Alternative Healthcare Delivery Models and O&P - January 2014

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Alternative Healthcare Delivery Models and O&P

Feature

New healthcare reimbursement models that lean toward large organizations, coordinated and standardized care, and bundling payments are already a reality in the U. S. medical world.

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Coordinating Care from Amputation through Rehabilitation

Feature

They say no man is an island, and that is likely true with regard to healthcare professionals providing the most effective O&P care. According to the experts The O&P EDGE spoke to, the more members of a patient's healthcare team coordinate with each other, the better the patient's outcome. The O&P EDGE asked professionals from several different healthcare settings how they go about coordinating care from amputation through rehabilitation and how this improves their ability to care for their patients.

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The Influence of Goals on Early Adaptation to Lower-Limb Amputations

Feature

In addition to the physical retraining that often accompanies an acquired disability, there are a number of emotional adjustments and adaptations that need to occur as well. In many instances, the goals and aspirations that preceded the injury or traumatic event are no longer physically possible and may need to be restructured. In the world of prosthetic rehabilitation, lower-limb amputation is typically an acquired event, frequently occurring during adulthood when goals and expectations are well established.

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Pending O&P Legislation Impacts Private Insurance Coverage, Medicare, and Veterans

Feature

The current Congress has been criticized for being unproductive when comparing the number of bills passed to previous Congresses, but that has not stopped the O&P profession from seeking legislative solutions to O&P problems. There are three important bills pending in Congress that all members of the O&P community should be aware of, understand, and support by contacting and asking their Congressional representatives to advance this legislation. Each House Resolution (H.

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Benefits of International Communication

Perspective

In our busy lives, there is always an overarching sense of economy with respect to attention, activity, and financial support of professional groups. Many of us ask the question, "Why do I belong to professional groups, and what are they really doing for me?" But the question can also be asked, "What differentiates me from any other clinician?" These are common concerns among professionals who have limited time to develop professional associations, conduct research, or share opinions beyond their local groups. Creating a group of contacts beyond similar contexts provides significant differentiating qualities.

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Changing Our Language and Becoming Part of the Coordinated Care Team


The Affordable Care Act (ACA), Accountable Care Organizations (ACOs), person-centered care, coordinated care—no matter what you call it, a force is being applied to the American healthcare system unlike any we've seen in our lifetimes. That force will have an impact on the system even if it serves simply to accelerate the pace of change. But what does all this mean to the O&P community? Before we can address that, we must first ask ourselves a basic question: Do you work in an industry or in a profession? Here are definitions of the two terms from Merriam-Webster: INDUSTRY: "The process of making products by using machinery and factories.

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Are You a Great Technician?

Shop Talk

As a judge of the technical fabrication contest at last year's American Orthotic & Prosthetic Association (AOPA) World Congress in Orlando, Florida, I noticed something I hadn't really thought much about before: There are some really great technicians out there. The task was to fabricate a "prosthosis"-a device to accommodate a mid-foot amputation-and there were some really great entries. Some were more for show, some focused on function, and a few represented what I think a really great technician can do.

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Master's Program Profile Series: California State University, Dominguez Hills (CSUDH)


As evidence-based practice becomes increasingly important, The O&P EDGE is providing a series of articles to explore how the next generation of O&P professionals is being educated in preparation to begin their careers. This series of articles takes a look at the National Commission on Orthotic and Prosthetic Education (NCOPE)-accredited programs currently offering master's degrees in O&P. NCOPE accreditation promotes credibility and gives students, the public, and those within the profession confidence that the program meets the educational standards needed to effectively train an O&P professional.

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Wilma Rudolph Courage Award; ADN Hall of Fame Inductees

Sports

Stockwell Presented with the Wilma Rudolph Courage Award Melissa Stockwell, CP, was presented with the Wilma Rudolph Courage Award from the Women's Sports Foundation, at an October 2013 ceremony in New York, New York. She is the first female American soldier to lose a limb in the Iraq war; she lost her left leg due to a roadside bomb. She is a 2008 Paralympian in swimming, and in September 2013, won a silver medal in the Paratriathlon Female Tri-2 division at the World Triathlon Grand Final London, England.

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Billing and Collections Q&A

Got FAQs?

Running an O&P facility in today's landscape of enhanced scrutiny and changing billing requirements can leave even the most seasoned billing professional feeling frustrated. If you have a billing question or a question about a denial, "Got FAQs?" can help you sift through the confusion and get you the answers you need. This month's column addresses your questions about forms required for a new facility and billing for L-0631 and L-0637.

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PFA's 54th Annual Symposium & Exhibition Sets Foot in Boston


The Pedorthic Footcare Association's (PFA) 54th Annual Symposium & Exhibition arrived in Boston, Massachusetts, on October 30, 2013, the same day the Boston Red Sox clinched the World Series championship down the street at Fenway Park. The PFA's Annual Symposium & Exhibition is the largest educational and networking event in the United States that is dedicated to pedorthics. Held this year at the John B.

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Something for Everyone

Viewpoint

As The O&P EDGE enters its 12th year, we do so with a renewed commitment to provide beneficial information to our O&P professional readers, their referral sources, and their patients. In his first of six articles, Peter Thomas, JD, highlights pending O&P legislation to help keep our readers abreast of the latest happenings in Washington DC. In addition to this regular coverage, I encourage you to visit oandp.

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A Coordinated Care Model for an Orthotics Practice

Online Exclusive

The January issue of The O&P EDGE features an article about coordinated care models from amputation through rehabilitation. In this EDGE Direct exclusive, pediatric specialists Brett Boutin, CO, and Barbara Boutin, CO, who own and operate Orthotic Specialists, Phoenix, Arizona, describe their orthotic model of coordinated care.

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