The 80/20 Rule

The 80/20 Rule Of Managed Care By the raise of hands how many have ever been in a car accident?  No hands? Oh…yeah, I won’t be able to see hands raised in a blog post.  Well, let’s just assume that most of you have. What maybe around 80%?  The rest that have not, likely know […]

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Top 7 Mistakes Made In Utilization Review

When the utilization manager makes the ‘faux pas’ Before I write any further articles I really want to make something perfectly and publicly clear.   I MAKE MISTAKES More specifically, even in physical therapy clinical review I have made mistakes.  Mistakes are made everyday in rehab authorization review. As much as we in utilization management […]

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Skilled Maintenance Care

It Takes The Skill of a Ninja Ninjas!!  That’s right, I got help from ninjas for this article.  All the other rehab blogs can just “suck-it” (like Shawn and Gus ‘Pysch’ style suck-it) because none are cool enough to hang with ninjas.  A Witty PT works hard to bring you the absolute best strategies for […]

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Top 8 Reasons Care Was Denied

Part 1, Reasons 1-4 “This is not a time for tact” Certain situations call for just the right amount of tact: Trying out a new anatomy based pick-up line at your next rehab conference “You know what muscle causes the lateral rotation of my cervical spine? Your gluteus maximus”; Your patient starting to explain their […]

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Medical Necessity In Rehab

Two Important Words Before I go too deep into the world of rehabilitation utilization and clinical review I think it important to establish an understanding of one very key phrase: Medical Necessity.  Just about all decisions involving the health care of an individual revolve around those two words. You would think, that with basically two […]

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A Day In The Life

of a physical therapy clinical reviewer Part 1 Sing-A-Long To the tune of “A Day In The Life” by John Lennon/Paul McCartney.  Lyrics by me 🙂 I was in the news today, oh boyJust a lucky man who made the gradeAnd though the news was rather gladWell, I just had to laughI saw the photograph I blew […]

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