Future Medical Cost Projections

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Presentation transcript:

Future Medical Cost Projections Module 5 Common Treatments, Part 3

Common Treatment Modalities Overview Discusses common treatment modalities for therapy, equipment and physicians Objectives Be able to explain the various types of therapy Be able to discuss role of specialty physicians Copyright InSitu Academy

Copyright InSitu Academy Common Treatments Medical Injections Spinal cord stimulator Pain Pump Medications Laboratory Diagnostics Surgery Therapy Equipment Physician Home Care Copyright InSitu Academy

Copyright InSitu Academy Therapy Physical Occupational Speech Fitness Massage Acupuncture Balance Copyright InSitu Academy

Copyright InSitu Academy Therapy Projection considerations Allowance for lifelong maintenance Body part impacted Continued degenerative changes Traumatic arthritis Copyright InSitu Academy

Copyright InSitu Academy Equipment TNS Unit replaced every 5 years Annual supplies include pads, leads, batteries Bracing/Splints Custom OTC Orthotics and special shoes shoes: 2 pair every year Inserts Mapping DME Copyright InSitu Academy

Copyright InSitu Academy Wheelchairs Manual Seat cushion, annually Maintenance, annually Powered Batteries, annually Replacement Home modification Tranportation Copyright InSitu Academy

Copyright InSitu Academy Prosthetics Prosthetic specialist can quote lifetime cost of replacement Actual billing helpful Large component of future medical costs for amputees Technology changing, increasing costs Copyright InSitu Academy

Copyright InSitu Academy Physicians Neurosurgeon, orthopedic Pain management Neurologist Neuropsychologist Psychiatrist Psychologist Family Practice Urologist Others Copyright InSitu Academy

Copyright InSitu Academy Orthopedic Neurosurgeon for cervical injuries or surgery Annual evaluations if surgical procedures done Multiple body parts: multiple specialists Evaluating Hardware Joint integrity Future surgical considerations Copyright InSitu Academy

Copyright InSitu Academy Pain Management Manages chronic phase of condition Referred by surgical team or general orthopedics at MMI Scheduling dependent on treatment plan Narcotics: monthly Non-narcotic medications: every 3 months Injection therapy: 4-6 times per year (pre-injection, post-injection follow ups) Copyright InSitu Academy

Copyright InSitu Academy Neurologist Manages any type of head injury, brain injury, or neurological condition Treatment plan coordinated with other specialists May have differing medication recommendations Typical scheduling every 3 months Copyright InSitu Academy

Copyright InSitu Academy Neuropsychologist Evaluates Brain injury, residual effects PTSD Chronic pain Depression IQ Treats (psychologist) desensitization Scheduling Evaluation: 1-3 times in lifetime for brain injury clients Treating: varies Copyright InSitu Academy

Psychology, Psychiatry Cognitive-Behavioral counseling Chronic Pain issues PTSD Scheduling 10 sessions for chronic pain behavioral counseling Other diagnoses: to be determined Psychiatry evaluates and prescribes psychotropic medications Copyright InSitu Academy

Copyright InSitu Academy Family Practice Monitors laboratory studies Annual or semi-annual scheduling Copyright InSitu Academy

Copyright InSitu Academy Home Care Skilled care Medications Wound care Catheters Et al Unskilled care Assistance with ADL Transportation Worker’s Compensation Fee Schedules May have fee schedule assigned Differs from agency billing Copyright InSitu Academy

Copyright InSitu Academy Home Modifications Home Extensive mods needed for spinal cord injury or wheelchair bound clients Bathroom safety bars Safety Balance Chronic pain Medication Upper extremity issues Vehicle Amputations Spinal cord injuries Copyright InSitu Academy

Copyright InSitu Academy Transportation Worker’s Compensation only Medical mileage reimbursement Service transport Translation Services Copyright InSitu Academy

Copyright InSitu Academy Homework Contact 3 local home health agencies and determine pricing for home attendant care, skilled level nursing, and PT/OT services Contact local prosthetic supplier and obtain average cost of below the elbow prosthesis: discuss various models, replacement scheduling, annual maintenance and supplies Contact local physical therapy department and discuss various types of therapeutic modalities Copyright InSitu Academy

Copyright InSitu Academy Contact Information info@insitutraining.com Copyright InSitu Academy