The Baby Accommodating Practice, by J.G. Colburn, Colorado Springs, CO: Three Leaf Press; 2011, softcover, 126 pp, ISBN: 978-0-983-50330-9, $37.95.
The columnist provides a guidebook for alpha a abandoned convenance that caters to children. Colburn states she wants to booty the abstruseness out of medical allowance announcement and coding for Pediatric Physical Therapists (PTs), Occupational Therapists (OTs), and Speech Accent Pathologists (SLPs). Although her examples focus on pediatric clientele, any practitioner would acquisition the accessible step-by-step admonition advantageous for billing. This easy-to-read book contains a abbreviate introduction, 11 chapters, acknowledgments, 12 appendices, a comment and definitions of acronyms, and an index. It is accounting as if Colburn was sitting aing to the clairvoyant and talking through anniversary section.
In the introduction, the columnist explains her accomplishments and states she uses her accumulated ability to abridge the action of medical documentation, billing, and coding. In Affiliate 1, A medical announcement and affidavit adviser for pediatric rehabilitation therapists, Colburn begins the action by analogue the accomplish bare to get paid. The blow of her chapters, explain anniversary of the accomplish in added detail. Afterwards account Affiliate 1, the clairvoyant will appear abroad with the ability all-important to accomplish the accommodation to alpha a baby home-based business or not, from the angle of reimbursement. Colburn makes it bright that anniversary practitioner needs to be a able PT, OT, or SLP and needs to apperceive the accompaniment laws for the accompaniment in which the convenance will occur. Affiliate 1 additionally clarifies the accent of Bloom Allowance Portability and Accountability Act standards and cyberbanking announcement to agreement policies, which has fabricated it easier for the practitioner to apprentice 1 set of announcement and agreement rules.
Chapter 2, Understand your patient’s healthcare plan, explains the allegation to acquaintance a abeyant patient’s allowance aggregation afore starting services. Specific admonition bare by the practitioner afore contacting the allowance aggregation is provided forth with a sample anatomy (Appendix A: Intake Allowance Information). Specific questions to ask the allowance aggregation adumbrative are additionally provided with a sample affidavit anatomy (Appendix B: Accommodating Allowance Plan Data). The columnist offers applied admonition about what not to accompaniment in this buzz contact. Specifically, Colburn helps the clairvoyant accomplish the bright acumen about accouterment outpatient affliction in a patient’s home against actuality a Home Healthcare Agency. The blow of this affiliate presents the pros and cons of arrangement account provision.
In Affiliate 3, Required and Recommended Elements of a Accommodating Record File, Colburn identifies abstracts that are all-important and adapted to abridge in anniversary patient’s file. Important requirements are the Signed Permission to Bill and Permission for the Payer to Pay the Practitioner Directly (Appendix C) and Acknowledgement of Receipt of Privacy Notice (Appendix D). Recommended documentations accommodate all acquaintance information, arbitrary of bloom allowance action requirements, and annal of payments.
Chapter 4, Documentation, begins with the admonition that “most healthcare allowance payers are accustomed with and accept adopted or adjourn to the CMS Chiral …for account accouterment and this includes documentation” (p25). Colburn provides the Web abode for this chiral accurately citation affiliate and sections for accordant affidavit guidelines. Throughout this chapter, the columnist clarifies the differences in terminology, but commonality of absorbed amid Medicare and archetypal accent acclimated by a pediatric therapist such as “certification” against physician referral. She succinctly explains the allegation for absolution for casework that are medically all-important authoritative the acumen from the absolution for casework provided in schools or Aboriginal Intervention. In the area on Required Elements of the Appraisal (Appendix E), Colburn’s aboriginal point is that the articular analysis diagnosis/disorder is the key to whether a payer will awning services. She explains that International Classification of Diseases, Revision 9 (ICD-9), codes (condition descriptors such as “difficulty walking” or “muscle weakness”) are the analysis diagnoses/disorders. Colburn makes it clear, through examples, that this medical appraisal allegation be botheration focused. The blow of this affiliate addendum the differences amid a reevaluation, advance report, analysis agenda (Appendix F), and acquittal note.
Chapter 5, Announcement for Outpatient Pediatric Rehabilitation Services, is a step-by-step adviser to commutual the affirmation anatomy CMS-1500 (Appendix G). This is the anatomy or its slight variations acclimated for all billing. Colburn begins this affiliate with applied admonition by anecdotic the Web armpit area this anatomy can be acquired chargeless of allegation and addendum that abounding allowance payers accommodate online admission to their forms chargeless of charge. The blow of the affiliate is absolute admonition for bushing out anniversary box (identified by number) on the form. If the clairvoyant feels added admonition is needed, the Web abode and specific folio that offers added abundant instructions for bushing out the anatomy are included in this section.
In Affiliate 6, Coding for Diagnoses and Services, the purpose of the ICD-9 codes is explained in added detail. The alpha of this affiliate food a Web abode for award added ICD-9 codes, but offers specific examples that generally administer to pediatric clients. The aing area provides examples for announcement of timed treatments application Current Procedural Analogue (CPT) codes. Colburn identifies accepted CPT codes acclimated by PTs, OTs, and SLPs, but addendum that a practitioner may allegation to accretion admission to a adapted CPT codebook for added information. Afterwards accouterment the account from the Department of Bloom and Human Casework of the announcement rules, sometimes alleged the Rule of 8, Colburn provides 5 altered examples of adapted announcement based on the cardinal of account of account provided. Added admonition in this affiliate includes how to use cipher modifiers and what to do to abstain denials and accusations of fraud.
Chapter 7, Account the Account of Benefits, explains the purpose of this document, which should accompany anniversary acquittal from the bloom affliction payer. Colburn explains accepted agreement acclimated in the account of allowances such as “amount allowed,” “amount paid,” “amount billed,” and coinsurance against copayment. This affiliate ends with applied admonition about a accepted aberration apparent on the account of allowances and how to dness this issue.
In Affiliate 8, Announcement the Patient, Colburn clarifies why anniversary accommodating allegation be billed, stresses the bendability in announcement per code, suggests pros and cons of a cash-based practice, and provides a architecture for the patient’s bill (Appendix J).
Chapter 9, Diction for Medical Records, emphasizes the accent of admonition in writing. It begins with words or phrases, such as acoustic integration, that are red flags to medical allowance companies for nonpayment. Colburn provides assorted examples of actual diction that explain problems addressed by PTs, OTs, or SLPs including affliction for accouchement with accelerating disorders.
Chapter 10, blue-blooded Troubleshooting, presents admonition about absolution of adaptive equipment, belted cardinal of visits, acquittal denials, overpayments, and bereft payments. In Affiliate 11, Your Office and Your Practice, Colburn offers suggestions for accessories and scheduling forth with admonition about no shows. She gives added admonition about analogue affectionate responsibilities accompanying to casework (Appendices K and L). Colburn completes this affiliate by discussing the affair of advantageous yourself.
In accession to the appendices acclaimed beforehand there is an archetype of a letter that may be beatific to the bloom affliction payer apropos incorrect processing of a affirmation (Appendix H) and the admonishing from the US Department of Bloom and Human Casework apropos abandonment of payments (Appendix J). The practitioner will acquisition all forms included in the appendices all-important and advantageous to adapt practice.
This guidebook assists any pediatric rehabilitation therapist, who wants a home-based business, by anecdotic the accomplish to acceptable a abandoned practitioner with accent on the processes for medical announcement and coding. Its affluence of readability makes it a acceptable book for acceptance acquirements the processes of medical billing, coding, forth with agreement and acronyms. Even admitting the focus was on a pediatric practice, any practitioner who wishes to activate announcement for casework would acquisition it a advantageous reference.
Karen M. Kott, PT, PhD
Old Dominion University
The Cowden Preautism Observation Inventory: With Effective Action Activities for Acoustic Motor Dispatch and Collective Attention, by Jo E. Cowden, PhD, Springfield, IL: Charles C. Thomas Publisher Ltd.; 2011, paperback, 206 pp, 98 illustrations, ISBN: 978-0-398-08643-5, $43.95.
The primary purpose of this book is to access acquaintance of behaviors that accouchement may acquire afore a analysis of autism so that action may activate as aboriginal as possible. To accomplish this, the columnist (Cowden) developed the Cowden Preautism Observation Inventory (CPAOI) for use with breed up to 12 months. Cowden’s additional purpose in autograph this book was to accommodate action suggestions for accouchement doubtable or diagnosed with autism. The columnist recommends the book for both parents and professionals.
Comprised of 11 abbreviate chapters, this book can be apprehend adequately quickly. Anniversary affiliate is burst bottomward into sections with abundant photographs to allegorize key points. A abbreviate addendum on baby neurology and a account of adapted readings is included. In addition, a CD-ROM is provided as a supplement for a printable adaptation of the CPAOI.
Chapter 1, Understanding Autism, gives the author’s analogue of preautism and presents the CPAOI in full. The CPAOI is a criterion-based empiric account absolute 166 items that parents complete. It is not a connected apparatus or meant for diagnosis. The items are breach into 9 categories including: cognition/prelanguage, social-communicative play, acoustic motor abilities (including the beheld system), audition system, concrete system, vestibular-kinesthetic systems, axial afraid arrangement ability and alteration reactions, adorning movements, and accomplished motor. Although the account does accommodate abounding adapted items for observation/assessment for accouchement at accident of autism, abounding of them are not adapted for affectionate appraisal such as reflexes and beef tone.
Chapter 2, Academician Plasticity, is a abrupt accession to the affair of neuroplasticity highlighting the abeyant for change aural the afraid system. The columnist postulates the academician reorganizes itself in acknowledgment to assorted variables such as acoustic stimulation, new experiences, and substitution. The accent of aboriginal action for accouchement with autism is emphasized to aerate abeyant for change.
Chapters 3 through 5 are focused on the analytic manifestations of “preautism.” Affiliate 3 presents a altercation of accessible mechanisms, causes, and associated medical altitude that may be apparent in accouchement with autism such as aberrant academician development, prematurity and low bearing weight, bearing asphyxia, respiratory ache syndrome, hyperbilirubinemia, seizures, and moebius mouth. Absorption should be taken back account this as it may advance readers to accept that all breed built-in anon or with medical complications may advance autism. Affiliate 4 reviews the signs and affection the columnist lists as “behaviors that may be eventually acclimated for analysis of breed with preautism.” These behaviors are items on the CPAOI checklist. Again, absorption is adapted as parents (or bloom professionals added than physicians) cannot accomplish the analysis of autism. Affiliate 5 provides a abrupt overview of visual, auditory, tactile, vestibular, and kinesthetic systems and their accessible accord to preautism.
Chapters 6 through 11 are focused on action strategies. Affiliate 6 lists adapted account for action strategies apropos behavior management. It is a actual abrupt glimpse into a complicated affair that abounding accouchement with autism face. Affiliate 7 gives recommendations for action strategies for areas such as beef tone, reflexes, abetment of movements, calm reactions, concrete dispatch for warm-up, relaxation, flexibility, and allocation of adherence and mobility. The columnist states the interventions should be called alone afterwards adorning assessment, or application the CPAOI. Affiliate 8 gives accepted admonition about acoustic systems (tactile, vestibular, visual, auditory, kinesthetic), followed by a account of activities to complete for anniversary system. Unfortunately, the affiliate does not explain how a absolute appraisal of acoustic processing by accomplished professionals application able appraisal accoutrement allegation booty abode afore allotment interventions, authoritative this potentially ambagious for parents who may aces inappropriate activities for their child. Affiliate 9 gives a arbitrary of the assignment the columnist has done with her ameliorative benumbed affairs over the aftermost 25 years. She believes ameliorative horseback benumbed is one of the best means to body collective attention, amusing communication, and acoustic motor abilities for accouchement with preautism and autism. Affiliate 10 was advised to accommodate contest and activities to improve/address low tone. Instead, it gives added of a focus on beef deepening and motor development. While abounding of the descriptions and activities are adapted for adolescent children, they do not necessarily abode the botheration of low tone. The clairvoyant is cautioned to bethink that beef backbone and beef accent are not the same. Affiliate 11, Activities for Reflex Affiliation and Decreasing Beef Tone, additionally leads the clairvoyant to anticipate that this affiliate will accommodate interventions that will abode hypertonicity. Again, although there are abounding acceptable pictures and descriptions of activities, they focus added on deepening and development. Likewise, the affiliate proposes activities that will facilitate reflex integration. There is no affirmation provided to abutment this concept.
The columnist brings up a actual acceptable point apropos aboriginal appraisal of autism. Actual generally there are signs and affection apparent in breed who are after diagnosed with autism. Her book encourages parents to be acceptable assemblage of these accessible indicators of autism to apostle for aboriginal analysis and analysis and provides a account (CPAOI) of these behaviors. Several things gave me abundant concern, however, back account this book. First, parents are not accomplished professionals and do not accept the apprenticeship and acquaintance to appraise reflexes, beef tone, or adorning skills, or in designing a plan of care. Throughout the book, they are encouraged in some way to do this. Second, there is a abridgement of affirmation to abutment abounding of the interventions described. These activities/exercises are not “one admeasurement fits all,” which is what abounding parents may accept back account the book. Finally, the use of the CPAOI should be bound as it is a new apparatus that has not gone through accurate testing for authority and reliability.
In conclusion, admitting this book does accept some accurate account and information, its use should be bound and parents should be cautioned to abstain authoritative a analysis and developing a plan of affliction that may not be adapted for their child.
Deborah Nervik, PT, MHS, DPT, DHS, PCS
Franklin Pierce University, Concord, New Hampshire
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