1. Future Medical Cost Projections
Module 5
Common Treatments, Part 3

2. 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
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Common Treatments
Medical
Injections
Spinal cord stimulator
Pain Pump
Medications
Laboratory
Diagnostics
Surgery
Therapy
Equipment
Physician
Home Care
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Therapy
Physical
Occupational
Speech
Fitness
Massage
Acupuncture
Balance
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Therapy
Projection considerations
Allowance for lifelong maintenance
Body part impacted
Continued degenerative changes
Traumatic arthritis
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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
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Wheelchairs
Manual
Seat cushion, annually
Maintenance, annually
Powered
Batteries, annually
Replacement
Home modification
Tranportation
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Prosthetics
Prosthetic specialist can quote lifetime cost of replacement
Actual billing helpful
Large component of future medical costs for amputees
Technology changing, increasing costs
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Physicians
Neurosurgeon, orthopedic
Pain management
Neurologist
Neuropsychologist
Psychiatrist
Psychologist
Family Practice
Urologist
Others
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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
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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)
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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
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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
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14. 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
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Family Practice
Monitors laboratory studies
Annual or semi-annual scheduling
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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
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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
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Transportation
Worker’s Compensation only
Medical mileage reimbursement
Service transport
Translation Services
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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
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Contact Information
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