of Coverage for SAMPLE GROUP SAMPLE
EOC #4 - Kaiser Foundation Health Plan, Inc. Northern California Region Combined Chiropractic and Acupuncture Services Amendment of the Kaiser Foundation Health Plan, Inc., Evidence of Coverage for GROUP
What Are Bursitis and Tendinitis?
Shoulder Tendinitis, Bursitis, and Impingement Syndrome What Are Bursitis and Tendinitis? Two types of tendinitis can affect the shoulder. Biceps tendinitis causes pain in the front or side of the shoulder.
Health & Fitness. About Loudoun Sports Therapy
Health & Fitness The Newsletter About Your Health And Caring For Your Body About Loudoun Sports Therapy The Physical Therapists at Loudoun Sports Therapy Center are medically trained, licensed professionals
Back and Neck Injuries: Surgical Advances and Treatment
Back and Neck Injuries: Surgical Advances and Treatment Ara Deukmedjian, MD Board Certified Neurosurgeon June 8, 2017 1 2 Spinal Joints: Anatomy Two types of Spinal Joints: Spinal (intervertebral) disc
Diagnosis of Neck & Upper Extremity Pain
Diagnosis of Neck & Upper Extremity Pain David B. Bumpass, MD Assistant Professor, Spine Surgery UAMS Depts. of Orthopaedic Surgery & Neurosurgery May 12, 2018 Disclosures Medtronic Spine speaking fees
The evidence for SMT in CLBP
The evidence for SMT in CLBP Peter Tuchin BSc, GradDipChiro, DipOHS PhD FACC Associate Professor, MU (1991 - ) Past President, COCA 1 Peter Tuchin Peter Tuchin 2 WCA 2007 Peter Tuchin 3 Number of injuries
SERVICES. Contact us. Rapid Assessment, Intervention and Treatment
Contact us For more information about Orthopaedic Services, please visit our website at www.londonbridgehospital.com or contact: GP Liaison Department Tel: +44 (0)20 7234 2009 Fax: +44 (0)20 7234 2019
Disclosures. Objectives 5/4/2018. PT Management: What the Rheumatology Trainee Needs to Know. Physical Therapy in Spondyloarthritis
Physical Therapy in Spondyloarthritis PT Management: What the Rheumatology Trainee Needs to Know Angelo Papachristos BSc, BScPT,CAFCI, MBA Advanced Practice Physiotherapist St. Michael s Hospital Toronto,
The number of Chiropractic visits allowed per year may vary according to the member s specific benefit.
Payment Policy Chiropractic Services EFFECTIVE DATE:07 21 2009 POLICY LAST UPDATED: 04 17 2018 OVERVIEW Chiropractic is a healthcare profession that focus on disorders of the musculoskeletal and nervous
Preliminary Report Choosing Wisely Identifying Musculoskeletal Interventions with Limited Levels of Efficacy in the Shoulder & Elbow.
Preliminary Report Choosing Wisely Identifying Musculoskeletal Interventions with Limited Levels of Efficacy in the Shoulder & Elbow. Prepared for The Canadian Orthopaedic Association Contents Executive
1. The coordinated action of a scapular upward rotation and humeral abduction is known as the:
1 1. The coordinated action of a scapular upward rotation and humeral abduction is known as the: a. Carrying angle of the arm b. Scapulohumeral rhythm c. Glenohumeral capsular pattern d. Abduction resistance
Group ID: Contract: 1 Version: 11 EOC Number: 8. January 1, 2017, through December 31, 2017
EOC #8 - Kaiser Foundation Health Plan, Inc. Northern California Region Combined Chiropractic and Acupuncture Services Amendment of the Kaiser Foundation Health Plan, Inc., Evidence of Coverage for MARSH
MDwise Community Health Network Hoosier Healthwise Medical Services that Require Prior Authorization
MDwise Community Health Network Hoosier Healthwise Medical Services that Require Prior Authorization Medical services that require Prior Authorization Type of Service Requires PA Coding All Out of Network
Shoulder Arthritis. Patrick Denard, MD
Shoulder Arthritis Patrick Denard, MD Symptoms Shoulder arthritis causes pain and stiffness in the shoulder and typically occurs in people over the age of 50. The hallmark is pain and reduced range of
Table of Contents Treatment Guides Basic Activities of Daily Living Basic and Instrumental Activities of Daily Living 11 Bathing and Showering 13 Dres
Treatment Guides Basic Activities of Daily Living Basic and Instrumental Activities of Daily Living 11 Bathing and Showering 13 Dressing 15 Feeding 18 Functional Communication 20 Functional Mobility 22
Dr. Denard s Rehabilitation Protocols Arthroscopic Shoulder Surgery
2780 E. Barnett Rd Medford, OR 97530 541-779-6250 Dr. Denard s Rehabilitation Protocols Arthroscopic Shoulder Surgery These rehabilitation protocols are based on current studies detailing healing time
ALTRU HEALTH SYSTEM Grand Forks, ND STANDARD GUIDELINE
ALTRU HEALTH SYSTEM Grand Forks, ND STANDARD GUIDELINE Title: BACLOFEN PUMP PROGRAM (INTRATHECAL) Issued by: Physical Medicine and Outpatient Therapy Date: 6/99 Reviewed: 2/17 Revision: 2/11 Page: 1 of
Unit 6 Orthopedic Physiotherapy
Unit 6 Orthopedic Physiotherapy Task 1 Human Body Look at the diagram and study the main muscles of the body. Define which muscles have the following functions: Pectoral muscle lowers the arm. Intercostals
Physical Therapy & Sports Medicine Services at VitaFit. Vita Fit Massage Center in Vila Vita Pannonia**** Pamhagen Burgenland
Physical Therapy & Sports Medicine Services at VitaFit Vita Fit Massage Center in Vila Vita Pannonia**** Pamhagen Burgenland 1 Physical Therapy & Sports Medicine Services at VitaFit Director: Ramin Ilbeygui,
North American Spine Society Public Education Series
Herniated Cervical Disc North American Spine Society Public Education Series What Is a Herniated Disc? The backbone, or spine, is composed of a series of connected bones called vertebrae. The vertebrae
IP: Sling for 6 weeks Week 0-6: Immobilisation + Pendulum exercise Week 6-4 Months: Active ROM 4 Months-on: Strengthening exercises
Supplemental material 5 Table 1. Summary of rehabilitation programs postoperative. Author (year) Early Rehabilitation Conservative Rehabilitation Arndt et al., 2012 [35] First day postoperative-week 6:
13/02/2011. Ergonomics
13/02/2011 Ergonomics Workplace Safety Electrical Safety Medical & First Aid Lockout/Tag-out Confined Space Asbestos Control Fire Prevention Personal Protective Equipment Hazard Communication Chemical
American Board of Physical Medicine & Rehabilitation. Part I Curriculum & Weights
American Board of Physical Medicine & Rehabilitation Part I Curriculum & Weights Neurologic Disorders 30% Stroke Spinal Cord Injury Traumatic Brain Injury Neuropathies a) Mononeuropathies b) Polyneuropathies
REVERSE SHOULDER REPLACEMENT
REVERSE SHOULDER REPLACEMENT The Reverse Shoulder Replacement is designed specifically for the use in shoulders with a deficient rotator cuff and arthritis, as well as other difficult shoulder reconstructive
January 1, 2018, through December 31, 2018
EOC #16 - Kaiser Foundation Health Plan, Inc. Northern and Southern California Regions Combined Chiropractic and Acupuncture Services Amendment of the Kaiser Foundation Health Plan, Inc., Evidence of Coverage
Trauma & Orthopaedic Undergraduate Syllabus
Trauma & Orthopaedic Undergraduate Syllabus Introduction The purpose of this document is to provide a recommended syllabus for medical students in Trauma & Orthopaedics (T&0). It should help students on
2016 OPEN ENROLLMENT RETIREE HEALTH PLANS
2016 OPEN ENROLLMENT RETIREE HEALTH PLANS SERVICES Inpatient Hospital (Part A) COMPANIONCARE/Medicare Supplement Plan BENEFIT SUMMARY (Based on Calendar Year) MEDICARE 2016 Benefits Pays all but first
Juvenile Idiopathic Arthritis (JIA)
Juvenile Idiopathic Arthritis (JIA) Formerly known as juvenile rheumatic arthritis Most common rheumatic disease in childhood International League Against Rheumatism (ILAR) and World Health Organization
Primary care referral criteria for musculoskeletal MRI scans
Appendix 1 Primary care referral criteria for musculoskeletal MRI scans Accepted Criteria for Direct Access MRI Body Part Symptoms Imaging indicated Lumbar Spine Low Back Pain with adverse symptoms or
2016 Rochester Regional Health PPO Medical Plan Summary
Out of Annual Deductible Annual Deductible includes co-pays, coinsurance. The amounts are combined across all s. None Single Two-Person EE + Children Family $1,800 $3,600 $5,400 $5,400 Annual Out of Pocket
STRETCHING EXERCISES FOR PAIN REDUCTION
PHYSICAL THERAPY RESOURCES STRETCHING EXERCISES FOR PAIN REDUCTION This material is presented for informational and educational purposes only. If you experience any pain or difficulty with these exercises,
Orthopaedic Shoulder (and Anatomical Arm) Referral Guidelines
Orthopaedic ( Anatomical Arm) Referral Guidelines Austin Health Orthopaedic Clinic holds weekly multidisciplinary meetings to discuss plan the treatment of patients with Orthopaedic Fracture conditions.
DIAGNOSTIC EVALUATION OF CERVICAL VS. SHOULDER PAIN: A PHYSIATRIST S PERSPECTIVE
Russ Cantrell, M.D. Physical Medicine and Rehabilitation Orthopedic Sports Medicine and Spine Care Institute DIAGNOSTIC EVALUATION OF CERVICAL VS. SHOULDER PAIN: A PHYSIATRIST S PERSPECTIVE PHYSIATRIST
ORTHOPEDICS BONE Recalcitrant nonunions In total hip replacement total knee surgery increased callus volume
ORTHOPEDICS Orthopedics has to do with a variety of tissue: bone, cartilage, tendon, ligament, muscle. In this regard orthopedic and sports medicine share the same tissue targets. Orthopedics is mostly
How Are Shoulder Problems Diagnosed? How Are Shoulder Problems Treated? What Are the Most Common Shoulder Problems? What Are Shoulder Problems?
How Are Shoulder Problems Diagnosed? Doctors diagnose shoulder problems by using: Medical history. Physical examination. Tests such as x rays, ultrasound, and magnetic resonance imaging (MRI) How Are Shoulder
0RTHOPEDIC MASSAGE. Orthopedic Massage Benefits. Orthopedic Massage Applications
0RTHOPEDIC MASSAGE Orthopedic Massage involves therapeutic assessment, manipulation, and movement of locomotor soft tissues to eliminate pain and dysfunction throughout the body. It is more than a technique.
Combined Chiropractic and Acupuncture Services Amendment of the Kaiser Foundation Health Plan, Inc., Evidence of Coverage for SAMPLE GROUP
EOC #4 - Kaiser Foundation Health Plan, Inc. Southern California Region Combined Chiropractic and Acupuncture Services Amendment of the Kaiser Foundation Health Plan, Inc., Evidence of Coverage for SAMPLE
SPORTS MEDICINE OVERUSE MANAGEMENT PRINCIPLES FOR
SPORTS MEDICINE OVERUSE INJURIES: DIAGNOSIS AND MANAGEMENT PRINCIPLES FOR THE FAMILY PHYSICIAN DR NG CHUNG SIEN MBBS (SPORE) MSPMED (AUSTRALIA) DFD CAW SENIOR REGISTRAR CHANGI SPORTS MEDICINE CENTRE CHANGI
Welcome to our clinic! NEW PATIENT HEALTH QUESTIONNAIRE
Welcome to our clinic! NEW PATIENT HEALTH QUESTIONNAIRE First Name: Last Name: Date of Birth (mm/dd/yyyy): / / Gender: Male Female Current Occupation: Address: Appt no. Postal Code: Home Phone ( ) - Work
What Are Shoulder Problems?
What Are the Parts of the Shoulder? The shoulder joint is made up of bones held in place by muscles, tendons, and ligaments. Tendons are tough cords of tissue that hold the shoulder muscles to bones. They
Clinical Musculoskeletal Assessment and Treatment Service (CMATS) pathway
Pathway Clinical Musculoskeletal Assessment and Treatment Service (CMATS) pathway Patient aged 16 years and over presents to GP with symptoms of knee, shoulder or spinal pain Present Screen for: Emergency
MetroPlus Health Plan SCHEDULE OF BENEFITS MetroPlus Gold
SECTION XXIV MetroPlus Health Plan SCHEDULE OF BENEFITS MetroPlus Gold COST-SHARING Deductible Individual Family Out-of-Pocket Limit Individual Family $0 $0 $7,150 $14,300 except as required for emergency
PT/LPTA Skills Checklist
PT/LPTA Skills Checklist First name: Middle Name: Last Name: Last 4 of SSN# Email Address: Phone # Please indicate your level of experience based on No experience (1) to perform independently (4) 1. No
Combined Chiropractic and Acupuncture Services Amendment of the Kaiser Foundation Health Plan, Inc., Evidence of Coverage for SAMPLE GROUP AGREEMENT
EOC #6 - Kaiser Foundation Health Plan, Inc. Southern California Region Combined Chiropractic and Acupuncture Services Amendment of the Kaiser Foundation Health Plan, Inc., Evidence of Coverage for SAMPLE
Malaysian Healthy Ageing Society
Organised by: Co-Sponsored: Malaysian Healthy Ageing Society Key to back pain is alignment Michael Haneline, DC, MPH Professor, Head of Chiropractic International Medical University michael_haneline@imu.edu.my
Commissioning Policy Individual Funding Request
Commissioning Policy Individual Funding Request Management of Low Back Pain and Sciatica in over 16s Policy Criteria Based Access Policy Date Adopted: August 2017 Version: 1718.1 Individual Funding Request
NORTH BAY SYMPOSIUM SATURDAY JANUARY 20 TH 2018
NORTH BAY SYMPOSIUM SATURDAY JANUARY 20 TH 2018 ROBERT HAIMSON, M.D. ORTHOPEDIC SURGEON SMGR FELLOW IN AAOS DIPLOMATE IN ABOS COMMON MUSCULOSKELETAL CONDITIONS COMMON MUSCULOSKELETAL CONDITIONS: WHAT
Biceps Tendon Rupture
Disclaimer This movie is an educational resource only and should not be used to manage Orthopaedic Health. All decisions about Biceps Tendon Rupture must be made in conjunction with your Physician or a
THE TRUTH ABOUT OSTEOARTHRITIS. By GRAHAM NELSON RUSSELL VISSER
THE TRUTH ABOUT OSTEOARTHRITIS By GRAHAM NELSON RUSSELL VISSER WWW.NWPG.COM.AU THE TRUTH ABOUT OSTEOARTHRITIS 2 ABOUT NORTHWEST PHYSIOTHERAPY GROUP Northwest Physiotherapy Group was first established as
A Patient s Guide to Adhesive Capsulitis
A Patient s Guide to Adhesive Capsulitis Orthopedic and Sports Medicine 825 South 8th Street, #550 Minneapolis, MN 55404 Phone: 612-333-5000 Fax: 612-333-6922 DISCLAIMER: The information in this booklet
What s Your Skeleton Telling You?
What s Your Skeleton Telling You? GE Family Wellness Center Comprehensive Services Primary care Pharmacy Convenient Drive thru Lab on site Occupational Health & Nutritional Coaching Executive Exams Urgent
Shoulder. 36 Shoulder medi orthopaedics
Shoulder 36 Shoulder medi orthopaedics medi SAS multi Dual purpose 15 abduction / external rotation support post-operative immobilisation following: rotator cuff ruptures humeral head fractures prosthetic
Anterior Shoulder Instability
Anterior Shoulder Instability Anterior shoulder instability typically results from a dislocation injury to the shoulder joint when the humeral head (ball) of the humerus (upper arm bone) is displaced from
Medical Pre-Authorization and Notification Requirements
NOTICE CHANGE IN PRE-AUTHORIZATION PROCESS EFFECTIVE JANUARY 14, 2019 The Health Plan has entered into a partnership with Palladian Health to improve outcomes for musculoskeletal conditions and spine pain
Pain Management Questionnaire
In order to make the most of your visit, we require this form to be completed to the best of your ability and sent to the Pain Management Clinic a copy should be shared with your Primary Care Provider
Inova. Spine Institute
Inova Spine Institute At Inova Spine Institute, you ll find a wide range of treatment alternatives, from physical therapy and rehabilitation to pain management. For patients who require surgery, Inova
Salisbury Foundation Trust Radiology Department Referral Guidelines for Primary Care: Musculoskeletal Imaging
Salisbury Foundation Trust Radiology Department Referral Guidelines for Primary Care: Musculoskeletal Imaging These guidelines have been issued in conjunction with the Royal College of Radiology referral
Shoulder Injuries. Glenoid labrum injuries. SLAP Lesions
Shoulder Injuries functional anatomy clinical perspective impingement rotator cuff injuries glenoid labrum injuries dislocation Glenoid labrum injuries SLAP lesions stable or unstable traction/compression
REACHING PEAK SPORTS PERFORMANCE AND PREVENTING INJURY
The Athlete s Guide to REACHING PEAK SPORTS PERFORMANCE AND PREVENTING INJURY THE ATHLETE S GUIDE TO REACHING PEAK SPORTS PERFORMANCE AND PREVENTING INJURY Table of Contents Introduction...3 Common Sports
Non-Pharmacological Interventions for Pain:! Chiropractic Manipulative Therapy!
Non-Pharmacological Interventions for Pain:! Chiropractic Manipulative Therapy! Dr. Marie Rudback, DC, CCSP, ART! Chiropractic Physician, Certified Chiropractic Sports Physician, Active Release Technique
STATE UNIVERSITY OF NEW YORK COLLEGE OF TECHNOLOGY CANTON, NEW YORK COURSE OUTLINE. PHTA Musculoskeletal Pathologies
STATE UNIVERSITY OF NEW YORK COLLEGE OF TECHNOLOGY CANTON, NEW YORK COURSE OUTLINE PHTA 103 - Musculoskeletal Pathologies PREPARED BY: Deborah S. Molnar SCHOOL OF SCIENCE, HEALTH, AND CRIMINAL JUSTICE
Shoulder Arthroplasty
Shoulder Arthroplasty Nathan G. Everding, MD Specializing in Hand, Wrist, Elbow & Shoulder Surgery Syracuse Orthopedic Specialists SJH Family Practice Refresher course 3/8/19 Shoulder Arthroplasty Rate