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Posts Tagged ‘Durable Medical Equipment’

Did You Know?

Monday, February 14th, 2011

There are plenty of stories of folks who, after many years of doing things a certain way, discover a much easier way to accomplish the same task. It could be a certain route they drive each day to work only to realize that by turning on “D” Street instead of the expressway they can save 15 minutes of time in the car each day by avoiding a particularly congested area of the commute.

Or how about the story of the treasure seeker spending his life looking for the mother lode only to find the most valuable treasure was in his back yard the whole time? If only he had known. If only someone had told him.

Running a business in the medical industry can be much like the two examples above. There may be a certain route you have been taking to serve the public and make a profit. But what if there were an easier route that got you more profits quicker? What if instead of looking all over the world or Internet for a goose that lays golden eggs, you had someone show a treasure you already have but just didn’t know it?

Marketing and business gurus constantly teach us that the quickest way to expand practice or business revenues is to focus on your current customer base. Specifically, to sell more to those with whom you already have a relationship of trust.

But what can you offer them without jeopardizing their trust in you? Obviously it has to be something of value to them…something they would be grateful to you for thus deepening their value and commitment for you.

Did you know that there are several highly reimbursable items with excellent patient outcomes available to you right now? They are so effective that they just might be that “easier” route to patient success and increased profits.

Take electro-therapy for example. TENS units are medically coded and have an average reimbursement of around $350 while the wholesale cost is around $30 depending on the unit. That’s over a 1000 percent markup! And TENS is proven to aid patients who suffer in pain by providing a pleasant sensation that overrides the pain within the nerve channels. It’s so effective that the American Society of Anesthesiologists recommends it as a good way to treat chronic pain. Plus there are several other electro-therapy modalities such as microcurrent, IF, EMS and galvanic that each have their own strengths. While they are not Medicare reimbursable items, many private payers will cover them. Plus there are several manufacturers that offer dual units—units that combine TENS with say, microcurrent or EMS. This way you can prescribe TENS to a patient who needs both modalities, and he/she will get the added benefit of the other.

Another highly effective and high reimbursing device is the SR 500 Decompression Back Brace which reimburses at an average of $930! Other back braces have similar reimbursement rates but only the SR 500 Decompression Brace works to treat the cause of most lumbar back pain instead of the symptom. (To learn more about it click here). The increase in patient satisfaction due to the healing and pain relief your patients experience will lead to an increase in referrals.

There are many other ways to increase your revenue from your current customer base. Billing items such as conductive garments, conductive bracing and many other products and treatment modalities are just some examples.

Before you invest a small fortune trying to increase your practice revenues by advertising to get new customers, consider the “treasure” that is lying right in your own back yard. Help your current customers by giving them more options to treat their pain and to heal. As you do you might just find what you had been looking for all along.

Microcurrent Protocols: Your Maps to Pain Free Profits and Healing

Monday, January 31st, 2011

The previous microcurrent article was an introduction. We covered what microcurrent is and what it does in general. If you missed it, click HERE to read it.

There was such a tremendous interest in that article and in microcurrent in general that we are compelled and pleased to follow it up with this article that takes a more specific look at some effective protocols.

It is important to understand that although microcurrent is the only electro-therapy that mimics the body’s own electrical current (and that is why it is so effective at healing) there are various frequencies and combination of frequencies that have been shown to effectively target specific ailments. Although microcurrent is not a one-size-fits-all-problems type solution, it has been through extensive research, trials and experiments that winning protocols have been discovered. Learning these protocols could mean significant success for your patients which will translate into significant increase in revenues as patient success and volume rises.

As with most any program or knowledge, those who have discovered these protocols don’t give them out free of charge.

Think of it this way: Someone invented the computer which is a wonderful blessing to the world. Then someone else created a software program that helps that computer become a useful tool for more people and for specific needs. (Think IBM and Microsoft). Both the maker of the computer and the creator of the program want to be paid. Same goes with the maker of microcurrent devices and with those that figure out how to harness their powers to tackle specific diseases and injuries.

While microcurrent can be used to aid the healing of many injuries, there is a short list of “no-go zones.” You need to be fully aware of them before prescribing microcurrent or using it on yourself. Outside of these areas lies a vast frontier of injury types, pains and diseases for which there are claims of microcurrent‘s miracle healing properties. Some are claimed proven improvements, some are simply observed improvements and many are just reported individual successes. Beyond these reports there is a whole lot of unknowns and thus room for more experimentation and discovery.

Two individuals who have successfully pioneered some specific protocols are Carolyn McMakin, MA, DC who is the clinical director of the Fibromyalgia and Myofascial Pain Clinic of Portland, OR; and Robert C. Beck, D.Sc., who is the inventor of the original flash strobe for photography.

Let’s take a look at each individual and what they have discovered:

Carolyn McMakin

Carolyn’s introduction to microcurrent began in the early 1990s when she learned of a Canadian osteopath that was using a rudimentary but effective microcurrent machine made in 1920. She applied what she knew about fibromyalgia and myofascial pain to what she discovered about microcurrent and through clinical trials came up with what she calls FSM (Frequency Specific Microcurrent). FSM is exactly what it says it is…microcurrent tuned into specific frequencies to treat specific conditions. And they are impressive. According to Dr. McMakin’s website, FSM is “especially effective at treating nerve and muscle pain, inflammation and scar tissue. There is a kind of fibromyalgia associated with spine trauma that is particularly painful and difficult to treat even with narcotics. There is one frequency combination, and only one frequency combination, that has been observed to eliminate pain in patients with this condition. Shingles responds very well to only one frequency combination that eliminates the pain in 20 minutes and causes the lesions to dry up and disappear in approximately two to three days. There is one frequency combination that so far has been 100% effective in eliminating kidney stone pain. This frequency combination does nothing to remove the stone; it only eliminates the pain. The frequencies have created observed effects in asthma, liver dysfunction (reducing elevated liver enzymes), irritable bowel and many other conditions. It has been observed that patients who are treated within four hours of a new injury including auto accidents and surgeries have much reduced pain and a greatly accelerated healing process.”

The site also states that a certain frequency is effective in reducing swelling as a result of sunburn on laboratory rats. McMakin is careful however to clearly state than none of the frequencies are FDA approved and she makes no claim of any cures—just observed results.

McMakin offers seminars held at locations across the country where practitioners can come to learn FSP.

Robert C. Beck

Robert (or Bob as he likes to be called) has credentials so impressive they are in company with the likes of Thomas Edison. As stated earlier, Bob Beck is the creator of flash photography—a feat he accomplished when he was still quite young. It wasn’t until later in life that he discovered microcurrent when he read an article in Science News in 1990 which reported that Dr. Kalli of Albert Einstein College of Medicine had claimed to cure the HIV virus using two wires put directly into a Petri dish of infected blood. He observed that by delivering 50 millionth of an ampere the HIV virus somehow lost its ability to attach itself to receptor cells. As Beck soon learned, Dr. Kalli filed a patent for a small device that is surgically inserted into a vein where it provides the needed current to clean the blood of pathogens. However, the device had to be surgically removed once a month so a new battery could be put in.

It occurred to Beck that it would be possible to deliver the same current from the outside of the skin…specifically at the wrist where veins are close to the surface. Thus the Beck Zapper was born for use in blood electrification. But Beck didn’t stop there. He knew that many parts of the body do not get good blood flow…such as lymph nodes. So he invented a device that would deliver magnetic pulses directly to whichever body area the patient or doctor would desire.

Use of these two devices is Beck’s version of microcurrent implementation. He later added the admonition to drink Ionic/colloidal silver (a known natural antibiotic) and ozonated water. The four practices combined constitute The Beck Protocol. Beck has many proponents willing to testify at any given moment as to the effectiveness of his regimen. But of course the government regulators disagree and consider such testimonials to be misleading.

There are other protocols out there. Simply doing a Google search for “microcurrent protocols” will reveal McMakin’s and Beck’s sites, as well as some others.

No matter your specific approach, one this is for sure: Microcurrent is a mighty current. It has shown impressive results that can help your patients heal and consequently boost your bottom line.

SRS Insight: MedTrade Atlanta a Huge Success!

Monday, November 22nd, 2010

Both CEO Steven Fontana and I (marketing director) spent this last week in Atlanta manning our booth at the MedTrade show. We were there with high expectations and despite the show’s attendance being off by some 50 percent over last year, those expectations were met in spades.

“We saw a continued interest in our SR 500 Lumbar Spinal-Air Decompression LSO Brace,” states Fontana. “In a time when the durable medical equipment industry is in turmoil with many DME suppliers are getting their reimbursements slashed and losing bids in the new competitive bidding environment, bracing is standing tall as a high reimbursement item and the SR 500 in particular is receiving a lot of attention because it is so unique and effective.”

At times the crowds at the Spinal Rehab Booth were standing room only during the 3-day show.

Also quite popular was the new Ortho TENS unit–an electro-therapy unit that has 6 body-specific presets, 2 preprogrammed universal settings that simulate IF and Galvanic, and 1 unspecified/open universal setting the patient or doctor can program as needed.

“The Ortho TENS is a magnificent unit simply because it can do so much yet it is very user friendly,” says Fontana. “It has the added benefit of being a good substitute for IF and Galvanic for those patients that need those treatments but can get them because Medicare does not reimburse for them. With the Ortho TENS they doctor can prescribe TENS therapy (which anyone in need of Galvanic or IF most likely need TENS as well) and indicate the Ortho TENS unit. The patient gets it covered and gets the treatment he or she needs. Everybody wins!”

Now that MedTrade is over we are eagerly following up on all the interest we got from the show. Additionally, we are looking forward to MedTrade Las Vegas in the Spring of 2011.

What Is the SR 500 Lumbar Spinal-Air Decompression LSO Brace, and How Can It Help Me?

Friday, October 29th, 2010

If you were to do a search online for the “SR 500” you would likely come up with some links to a Yamaha motorcycle.  You would also find the SR 500 is the given product name for a certain type of back brace, however, the SR 500 is no normal brace.  Normal braces—or braces that are “common” on the market—are constriction braces. This means exactly what the term implies…they constrict. They are designed to cinch tight around the abdomen to immobilize the area. The theory is less movement less pain.

This simple logic has been the “backbone” of back bracing theory for hundreds of years. Then in the mid 1980s a new kind of treatment started to take hold in America—spinal decompression. By the late 1990s decompression therapy had made significant advances in technology and popularity. It was about that time that a Korean Medical company asked the question: Why can’t there be a brace that produces some of the same effects as decompression therapy?

The result of that question led to the world’s first ever decompression brace. I’ll spare you the details of exactly how it evolved, but evolve it did to what is now known as the SR 500. So let’s take an inside-out look at the SR 500. What makes it unique? What makes it a “decompression” brace?

First of all, the SR 500 is not a constriction brace. It does not immobilize the spine.  When properly adorned, it actually promotes healthy movement. This helps avoid muscle atrophy which is a known side effect of the constriction back brace.

What the SR 500 does is expand vertically. In order to obtain a decompression effect, the designers created unique air chambers or cells made of a rubber bladder-like material that, when filled with air, expand upward. As they expand they cause the overall profile of the belt to grow from just 4 inches in height to over 7 inches in vertical height. As it does it lodges up under the rib cage pushing upwards and down against the pelvic girdle pushing downwards. The result is an unloading of the lumbar spine as the weight-bearing forces are offset. As this occurs, something quite magical takes place inside the spine. Discs that have been “compressed” due to an injury (such as a herniated or bulging disc) or due to a long life of poor health and poor posture (results are disc degeneration) can now “decompress.” That means they can distract or facilitate back into their original space and shape. As they do they reabsorb any lost fluids and begin to heal.

The decompression effect achieved by the SR 500 is a scaled down version of the decompression achieved on a decompression table at a qualified chiropractor’s office. Decompression tables use computer guided micro movements to target and adjust specific discs for short periods of time while the patient is on the table. This pinpointed effect has produced thousands of positive results for chronic back pain sufferers. The SR 500 offers the chance to continue decompression into the home between visits or after the therapy ends. It serves as a perfect supplement to the table treatments and it has helped speed the recovery of many patients.  It has even allowed many patients freedom from pain killers and the elimination of the possibility of spinal surgery.

Included with the SR 500 is a hand pump that has a built in pressure gauge to insure proper inflation, a owner’s manual and a laundry bag. The SR 500 is 100% machine washable. The brace also comes with a rigid front and rear panel for those individuals who need more spinal stability in the initial stages of healing.

The design behind the SR 500 is patent protected and is available by prescription only. Medicare and private insurance companies reimburse for the brace. Visit your doctor, chiropractor, physical therapist or other care provider to inquire about obtaining your own SR 500. You may want to visit www.spinalrehabsolutions.com first and print off some information to show your provider in case he/she is not familiar with this type of brace.

Back Surgery: Is It Good or a Bad For Relieving Pain?

Thursday, October 14th, 2010

If only there were a study done regarding how effective back surgery is in relation to not having back surgery. I wonder what the results would be? Maybe some day someone will conduct such a study.

Well, that someday is today! In a very thought provoking article, MSNBC contributor Linda Carroll reports on just such a study. It is a great article that tells the story of a Scottsdale, AZ woman who has endured two back surgeries only to find her pain increasing.

The article also reports on what researchers found when they combed through over 1400  patients in the Ohio Bureau of Worker’s Comp database. The results regarding back pain sufferers who went under the knife vs. those who did not are nothing less that shocking!

Read the entire article here.

6 Alternative Pain Management Trendsetters

Monday, September 27th, 2010

See if this sounds familiar: Man is in pain. Man goes to doctor. Doctor prescribes pain medication. Man feels better. Prescription runs out. Pain comes back. Man goes back to doctor. Man gets prescription renewed. Man does this many more times. Man eventually gets surgery and fixes source of pain, has a full recovery. Man no longer needs pain meds for pain, doctor discontinues prescribing them. But man still needs pain meds…because he is addicted. Man resorts to obtaining pain meds illegally. Man eventually gets caught and suffers public humiliation. Man goes to rehab and finally becomes free of his addiction.

Sound crazy? Think it is unfathomable that our great medical system could aid in the addiction of an otherwise upstanding man? See Rush Limbaugh.

The truth is hundreds of thousands of individuals are hooked on narcotic pain medications every year. And who can blame them? Pain hurts and so do withdrawal symptoms.

In the last few decades a different thought trend has emerged for dealing with pain. Appropriately called “alternative pain management,” this trend has grown into an industry providing many products and services that thousands of chronic pain sufferers rely upon on a daily basis.

A new study by David Eisenberg, M.D found that total visits to alternative medicine practitioners jumped 47% from 427 million in 1990, to 629 million in 1997 which easily topped the 386 million visits to primary-care doctors.

Here is your quick rundown on the top trends in alternative pain management.

TENS

Tens stands for Transcutaneous Electrical Nerve Stimulation. Transcutaneous (trans-kyoo-tey-nee-uhs) means “through, or by way of the skin.” TENS sends electrical impulses via electrodes or conductive garments to occupy the nerve pathways with a more comfortable sensation which overrides the pain. TENS recently was recognized by the American Society of Anesthesiologists’ Task Force on Chronic Pain Management as an effective mode of pain relief. (Read full article here.)

Chiropractics

Despite its growing acceptance even within “mainstream” medicine, Chiropractics still has its doubters. Yet it has far more advocates. Golfers and other pro sports individuals will often employ a private Chiropractor. The practice has been growing in popularity here in the U.S. since the early 80’s.

Decompression

Usually administered by a specialized Chiropractor, decompression is very effective for disc-related back pain sufferers. The patient is harnessed on a table and a computer uses micro movements to slightly expand the amount of space between the vertebrae.

Visceral Manipulation

This is practice of “massaging” internal organs and the membrane that supports them. When an organ is damaged the membrane that holds it in place can stiffen forcing the surrounding organs to move around it.  Visceral manipulation has helped thousands with ailments ranging from lower back pain to heart and lung problems.

Acupuncture

Got pain? Fix it by sticking dozens of needles in you. Sounds fun doesn’t it? Acupuncture dates way back to ancient China. It works by altering the senses of the nerves surrounding the area in pain. Reviews have been mixed as with most alternative approaches. Some swear by it, others get nothing out of it.

Yoga

Combining the art of meditation and stretching, yoga is the ultimate heal-yourself approach to dealing with pain.  There is no shortage of believers either. But like most alternative approaches, science can’t find any solid evidence to back up the claims of the thousands who swear by it.

There are many other alternative approaches to managing pain in addition to these front runners.  If you are in pain it may be in your best interest to try some of these remedies first before accepting a potential addictive regimen of pain killers. Who knows, you may even be able to avoid a surgery and improve your overall health. And good health is the number one preventative medicine to keep you out of pain in the first place!

Back Pain Half Truths

Tuesday, September 14th, 2010

SRS Insight: Training at Freedom Medical

Thursday, August 19th, 2010

Steve Fontana, our fearless leader, boss and CEO  here at Spinal Rehab Solutions, Inc., spent this lovely morning at the offices of Freedom Medical doing a training. He just returned and reports that everything went well and is excited about Freedom’s enthusiasm to start proactively representing the SR 500 Brace here in the Las Vegas metro area. Welcome to the SRS family Freedom!!

Fraud Hearing: Same Old Same Old Irks Providers

Monday, June 21st, 2010

WASHINGTON—After years of trying to educate legislative and regulatory bodies about the home medical equipment industry, the HME community was disheartened Tuesday when representatives of regulatory agencies appearing at a congressional hearing trotted out the same errant examples of Medicare overpayments to providers and cited competitive bidding as an anti-fraud measure.

Rep. Pete Stark, D-Calif., chairman of the House Ways and Means Health Subcommittee on Health, and Rep. John Lewis, D-Ga., chair of the Oversight Subcommittee, convened the hearing to “examine the administration’s efforts, as well as the enhanced tools and resources, to fight fraud contained in the Affordable Care Act,” Stark said.

Officials from CMS, the General Accountability Office, the Health and Human Services Inspector General and the Department of Justice had an opportunity to lay out their agencies’ plans for combating fraud and abuse in the massive government program.

It was a remark by Kathleen M. King, director, health care, for the GAO, that particularly stung HME stakeholders.

“Congress has directed CMS to implement a competitive bidding program for DME, which could also help reduce fraud, waste and abuse because it authorizes CMS to select suppliers based in part on new scrutiny of their financial documents and other application materials,” she said.

That prompted swift rebuttals from the Accredited Medical Equipment Providers of America, the VGM Group and the American Association for Homecare.

“It’s very frustrating that they are promoting competitive bidding as an anti-fraud measure,” said AMEPA President Rob Brant, who attended the hearing. “We hope that [legislators] can see past that and see that … limiting providers is not the answer. It is not the solution.”

By industry estimates, up to 90 percent of providers in the competitive bidding areas could be locked out of the Medicare program.

“To characterize the bidding program as a mechanism for stemming fraud is extremely misleading,” said Tyler Wilson, president and CEO of AAHomecare. “The real solution to keeping criminals out of Medicare is better screening, real-time claims audits and better enforcement mechanisms for Medicare.

“In setting the record straight, we want to make sure the government acknowledges that it has done a poor job in enforcement of up-front controls that would otherwise keep criminals from defrauding Medicare and tarnishing the name of legitimate home medical equipment providers,” he added. (View AAHomecare’s anti-fraud legislative plan.)

King did indeed acknowledge that, saying that “CMS has not taken sufficient steps to prevent entities intent on defrauding Medicare from enrolling in the program.”
She said CMS itself has estimated that it made improper payments exceeding $24 billion in 2009 for Medicare fee-for-service.

She ticked off five areas in which CMS must improve in order to combat fraud, waste and abuse effectively: strengthening provider enrollment process and standards; improving pre-payment review of claims; focusing post-payment claims review on most vulnerable areas; improving oversight of contractors; and developing a “robust” process for addressing identified vulnerabilities.

Oxygen Singled Out Again
Several agencies cited the accreditation and surety bond requirements as effective tools for discouraging DME fraud. Those mandates along with other enrollment requirements and unscheduled site visits helped to reduce the number of suppliers enrolling in the Medicare program in 2009 by nearly 15 percent from 2008 levels, according to Kim Brandt, CMS’ director of Medicare Program Integrity.

“Combined, these efforts have resulted in a reduction of more than 16,000 suppliers being removed from the Medicare program in 2009 without any impact to beneficiary access to care,” she said.

Lewis Morris, chief counsel for the OIG, also upset stakeholders when he used oxygen as an example of Medicare’s paying too much for services and products.

“In 2006, Medicare allowed approximately $7,200 in rental payments over 36 months for an oxygen concentrator that cost approximately $600 to purchase. Beneficiary coinsurance alone for renting an oxygen concentrator for 36 months exceeded $1,400 (more than double the purchase price),” he said.

Lewis made no mention of the 36-month oxygen cap that has been in place since last year. (View Lewis’ full testimony in PDF format.)

That grabbed VGM’s attention.

“While the primary focus of the nearly three-hour meeting was curbing fraud in the Medicare program, oxygen providers must once again go on the defensive and educate their elected officials on the costs of providing services associated with the Medicare home oxygen benefit,” officials said in a legislative update.

“A 2006 study (the same time period cited by Mr. Morris) by Morrison Informatics suggested that the average cost of providing equipment, supplies, and services for an oxygen patient exceeded $200 per month,” the update said.

AMEPA’s Brant said he would like a hearing just on oxygen so the industry could spell out what is entailed in providing it.

“There still is this fight with having them recognize that we provide a service,” he said. “Medicare is paying for a vehicle but they are not paying for the gasoline for the vehicle. They never talk about portable gas, or the $28 a month we get for oxygen and that could cost the provider several hundred dollars depending on what the patient needs. They never talk about liquid or portable systems or all the services we do to take care of the patients.”

Referring to CMS’ estimate of a near-15 percent drop in provider enrollment in Medicare, Brant said the number in South Florida, where he runs North Miami Beach-based City Medical Services, is more than 50 percent just for oxygen providers.

“We had 401; now we have 196 oxygen providers,” he said, adding that many were forced out of business by stiffer standards such as a mandate to have a respiratory therapist on staff.

Despite the wide-of-the-mark assertions by regulatory officials at the June 15 hearing, however, Brant said he believes the industry’s efforts to educate legislators have made a difference.

“The legislators have been educated, and they realize that with accreditation and the mandatory surety bond, HME has turned the page,” he said.

(This article courtesy Home Care Magazine, Monday Update. www.homecaremag.com)

Task Force to Address ‘Audits at Every Turn’

Monday, June 21st, 2010

ARLINGTON, Va.—The American Association for Homecare said last week it is forming a task force to address the increasing number of audits facing HME providers.

The new task force will look at the problems with HME claims that have been identified by a string of auditors, including ZPIC, CERT, OIG, RAC and DME MACs. The goal of the project, the association said, is to ease the growing impact of numerous audits and get “clear and defined rules that HME providers can follow in order to submit claims that can withstand the audit process.”

“Audits are strangling many, many good home care providers,” said Walt Gorski, AAHomecare vice president of government affairs. “When more than half the HME sector is cited for failing to comply with the rules, we believe the rules are broken and need to be fixed. Seen from a different perspective, the government is overturning physicians’ judgment more than half the time.”

The task force will be charged with developing a strategy that encompasses legislative solutions, regulatory remedies, education, outreach to increase stakeholder awareness and public relations to highlight the burdens that an “audit at every turn” creates.

Outreach efforts will include working with physician and other clinical organizations to educate providers who order or refer HME items and services about appropriate documentation to meet the medical necessity requirements in CMS coverage policies, the association said.

Source: http://homecaremag.com/operations/billing_reimburse/audit-task-force-20100621/