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The ICF disablement model:

Use the following chart regarding the Medicare 8 Minute Rule to determine the appropriate charges for the patient treatments listed below. Timed Codes                                                                          8 Minute Rule Chart 97035 – Ultrasound                                                               0 to < 8 minutes = no charge 97140 – Manual Therapy                                                    8 to 22 minutes = 1 unit 97110 – Therapeutic Exercise                                          23 to 37 minutes = 2 units                97112 – Neuromuscular Reeducation                         38 to 52 minutes = 3 units 97116 – Gait Training                                                              53 to 67 minutes = 4 units 97530 – Therapeutic Activity   Pt is s/p ORIF L hip. TTWB L LE. You are treating this patient in a skilled nursing facility.  You documented that you provided 10 minutes of therapeutic exercise for LE ROM and strengthening, 10 minutes of gait training with RW, TTWB L LE, and 10 minutes of therapeutic activity for transfer training and standing tolerance, TTWB L LE.  Document your time and charge for the treatment. Total treatment time: Treatment minutes: Charges:

Your patient is diabetic and has peripheral neuropathy. As a result they have LE weakness, requires assistance for shower transfers, and is unable to walk long distances.  The patient’s daughter does the grocery shopping.  According to the ICF, the patient’s participation restriction is:

A really conscientious health provider can eliminate his or her own prejudices or negative assumptions about certain types of patients.

Continuing to pay individuals who have proven themselves to be less than competent in their job performance is actually rewarding poor work quality.

What should the PTA know when observing and interpreting a patient’s nonverbal communication? 

An 84-yr. old cognitively impaired person transferred from a nursing home to an acute care facility (hospital).  The patient has history of dementia. The pt has become increasingly agitated and combative in the last few days and requires minimal assistance for functional mobility; this is unusual for the patient. The patient is typically able to walk independently with a walker at the nursing home.  Laboratory test reveals a urinary tract infection. The patient is beginning to receive antibiotics for the infection. Communication with patients is an integral skill for a health care worker. The following is an example of ineffective communication with the above patient :

The ICF includes a description of the following terms: pathology, impairments, functional limitations, and disabilities. 

Generally, the higher your insurance premium, the lower your deductibles and out of pocket expenses. 

“The patient walked 50’ with rolling walker” is an example of correct documentation of gait training in the objective section of a SOAP note.