This report is a 575 page 2-volume compendium of detailed review criteria policies and guidelines for outpatient (adult and pediatric) Occupational, Physical and Speech Therapy + inpatient rehabilitation services. The number of visits (and time per visit for modalities) commonly required to treat specific conditions by body region or therapy are listed as well as review criteria guidelines for rehabilitation care admission, continued stay and discharge for common disorders.
Example protocols and other tools to improve care are located throughout the manual. Resources include the Oregon pediatric rehabilitation guidelines and example home exercise handouts to give to patients. Also included are authoritative references and web links.
Table of Contents Vol. 1
- Introduction to rehabilitation services; Therapy referrals; Utilization management; Medical Necessity Criteria; Physical Medicine and Rehabilitation
- Modalities
- Guidelines for procedures
- Tests and Measurements
- Post-acute Care Therapy
- Neuropsychological Testing
- Pain
- Standing orders for therapy
Visit authorization Review Guidelines by Skeletal Structure
- Introduction
- Spine
- Cervical spine
- Shoulder
- Elbow
- Hand/fingers
- Hip
- Knee
- Ankle
- Other conditions
- Acute Inpatient Rehabilitation Services
- Authorization criteria for admission, LOS, discharge (by diagnosis)
- Pediatric rehabilitation
- Quality Improvement Plan
- Chiropractic services; Osteopathic manipulation
- Rehabilitation Benefits
- Forms
- Durable Medical Equipment and related therapy
- Medical Management Issues
- Home Exercise Programs and Patient Education Materials
- Glossaries
- References
- Web sites
- Resources
Volume II
