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Recent waivers by CMS that allow for limited digital communication with patients have triggered a wave of questions. Here are our answers to the ones we hear most often.
APTA is receiving many questions about the recent regulatory waivers announced by CMS related to digital communication between providers and patients, particularly regarding e-visits and the use of HCPCS codes G2061-G2063. We’ve compiled this list of the most common questions we’ve received so far.
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This issue of NARCOMS Now spotlights some current research on falls and fall prevention in people with multiple sclerosis (MS). While we focus on a study of falls among people using wheeled devices, fall prevention is
relevant to anyone, especially people with health issues that affect mobility and balance.
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Susan E. Bennett, PT, DPT, EdD, NCS, MSCS; Patricia Bednarik, MS, CCC-SLP, MSCS; Patty Bobryk, MHS, PT, MSCS, ATP; Christine Smith, OTR/L, MSCS
CME/CNE Release Date: October 31, 2015; Expiration Date: October 31, 2016
A multi-dimensional, comprehensive care approach is advocated to promote positive outcomes for individuals with MS, and rehabilitation is an integral part of comprehensive MS care. There is a documented need for improvements in rehabilitative services, including incorporation of standardized measures for the evaluation and ongoing assessment of persons with MS, increased awareness for the signs and symptoms of a change in patient status, and a need for patient engagement in identification of rehabilitation goals and treatment strategies. Increased collaboration and communication between disciplines is needed to fully realize the goals of MS rehabilitation and optimize quality of life for those with MS.
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J Rehabil Res Dev. 2008;45(9):1361-73.
Home-based physical telerehabilitation in patients with multiple sclerosis: a pilot study.
Finkelstein J, Lapshin O, Castro H, Cha E, Provance PG.
Multiple Sclerosis Center of Excellence, Baltimore Department of Veterans Affairs Medical Center, Baltimore, MD, USA. firstname.lastname@example.org
This study assessed feasibility and patient acceptance and estimated the magnitude of the clinical impact of physical telerehabilitation in patients with multiple sclerosis (MS). We recruited 12 consecutive patients with a known diagnosis of MS. Each patient received a custom-tailored rehabilitative exercise program prescribed by a physical therapist during a clinic visit. The patients were guided by the home telecare units in following their individualized exercise plan. After the patients used the physical telerehabilitation system for 12 weeks, a statistically significant improvement was shown in a timed 25-foot walk (from 13.8 +/- 8.3 s to 11.3 +/- 5.4 s), 6-minute walk (from 683.3 +/- 463.8 ft to 806.5 +/- 415.0 ft), and Berg Balance Scale score (from 38.8 +/- 11.1 to 43.1 +/- 9.9) as compared with the baseline. (Values are shown as mean +/- standard deviation.) Patients were highly satisfied with the service. Home-based physical telerehabilitation can improve functional outcomes significantly in patients with MS.
PMID: 19319760 [PubMed – indexed for MEDLINE]
Article courtesy of http://www.ncbi.nlm.nih.gov/pubmed/19319760.