Managing Physical/Occupational/Speech Therapy/Rehabilitation Care & Pain Management


  • Detailed review criteria for adult/pediatric OT, PT, speech therapy plus therapy-related DME.
  • Detailed review criteria guidelines for inpatient rehabilitation unit/hospital admission, continued stay and discharge.
  • The recommended number of visits required to treat specific conditions and instruct patients for self-directed home care.
  • Resources include example protocols and quality monitors throughout including the Oregon Pediatric guidelines for rehabilitation, websites.


Guidelines

  • POS0 - Physical, Occupational and Speech Therapy Services - Utilization Management Issues
  • POS1 - Modalities
  • POS11 - Speech-Language Pathology Therapy
  • POS13 - Visit Authorization Guidelines, Shoulder and Thorax
  • POS14 - Visit Authorization Guidelines, Hip and Pelvis
  • POS15 - Visit Authorization Guidelines, Upper Extremities
  • POS16 - Visit Authorization Guidelines, Lower Extremities
  • POS17 - Visit Authorization Guidelines, Disease or Disorder Specific Guidelines
  • POS18 - Visit Authorization Guidelines, Back, Including Cervical, Thoracic and Lumbar-Sacral Spine
  • POS19 - Pain Management
  • POS2 - Visit Authorization Guidelines by Skeletal Structure or Disorder - Overview
  • POS20 - Pharmacologic Management of Pain
  • POS21 - Pain Management Procedures
  • POS3 - Rehabilitation Services
  • POS4 - Disposable Medical Supplies (DMS)/Durable Medical Equipment (DME)
  • POS5 - Home Exercise Programs + Patient Education Materials
  • POS7 - Neurological Disorder Rehabilitation
  • POS8 - Cardiovascular Rehabilitation Program Guidelines
  • POS9 - Pulmonary Rehabilitation Program Guidelines
  • Preface