Practice Guidelines In Rehab 2

A Tale of Two Guidelines – Part Deux Clinical Guidelines for Utilization Management and Authorization It was not until about 4 years ago that I learned about the second type of CPG we are going to learn about for this article.  Prior to my time working in utilization management I was very ignorant to the […]

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Practice Guidelines in Rehab

A Tale of Two Guidelines – Part One Clinical Practice Guidelines First – A HUGE Announcement !!! HUGE!  So I am using this post to go public.  This decision is HUGE. This HUGE innovation will be the best clinical combination the rehab world has ever known.  Are you ready for something huge? I have created […]

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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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