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  • 2015-09-September

Essential Anatomy 5


A valuable 3-D anatomical model at your fingertips.

By Emily Monson, PT

The Essential Anatomy app is the perfect tool to replace your 2-D model. It is interactive and easy to use, and is the perfect app to have at your fingertips when at the clinic.

The app is easy to navigate. With simple on and off buttons for each body system, you can pinpoint the exact part you want to see. You can turn on as many as seven layers of systems at a time, which is useful for seeing how parts and systems interact and work together. You can fade layers as needed, making the 3-D model realistic by allowing you to see in even more detail. Also, through the zoom in and out and drag and drop features, you can set up a model to view from a specific desired angle.

I find that this app is helpful especially when learning more about a patient’s surgery or condition, as it shows specific details. You can also bookmark certain models you create and personalize to make it easier to return to certain patients or conditions.

The app is under one dollar, which is very reasonable for the amount of information available and numerous ways it allows you to explore the human anatomy. You can also purchase add-ons. These add-ons include Muscle System Plus, which allows you to explore muscle origins, insertion points, and blood flow, as well as Skeletal System Plus. Both of these add-ons have animated models, which make for even more ways to view the systems.

What Is Your Game Plan?


Be careful not to treat your practice as a commodity.

By James Glinn, PT, DPT, OCS

In the late 1960s and early 1970s kids actually “traded” baseball cards. I can recall all sorts of amazing trades taking place, oftentimes with large lots being swapped in multiple item deals. There were small reptiles, marbles, skateboards, bikes, and, of course, all sorts of sports cards. Oftentimes you would see new unopened packs traded with fervor with the acquirer paying handsomely for the chance at what might be inside. Every once in a while some kid would screw everything up by flooding the market. Maybe a grandmother would buy someone a whole box of sport cards or an older brother would hand down boxes of curated cards. Trades would go sideways and the stakes would change. Sometimes the cards in one’s collection would plummet in “value” when a big brother handed down four or five Steve Garvey cards. The emotions of the trades and the ever-changing market were exciting and one never knew what might come next. Everyone had at least one card that was “special,” had more inherent value for some reason. You could never get that card. It might have been a card seemingly worthy of only sticking through the spokes of a bike, but to that cardholder, for their own reasons, it was special.

The cards started to lose their luster for me when the blowhards entered the scene. Sports card shops and shows gained in popularity, and the blowhards spouted about dollars rather than double plays. It seemed the inherent magic slowly dwindled, and, over time, so did the sports card market magic. All along the path of diminished interest were blowhards barking about how much money a card could be worth, seemingly oblivious to the magic. Baseball cards became another commodity…

Cardiac Conditioning


Making exercise your clinic’s medicine.

By Carl DeRosa, PT, PhD, FAPTA

Private practice physical therapy has historically centered on orthopedic conditions with referrals for musculoskeletal care targeted toward orthopedic and family practice physicians. Expansion of physical therapy practice is often viewed in the context of ancillary services; that is, massage, Pilates, yoga classes, orthotics fabrication, etc. While these and other ancillaries increase the menu of services and generate revenue, they typically do not contribute to building new or strengthening current referral relationships. Such ancillary ventures rarely contribute to gaining a foothold into larger referral network enterprises. This is especially important in an era of population health and increasing attention to wellness.

The purpose of this article is to provide an overview of a Cardiac Conditioning and Wellness approach to practice expansion. This is a model developed to enhance referral and collaborative business relationships with cardiology, internal medicine, and family practice physicians, as well as other provider specialties. More important, however, we view it as an opportunity to better position the practice to meet the triple aim of health care, and thus be recognized as a potential vital cog in the larger local community’s health enterprise. One of the triple aims is improving the health of the population. This is strongly coupled to the emerging Population Health mandate—the focus on not just minimizing the total cost of care, but also on enhancing the overall health status of a population by supporting wellness at the earliest practical point in the care continuum. Providers of the future will clearly need to develop strategic alliances to position themselves to go above and beyond simply providing individualized care; instead we need to focus on defining their contribution to the overall health of the patient.

Streamline & Simplify Practice Management for Increased Productivity


The “5S” method helps to overcome the management and organizational challenges that private practice physical therapy clinics face every day.

By John Carpenter, CPA and Larry Briand, MS, PT, ATC

As both a clinic and a small business, private practice physical therapy clinics face management and organization challenges every day. Since most aspiring physical therapists go to college to focus on becoming clinicians and not businessmen and women, it can be difficult to effectively run all aspects of a private practice while still being able to spend the most time where it counts—with patients.

It is important to realize that although we may be clinicians, we still have to develop our management arm. Many aspects of our clinic are affected by management—both good and bad—and being able to effectively manage a clinic can either make or break you.

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“5S” is the name of a workplace organization method that uses a list of five Japanese words as a guide: seiri, seiton, seiso, seiketsu, and shitsuke, which translate, respectively, into sort, straighten, shine, standardize, and sustain. This method, intended to enhance operations and efficiency on a daily basis, uses simple and easily implemented ideas to achieve high levels of quality, safety, and productivity. By organizing both your mind and workspace, you will be able to spend more time on patients and less on all the other things.

Additional Documentation Request


Doing it right the first time.

BY Mary R. Daulong, PT, CHC, CHP

There are many reasons payers request additional documentation, and it is critical that providers understand the importance of an orderly and timely response. An Additional Documentation Request (ADR) is typically a result of a payer’s probe or edit, which may be specific to a provider, a service, a payment threshold, a Current Procedural Terminology (CPT) code, or International Classification of Disease, 9th Edition code (ICD-9). However, an ADR from the Comprehensive Error Rate Testing Contractor (CERT) is based solely on a random sample. Regardless of the reason for the ADR, providers must take a request seriously and establish it as a high priority.

You mitigate your risk of not responding to an ADR if Medicare correspondence is separated from regular mail and is promptly given to the practice owner or his/her designee. The correspondence should be carefully reviewed noting the response/receipt timeframe as well as the information requested. Any and all communication with the auditor regarding the ADR should be documented and dated for future reference, if necessary. Swift action should be taken in response to the ADR starting with a thorough review of the record(s) requested.

While a record should never be altered after a record request is received, a provider may add documents that have not been filed or scanned prior to submitting the records for review. If a record is not legible, it along with an identical transcription of the record, may be submitted. Special attention must be made to identify the transcription as a post-ADR entry highlighting the transcription date.

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