Polio/Post Polio Syndrome/Non-ambulatory/Ins Coverage
Schwelke, Eric
Description
Collection
Title:
Polio/Post Polio Syndrome/Non-ambulatory/Ins Coverage
Creator:
Schwelke, Eric
Date:
1/15/2019
Text:
All:
As a f/u to my above post, I received this definition from a responder:
ambulation
a nursing outcome from the Nursing Outcomes Classification (NOC) defined as ability to walk from place to place independently with or without assistive device.
I would argue that a justification could be made that ability to walk from place to place independently with or without assistive device would include 1-2 steps if that is what it takes for the patient to utilize the bathroom or go from the kitchen table to the sink. Those steps can be dangerous and costly to all stakeholders without the orthosis,.
It seems to me that this is not clear, but a fuzzy aspect of the clinical eval and subject to interpretation by payers.
Would anyone care to comment further?
Eric
Eric Schwelke CPO LPO, Director
Kessler O & P Services
11 Microlab Road
Livingston, NJ 07039
Direct Tel: 917 337 7557
Office Tel: 973 863 4231
Direct Fax: 717 635 3920
Success in Motion
[Kessler Institute Best Hospitals Banner]< <URL Redacted>> Kessler Institute is proud to be recognized by U.S. News & World Report as one of the top rehabilitation hospitals in the nation - and the only center of its kind in New Jersey. This marks the 26th consecutive year that Kessler has been named to the prestigious America's Best Hospitals list.
Note: The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you.
As a f/u to my above post, I received this definition from a responder:
ambulation
a nursing outcome from the Nursing Outcomes Classification (NOC) defined as ability to walk from place to place independently with or without assistive device.
I would argue that a justification could be made that ability to walk from place to place independently with or without assistive device would include 1-2 steps if that is what it takes for the patient to utilize the bathroom or go from the kitchen table to the sink. Those steps can be dangerous and costly to all stakeholders without the orthosis,.
It seems to me that this is not clear, but a fuzzy aspect of the clinical eval and subject to interpretation by payers.
Would anyone care to comment further?
Eric
Eric Schwelke CPO LPO, Director
Kessler O & P Services
11 Microlab Road
Livingston, NJ 07039
Direct Tel: 917 337 7557
Office Tel: 973 863 4231
Direct Fax: 717 635 3920
Success in Motion
[Kessler Institute Best Hospitals Banner]< <URL Redacted>> Kessler Institute is proud to be recognized by U.S. News & World Report as one of the top rehabilitation hospitals in the nation - and the only center of its kind in New Jersey. This marks the 26th consecutive year that Kessler has been named to the prestigious America's Best Hospitals list.
Note: The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you.
Citation
Schwelke, Eric, “Polio/Post Polio Syndrome/Non-ambulatory/Ins Coverage,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/209316.
