OANDP-L] FW: [OANDP-L] APTA Comments on DMEPOS Quality Standards
Hal
Description
Collection
Title:
OANDP-L] FW: [OANDP-L] APTA Comments on DMEPOS Quality Standards
Creator:
Hal
Date:
12/7/2005
Text:
I have to agree with Mr. Rhodes on this, ( and I am glad to). I am
constantly teaching PT's about prosthetic sock management. This is the most
basic principle of a comfortable fitting prosthesis. Residual limbs change
especially newly amputated ones. Another case---recently I was called about
a TF prosthesis I had fit. The nursing home told the physician that the
prosthesis didn't fit. I will skip all of the details but suffice it to say
the PT was fitting a suction TF prosthesis without a pull sock or a
lubricant,(liquid powder,etc). Not only that, they didn't know what a
suction suspension socket was or what the valve was for. The prosthesis fit
fine with no pain as it had during initial delivery. Wait---I'm not
through---The same patient was sent to a PT unit at a hospital for inpatient
PT for for intensive, specialized, PT and gait training. I was called
again--- I was told the prosthesis doesn't fit. I went to the experts and
found out that at least they had used liquid powder----and a five ply sock.
This is an everyday occurrence. Physical Therapists are NOT Prosthetists or
Orthotists. All I have is a skill and a desire to give those that are
physically challenged the best that they can have. I don't have money or the
resources to educate the payers that Ms. Sheredos is wrong. I agree that we
need to work together, but only as a team, within each organization's scope.
I'm not even going to go into the many hours of gait training and follow-up
I do that is not chargeable that PT's charge for after delivery of the same
HCPCS code.
Hal Wolgamott, C.P., F.A.A.O.P.
-------Original Message-------
constantly teaching PT's about prosthetic sock management. This is the most
basic principle of a comfortable fitting prosthesis. Residual limbs change
especially newly amputated ones. Another case---recently I was called about
a TF prosthesis I had fit. The nursing home told the physician that the
prosthesis didn't fit. I will skip all of the details but suffice it to say
the PT was fitting a suction TF prosthesis without a pull sock or a
lubricant,(liquid powder,etc). Not only that, they didn't know what a
suction suspension socket was or what the valve was for. The prosthesis fit
fine with no pain as it had during initial delivery. Wait---I'm not
through---The same patient was sent to a PT unit at a hospital for inpatient
PT for for intensive, specialized, PT and gait training. I was called
again--- I was told the prosthesis doesn't fit. I went to the experts and
found out that at least they had used liquid powder----and a five ply sock.
This is an everyday occurrence. Physical Therapists are NOT Prosthetists or
Orthotists. All I have is a skill and a desire to give those that are
physically challenged the best that they can have. I don't have money or the
resources to educate the payers that Ms. Sheredos is wrong. I agree that we
need to work together, but only as a team, within each organization's scope.
I'm not even going to go into the many hours of gait training and follow-up
I do that is not chargeable that PT's charge for after delivery of the same
HCPCS code.
Hal Wolgamott, C.P., F.A.A.O.P.
-------Original Message-------
Citation
Hal, “OANDP-L] FW: [OANDP-L] APTA Comments on DMEPOS Quality Standards,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/225872.
