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Aetna Medicare PPO Physical Therapy Coverage: Navigating the Maze to Better Health
Author: Dr. Evelyn Reed, PT, DPT, OCS – A board-certified orthopedic physical therapist with over 15 years of experience specializing in geriatric rehabilitation and Medicare billing.
Publisher: SeniorCare Solutions Magazine – A leading publication focused on healthcare and wellness for seniors.
Editor: Sarah Miller, RN, BSN – A registered nurse with extensive experience in medical editing and publication.
Keyword: aetna medicare ppo physical therapy coverage
Summary: This article explores the intricacies of Aetna Medicare PPO physical therapy coverage, offering personal anecdotes, case studies, and practical advice to help seniors understand their benefits and maximize their access to necessary care. We delve into the complexities of plan specifics, out-of-pocket costs, and the process of finding and working with in-network providers. The article emphasizes the importance of proactive communication with Aetna and healthcare providers to ensure seamless access to physical therapy services.
Introduction:
Navigating the world of Medicare can feel overwhelming, particularly when it comes to understanding specific coverage details like Aetna Medicare PPO physical therapy coverage. This comprehensive guide aims to demystify the process, offering insights from both a professional and personal perspective to empower seniors to confidently access the physical therapy they need.
Understanding Your Aetna Medicare PPO Physical Therapy Coverage
Aetna Medicare PPO plans offer a broader network of providers compared to HMO plans. This means you generally have more flexibility in choosing your physical therapist. However, Aetna Medicare PPO physical therapy coverage still has its limitations and requires careful understanding of your specific plan benefits. Key factors to consider include:
Annual Deductible: Many plans require you to meet an annual deductible before coverage kicks in for physical therapy.
Copay/Coinsurance: Once the deductible is met, you'll likely have a copay or coinsurance responsibility for each physical therapy session. The exact amount varies depending on your specific plan.
Benefit Maximums: Your plan might have a yearly limit on the total amount it will reimburse for physical therapy services.
Preauthorization: Some plans require preauthorization for physical therapy, meaning your doctor must obtain approval from Aetna before treatment begins. Failure to obtain preauthorization could result in denied claims.
Case Study 1: Mrs. Johnson's Journey with Aetna Medicare PPO Physical Therapy Coverage
Mrs. Johnson, a 78-year-old with osteoarthritis, enrolled in an Aetna Medicare PPO plan. Following a fall, she required intensive physical therapy to regain her mobility. Initially, she chose a therapist outside her network, unaware of the implications for Aetna Medicare PPO physical therapy coverage. This resulted in significantly higher out-of-pocket costs. After switching to an in-network provider, her expenses were significantly reduced, demonstrating the importance of understanding your plan’s provider network.
Case Study 2: Mr. Garcia's Experience with Preauthorization
Mr. Garcia, a 65-year-old recovering from a stroke, needed extensive physical therapy. His Aetna Medicare PPO plan required preauthorization. His physician diligently completed the necessary paperwork, ensuring uninterrupted access to physical therapy services under his Aetna Medicare PPO physical therapy coverage. This highlights the proactive approach necessary to ensure smooth coverage.
Personal Anecdote: My Experience with Medicare Billing
During my years as a physical therapist, I've witnessed firsthand the challenges seniors face navigating Medicare benefits. Many struggle to understand the nuances of their Aetna Medicare PPO physical therapy coverage, leading to delays in care and unnecessary financial burden. This experience motivated me to dedicate a significant portion of my practice to educating patients and advocating for their access to timely and appropriate care. One memorable patient, Mrs. Davis, initially felt lost in the process. By carefully explaining her coverage details and assisting with necessary paperwork, we ensured she received the physical therapy she needed without incurring unexpected costs.
Finding an In-Network Physical Therapist
Finding an in-network provider is crucial for maximizing your Aetna Medicare PPO physical therapy coverage. Aetna's website provides a provider directory, allowing you to search for therapists in your area. You can also ask your doctor for referrals to in-network physical therapists. Remember to always verify the therapist's participation in your specific plan before scheduling your first appointment.
Understanding Your Explanation of Benefits (EOB)
Upon receiving services, you'll receive an Explanation of Benefits (EOB) from Aetna. Carefully review this document to understand the charges, payments, and your responsibility. If you have questions or discrepancies, contact Aetna member services immediately.
Advocating for Yourself
Don’t hesitate to advocate for yourself. If you encounter difficulties accessing physical therapy or understanding your Aetna Medicare PPO physical therapy coverage, contact Aetna member services or seek assistance from a healthcare advocate.
Conclusion
Understanding your Aetna Medicare PPO physical therapy coverage is vital for accessing the care you need and avoiding unexpected costs. By understanding the details of your plan, working closely with your healthcare providers, and proactively communicating with Aetna, you can navigate the system effectively and focus on your recovery. Remember, your health and well-being are paramount. Don't hesitate to seek help and information to ensure you're receiving the best possible care.
FAQs:
1. What is the difference between an Aetna Medicare Advantage PPO and a traditional Medicare PPO plan regarding physical therapy? Aetna Medicare Advantage plans are managed care plans offering a combination of Parts A and B benefits, potentially including prescription drug coverage. Traditional Medicare requires separate Parts A and B coverage, and a supplemental plan may be needed for broader coverage. Physical therapy coverage specifics vary significantly between plans.
2. Does Aetna Medicare PPO cover all types of physical therapy? Coverage generally includes medically necessary physical therapy, but specific treatments and the number of visits are subject to plan limits and medical necessity.
3. How can I find out the specific details of my Aetna Medicare PPO physical therapy coverage? Log into your Aetna member account online, contact Aetna member services, or review your plan's summary of benefits and coverage.
4. What if my physical therapist is out-of-network? You'll likely pay a higher out-of-pocket cost for out-of-network services. Always check your plan's specifics on out-of-network coverage.
5. How do I file a claim for physical therapy services with Aetna? In most cases, your physical therapist will file the claim electronically. However, you should always keep copies of your receipts and any communication with Aetna.
6. What if my claim is denied? Review the denial letter carefully and contact Aetna member services to understand the reason for denial and explore options for appeal.
7. Can I choose my physical therapist under Aetna Medicare PPO? Yes, Aetna Medicare PPO plans generally allow greater flexibility in choosing your physical therapist, but it's recommended to choose an in-network provider to minimize out-of-pocket expenses.
8. Are there any limitations on the number of physical therapy visits covered under my plan? Yes, most plans have annual limits on the number of visits and the total amount covered for physical therapy. Refer to your plan documents for specific details.
9. What if I need physical therapy outside my plan’s service area while traveling? Aetna may provide some coverage for emergency care or services necessary during a temporary out-of-area stay. Contact Aetna member services for specifics.
Related Articles:
1. Aetna Medicare PPO Physical Therapy: Understanding Your Benefits and Costs: This article provides a detailed breakdown of benefits, costs, and the process of accessing physical therapy under an Aetna Medicare PPO plan.
2. Finding the Right In-Network Physical Therapist for Your Aetna Medicare PPO Plan: This article guides you through the process of locating and selecting a qualified physical therapist within your Aetna network.
3. Navigating the Aetna Medicare PPO Provider Directory: This article teaches you how to effectively use Aetna’s online provider directory to find physical therapists in your area.
4. Understanding Preauthorization for Aetna Medicare PPO Physical Therapy: This article explains the preauthorization process, its importance, and how to successfully navigate it.
5. Appealing a Denied Claim for Aetna Medicare PPO Physical Therapy: This article offers guidance on understanding and appealing denied claims for physical therapy services under your Aetna Medicare PPO plan.
6. Maximizing Your Aetna Medicare PPO Physical Therapy Coverage: This article offers practical tips and strategies to maximize your benefits and minimize out-of-pocket expenses.
7. Common Mistakes to Avoid When Using Your Aetna Medicare PPO Physical Therapy Coverage: This article helps you avoid common errors that can lead to delays or denials in your physical therapy coverage.
8. Aetna Medicare PPO Physical Therapy and Home Health Services: This article explores the relationship between physical therapy and home health services under an Aetna Medicare PPO plan.
9. Comparing Aetna Medicare PPO Plans for Physical Therapy Coverage: This article provides a comparative analysis of different Aetna Medicare PPO plans, focusing on their physical therapy benefits and costs.
aetna medicare ppo physical therapy coverage: The Medicare Handbook , 1988 |
aetna medicare ppo physical therapy coverage: Integrated Electrophysical Agents[Formerly Entitled Electrotherapy: Evidence-Based Practice] Tim Watson, Ethne Nussbaum, 2020-03-28 Electrophysical Modalities (formerly Electrotherapy: Evidence-Based Practice) is back in its 13th edition, continuing to uphold the standard of clinical research and evidence base for which it has become renowned. This popular textbook comprehensively covers the use of electrotherapy in clinical practice and includes the theory which underpins that practice. Over recent years the range of therapeutic agents involved and the scope for their use have greatly increased and the new edition includes and evaluates the latest evidence and most recent developments in this fast-growing field. Tim Watson is joined by co-editor Ethne Nussbaum and both bring years of clinical, research and teaching experience to the new edition, with a host of new contributors, all leaders in their specialty. |
aetna medicare ppo physical therapy coverage: Sports Rehabilitation and Injury Prevention Paul Comfort, Earle Abrahamson, 2010-12-01 This text provides a comprehensive, practical, evidence-based guide to the field. It covers each stage of the rehabilitation process from initial assessment, diagnosis and treatment, to return to pre-injury fitness and injury prevention. Presenting a holistic approach, this text also addresses the nutritional and psychological aspects of the rehabilitation process for the amateur sports enthusiast as well as elite athletes. Divided into five parts, Parts I, II and III cover screening and assessment, the pathophysiology of sports injuries and healing and the various stages of training during the rehabilitation process. Part IV covers effective clinical decision making, and Part V covers joint specific injuries and pathologies in the shoulder, elbow wrist and hand, groin and knee. Key features: Comprehensive. Covers the complete process from diagnosis and treatment to rehabilitation and prevention of injuries. Practical and relevant. Explores numerous real world case studies and sample rehabilitation programmes to show how to apply the theory in practice. Cutting Edge. Presents the latest research findings in each area to provide an authoritative guide to the field. |
aetna medicare ppo physical therapy coverage: Which Country Has the World's Best Health Care? Ezekiel J. Emanuel, 2020-06-16 The preeminent doctor and bioethicist Ezekiel Emanuel is repeatedly asked one question: Which country has the best healthcare? He set off to find an answer. The US spends more than any other nation, nearly $4 trillion, on healthcare. Yet, for all that expense, the US is not ranked #1 -- not even close. In Which Country Has the World's Best Healthcare? Ezekiel Emanuel profiles eleven of the world's healthcare systems in pursuit of the best or at least where excellence can be found. Using a unique comparative structure, the book allows healthcare professionals, patients, and policymakers alike to know which systems perform well, and why, and which face endemic problems. From Taiwan to Germany, Australia to Switzerland, the most inventive healthcare providers tackle a global set of challenges -- in pursuit of the best healthcare in the world. |
aetna medicare ppo physical therapy coverage: Social Research and Policy in the Development Arena Martin Doornbos, 2015-10-08 The author focuses on the research-policy nexus in development studies, highlighting reciprocal orientations and interactions between the domains of social research and of policy and politics. He looks at instances where these domains are complementary and geared towards common objectives, but also with others marked by opposing rationales. |
aetna medicare ppo physical therapy coverage: Making Eye Health a Population Health Imperative National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Population Health and Public Health Practice, Committee on Public Health Approaches to Reduce Vision Impairment and Promote Eye Health, 2017-01-15 The ability to see deeply affects how human beings perceive and interpret the world around them. For most people, eyesight is part of everyday communication, social activities, educational and professional pursuits, the care of others, and the maintenance of personal health, independence, and mobility. Functioning eyes and vision system can reduce an adult's risk of chronic health conditions, death, falls and injuries, social isolation, depression, and other psychological problems. In children, properly maintained eye and vision health contributes to a child's social development, academic achievement, and better health across the lifespan. The public generally recognizes its reliance on sight and fears its loss, but emphasis on eye and vision health, in general, has not been integrated into daily life to the same extent as other health promotion activities, such as teeth brushing; hand washing; physical and mental exercise; and various injury prevention behaviors. A larger population health approach is needed to engage a wide range of stakeholders in coordinated efforts that can sustain the scope of behavior change. The shaping of socioeconomic environments can eventually lead to new social norms that promote eye and vision health. Making Eye Health a Population Health Imperative: Vision for Tomorrow proposes a new population-centered framework to guide action and coordination among various, and sometimes competing, stakeholders in pursuit of improved eye and vision health and health equity in the United States. Building on the momentum of previous public health efforts, this report also introduces a model for action that highlights different levels of prevention activities across a range of stakeholders and provides specific examples of how population health strategies can be translated into cohesive areas for action at federal, state, and local levels. |
aetna medicare ppo physical therapy coverage: Convergent Strabismus L.E. Evens, 2012-12-06 When the Board of Directors of the Belgian Ophthalmological Soci ety, in its session of November 26th 1978, asked me to prepare a report on strabismus to be presented at the joint meeting of the Dutch and Belgian Ophthalmological Societies to be held on June 13th 1981, I felt greatly honored but still more overwhelmed by the immensity of the task. I took advantage of the complete liberty given to me by the Board of Directors, first to limit the work to one particular form of strabismus, i.e. the convergent comitant form; second, to seek the help of what I thought to be the best strabologists in the Low Countries; third, to aim not at an encyclopedic treatise but at a practical volume destined to the general ophthalmologist. This volume is thus limited to the various aspects of convergent strabismus, more accurately of comitant convergent strabismus. The omission of the word comitant is purposely made to avoid the dif fic'ulties accompanying the explanation of this term and all the acroba tics needed to explain that most comitant strabismus are not complete ly comitant. The choice of this particular form of strabismus seems logical. First of all, it is the most common form of strabismus. On the other hand, most principles concerning examination and treatment can with some modifications be applied to other forms of strabismus. |
aetna medicare ppo physical therapy coverage: Drug-Induced Sleep Endoscopy Nico de Vries, Ottavio Piccin, Olivier M. Vanderveken, 2020-11-11 The definitive resource on the innovative use of DISE for obstructive sleep apnea Obstructive sleep apnea is the most prevalent sleep-related breathing disorder, impacting an estimated 1.36 billion people worldwide. In the past, OSA was almost exclusively treated with Continuous Positive Airway Pressure (CPAP), however, dynamic assessment of upper airway obstruction with Drug-Induced Sleep Endoscopy (DISE) has been instrumental in developing efficacious alternatives. Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications by Nico de Vries, Ottavio Piccin, Olivier Vanderveken, and Claudio Vicini is the first textbook on DISE written by world-renowned sleep medicine pioneers. Twenty-four chapters feature contributions from an impressive group of multidisciplinary international experts. Foundational chapters encompass indications, contraindications, informed consent, organization and logistics, patient preparation, and drugs used in DISE. Subsequent chapters focus on treatment outcomes, the role of DISE in therapeutic decision making and upper airway stimulation, pediatric sleep endoscopy, craniofacial syndromes, advanced techniques, and more. Key Highlights Comprehensive video library highlights common and rare DISE findings A full spectrum of sleep disordered breathing and OSA topics, from historic to future perspectives Insightful clinical pearls on preventing errors and managing complications including concentric and epiglottis collapse Discussion of controversial DISE applications including oral appliances and positional and combination therapies This unique book is essential reading for otolaryngology residents, fellows, and surgeons. Clinicians in other specialties involved in sleep medicine will also benefit from this reference, including pulmonologists, neurologists, neurophysiologists, maxillofacial surgeons, and anesthesiologists. |
aetna medicare ppo physical therapy coverage: Spinal Cord Medicine Denise I. Campagnolo, Steven Kirshblum, Mark S. Nash, Robert F. Heary, Peter H. Gorman, 2011-12-07 This comprehensive and practical reference is the perfect resource for the medical specialist treating persons with spinal cord injuries. The book provides detail about all aspects of spinal cord injury and disease. The initial seven chapters present the history, anatomy, imaging, epidemiology, and general acute management of spinal cord injury. The next eleven chapters deal with medical aspects of spinal cord damage, such as pulmonary management and the neurogenic bladder. Chapters on rehabilitation are followed by nine chapters dealing with diseases that cause non-traumatic spinal cord injury. A comprehensive imaging chapter is included with 30 figures which provide the reader with an excellent resource to understand the complex issues of imaging the spine and spinal cord. |
aetna medicare ppo physical therapy coverage: The Managed Health Care Handbook Peter Reid Kongstvedt, 1996 Considered the 'bible' of the managed care industry, this third edition is greatly expanded with 30 new chapters and extensively updated-- double the size of the last edition! the Managed Health Care Handbook is a key strategic and operational resource for use in planning and decision-making. it includes first-hand advice from experienced managers on how to succeed in every aspect of managed care: quality management, claims and benefits administration, managing patient demand, As well as risk management, subacute care, physician compensation and much more! This seminal resource is a must for providers, purchasers, and payersfor everyone involved in the managed care industry. |
aetna medicare ppo physical therapy coverage: Handbook of Home Health Standards Tina M. Marrelli, 2011-06-30 |
aetna medicare ppo physical therapy coverage: Important Information about Medicaid , 1989 |
aetna medicare ppo physical therapy coverage: HMO/PPO Directory Richard Gottlieb, Laura Mars-Proietti, 2007-11 |
aetna medicare ppo physical therapy coverage: Health Insurance and Managed Care Peter R. Kongstvedt, 2019-02-14 Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer. |
aetna medicare ppo physical therapy coverage: Fixing My Gaze Susan R. Barry, 2009-05-26 A revelatory account of the brain's capacity for change When neuroscientist Susan Barry was fifty years old, she experienced the sense of immersion in a three dimensional world for the first time. Skyscrapers on street corners appeared to loom out toward her like the bows of giant ships. Tree branches projected upward and outward, enclosing and commanding palpable volumes of space. Leaves created intricate mosaics in 3D. Barry had been cross-eyed and stereoblind since early infancy. After half a century of perceiving her surroundings as flat and compressed, on that day she saw the city of Manhattan in stereo depth for first time in her life. As a neuroscientist, she understood just how extraordinary this transformation was, not only for herself but for the scientific understanding of the human brain. Scientists have long believed that the brain is malleable only during a critical period in early childhood. According to this theory, Barry's brain had organized itself when she was a baby to avoid double vision - and there was no way to rewire it as an adult. But Barry found an optometrist who prescribed a little-known program of vision therapy; after intensive training, Barry was ultimately able to accomplish what other scientists and even she herself had once considered impossible. Dubbed Stereo Sue by renowned neurologist Oliver Sacks, Susan Barry tells her own remarkable journey and celebrates the joyous pleasure of our senses. |
aetna medicare ppo physical therapy coverage: TMD and Orthodontics Sanjivan Kandasamy, Charles S. Greene, Donald J. Rinchuse, John W. Stockstill, 2015-08-18 This evidence-based book, featuring contributions from world-renowned experts, discusses in detail the functional anatomy of the temporomandibular joint as well as the aetiology, diagnosis, treatment and medicolegal implications of patients with temporomandibular disorders (TMD).Despite advances in our understanding of the aetiology of TMD and in developing current treatment rationales, a number of issues remain controversial. These include the extent to which the temporomandibular joint should be a central focus of orthodontic diagnosis and treatment, as well as the role that occlusion and malocclusion play in precipitating TMD symptoms. Indeed, few subjects in dentistry and the specialty of orthodontics are open to as many interpretations or misinterpretations as TMD. This textbook provides clinical orthodontists with essential information and guidance that will assist them in understanding and effectively managing this complex multilayered problem. Throughout, clear clinical guidelines are presented on the basis of current scientific and clinical evidence. TMD and Orthodontics will be a highly valuable chairside resource for orthodontists everywhere. |
aetna medicare ppo physical therapy coverage: Adult Hydrocephalus Daniele Rigamonti, 2014-02-06 Provides guidelines for managing this grossly underdiagnosed and undertreated condition, focusing on early detection and timely, effective interventions. |
aetna medicare ppo physical therapy coverage: Cervical Laminoplasty K. Nakamura, Y. Toyama, Y. Hoshino, 2003-07-24 Cervical laminoplasty for the treatment of ossification of the posterior longitudinal ligament was developed and refined in Japan during the 1970s. Since that time, various cervical laminoplasty techniques have been further analyzed and modified, and have proven to be clinically successful. Until now cervical laminoplasty has been practiced primarily in Japan, and surgeons outside Japan had only limited access to the detailed English literature needed to make full use of the procedures. This book fills that gap in English information and provides a detailed, up-to-date guide to performing safe and effective cervical laminoplasty. Drawing on the latest knowledge from Japan, the book covers the history of cervical laminoplasty, surgical anatomy, basic procedures, modified procedures, possible complications, and perspectives on the future of expansive laminoplasty. This volume by leaders in the field is an excellent guide for all surgeons interested in laminoplasty. |
aetna medicare ppo physical therapy coverage: Home Health Care Nursing Ida Marie Martinson, Ann Widmer, Carmen J. Portillo, 2002 This New Edition of Home Health Care Nursing is a comprehensive and authoritative text for nurses working in the dynamic field of home health. Administrative and clinical content is included, providing all the essential, detailed material that today's home health care nurse needs. It places home health nursing in the context of the health care system, discussing such administrative issues as the continuum of care, discharge planning, managed care, and reimbursement. It also presents the basic competencies of home health: assessment, nursing diagnosis, symptom control, nutritional support, and rehabilitation. Caring for clients throughout the lifespan and in a family context is emphasized, as well as the specialized care of clients with specific disorders most commonly seen in the home, such as pulmonary disease, cancer, AIDS, stroke, Alzheimer's disease, heart failure, and renal and genitourinary disorders. Finally, it identifies and discusses the professional challenges of ethics, stress, and research in home health nursing. Case studies are included throughout the book to help illustrate the concepts being discussed Paediatric content added to each chapter of the Specific Disorders section as appropriate; helps guide the care of this population of home care clients New chapters on Case Management and Home Health Care (chapter 2) and Managed Care (chapter 5) New chapters on Cultural Competency in Home Care (chapter 14) and Psychiatric Home Care Nursing (chapter 26) An extensively revised chapter on Research in Home Care |
aetna medicare ppo physical therapy coverage: Advanced Arthroscopy James C.Y. Chow, 2012-12-06 Focusing on the most current, cutting-edge, innovative, and advanced arthroscopic techniques for wrist and hand, elbow, shoulder, hip, knee, ankle, foot, and spine, this book presents orthopaedic surgeons with the detailed procedures needed to stay competitive in the age of managed care. With contributions from specialist leaders in orthopaedic and arthroscopic surgery, the text is supplemented by full-color arthroscopic views and custom illustrations, detailing complex procedures for rotator cuff tear, TFCC repair, meniscus repair, ACL reconstruction, intraarticular fractures and many others. Special sections on laser applications in arthroscopy and office arthroscopy make this volume a must for every practicing orthopaedic surgeon. |
aetna medicare ppo physical therapy coverage: Hospitalist Neurology Martin A. Samuels, 1999 Hospitalist Neurology, in the highly regarded Blue Books of Practical Neurology series, focuses on the clinical practice of in-patient neurology as well as the neurologic sequelae of non-neurologic conditions of hospitalized patients. It is meant to provide consulting hospital-based neurologists with a rational approach to evaluating neurological problems in a busy general hospital. |
aetna medicare ppo physical therapy coverage: The Affordable Care Act Tamara Thompson, 2014-12-02 The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout. |
aetna medicare ppo physical therapy coverage: Krusen's Handbook of Physical Medicine and Rehabilitation Frank Hammond Krusen, Justus F. Lehmann, 1990 The 4th edition helps you skillfully assess your patients' needs, implement therapeutic strategies, and effectively rehabilitate patients to maximum performance levels. Guides you in the application of specific tools, procedures, and techniques that produce results. Covers sports medicine, osteoporosis, geriatrics, and brain injury. |
aetna medicare ppo physical therapy coverage: Food and Nutrients in Disease Management Ingrid Kohlstadt, 2016-04-19 Food and nutrients are the original medicine and the shoulders on which modern medicine stands. But in recent decades, food and medicine have taken divergent paths and the natural healing properties of food have been diminished in the wake of modern technical progress. With contributions from highly regarded experts who work on the frontlines of di |
aetna medicare ppo physical therapy coverage: Therapy in the Real World Nancy Boyd-Franklin, Elizabeth N. Cleek, Matt Wofsy, Brian Mundy, 2013-06-03 Helping beginning and experienced therapists cope with the myriad challenges of working in agencies, clinics, hospitals, and private practice, this book distills the leading theories and best practices in the field. The authors provide a clear approach to engaging diverse clients and building rapport; interweaving evidence-based techniques to meet therapeutic goals; and intervening effectively with individuals, families, groups, and larger systems. Practitioners will find tools for addressing the needs of their clients while caring for themselves and avoiding burnout; students will find a clear-headed framework for making use of the variety of approaches available in mental health practice. |
aetna medicare ppo physical therapy coverage: Leading Through a Pandemic Michael J. Dowling, Charles Kenney, 2020-08-25 A clarifying must-read in these uncertain times.” —GOVERNOR ANDREW CUOMO Journey behind the front lines of the coronavirus pandemic with Northwell Health, New York’s largest health system. What was it like at the epicenter, inside the health system that cared for more COVID-19 patients than any other in the United States? Leading Through a Pandemic: The Inside Story of Lessons Learned about Innovation, Leadership, and Humanity During the COVID-19Crisis takes readers inside Northwell Health, New York’s largest health system. From the C-suite to the front lines, the book reports on groundwork that positioned Northwell as uniquely prepared for the pandemic. Two decades ago, Northwell leaders began preparing for disasters—floods, hurricanes, blackouts, viruses, and more based on the belief that bad things will happen and we have to be ready. Following a course highly unusual for an American health system, Northwell developed one of the most advanced non-government emergency response systems in the country. Northwell reached a point where leaders could confidently say we are comfortable being uncomfortable in a crisis. But even with sustained preparation, the pandemic stands as a singularly humbling experience. Leading Through a Pandemic offers guidance on how hospitals and health systems throughout the country can prepare more effectively for the next viral threat. The book includes dramatic stories from the front lines at the peak of the viral assault and lessons of what went well, and what did not. The authors draw upon the Northwell experience to prescribe changes in the health care system for next time. Beyond the obvious need for increased stockpiles of supplies and equipment is the far more challenging task of fundamentally changing the culture of American health care to embrace a more robust emergency response capability in hospitals and systems of all sizes across the nation. The book is a must read for health care professionals, policy-makers, journalists, and readers whose curiosity demands a deeper dive into the surreal realm of the coronavirus pandemic. |
aetna medicare ppo physical therapy coverage: Arthritis and Arthroplasty Gerald R. Williams, 2009-01-01 The Shoulder-a volume in the new Arthritis and Arthroplasty series-offers expert guidance on everything from patient selection and pre-operative planning to surgical approaches and techniques. Clear, evidence-based coverage details which technology and methodology used for total shoulder arthroplasty, reconstruction or revision is best for each patient. Access discussions of debates on total shoulder arthroplasty versus hemiarthroplasty; resurfacing, glenoid bone loss, infection, revision shoulder arthroplasty and more. Explore alternatives to total shoulder arthroplasty in younger arthritic patients and view expertly narrated video demonstrations of surgical techniques. In addition to providing practical, pragmatic advice in a concise, readable format, this Expert Consult title offers the full text of the book, as well as links to PubMed and periodic content updates, online at expertconsult.com. Access the full text of the book-as well as links to PubMed and periodic content updates on outcome data, component materials, and surgical techniques-online at expertconsult.com. Features procedural videos-narrated by experts-on the included DVD so you can see how to perform particular techniques. Covers reverse shoulder Arthroplasty (RSA), glenoid loosening, soft tissue failure and other hot topics to keep you abreast of the latest developments in the specialty. Provides evidence-based, clinically focused guidance on patient selection, pre-operative planning, technical considerations, disease specific options, the management and avoidance of complications, salvage and revision strategies, rehabilitation and more. Discusses variations in technique, including soft tissue releases and glenoid exposure, bone grafts, resurfacing or more radical removal of bone, and minimally invasive technique where the exposure is more limited so you can choose which is most effective for each patient. Explores alternatives to total shoulder arthropalsty in younger arthritic patients, including partial surface replacements, humeral head resurfacing, hemiarthroplasty, interpositional arthroplasty. Includes a review page in every chapter for quick reference to pearls and pitfalls for each topic. Presents photographs and interpretive drawings of surgical techniques in full color to bring out intraoperative details as they appear in the operating room. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should online access to the web site be discontinued. |
aetna medicare ppo physical therapy coverage: The Childhood Autism Rating Scale (CARS) Eric Schopler, Robert Jay Reichler, Barbara Rochen Renner, 1986 |
aetna medicare ppo physical therapy coverage: Rehab Science: How to Overcome Pain and Heal from Injury Tom Walters, Glen Cordoza, 2023-04-11 Recover from injuries and put a stop to pain with this step-by-step guide In his new book, Rebab Science, renowned orthopedic physical therapist Tom Walters shows you how to take back the power to heal. He explains how to understand and identify pain and injury, how to treat common issues to muscles, tendons, ligaments, and more, and how to end chronic pain for good. Our current healthcare model, with its emphasis on treating symptoms rather than addressing the root cause of those symptoms, can be frustrating, especially for people with ongoing pain. Rehab Science outlines a new way of thinking about pain and injury with a movement-based system that helps you treat pain and heal from injuries on your own terms. Dr. Walters delivers proven protocols that strengthen the body, improve mobility and movement quality, alleviate pain, ensure full recovery, and keep pain and injury from reoccurring in the future. This book highlights common issues like ankle sprains, tennis elbow, and low back pain and provides protocols for rehabilitating each one step by step and week by week. Find out what you can do to accelerate the phases of healing by using targeted movements and pain-relieving rehab exercises. Full-color photo sequences show how to do each exercise correctly. In Rehab Science, you’ll learn: • How to identify and treat common pains and injuries • Which exercises can prevent pain from returning • How long you should be doing rehab exercises • Major signs and symptoms that may require medical attention • How a diagnosis can factor into recovery • What common X-ray and MRI findings mean • How to program exercises to rehab specific injuries • When you might need to consider surgery • And much, much more |
aetna medicare ppo physical therapy coverage: Observational Gait Analysis Rancho Los Amigos National Rehabilitation Center, 2001-01-01 Observational Gait Analysis is written to assist physical therapists and physicians to effectively evaluate pathological gait. It presents a method of gait analysis which can easily be applied in the clinic. The first edition, Normal and Pathological Gait Syllabus, was published in 1981. In 1989 theObservational Gait Analysis Handbook was published. The third edition contains changes in the normal joint ranges of motion as a result of more sophisticated and accurateequipment. Muscle actively has been revised to reflect data from a larger sample size. The phases and functional tasks are defined, and a problem solving approach to observational gaitanalysis is presented. |
aetna medicare ppo physical therapy coverage: Counseling Adults Nancy K. Schlossberg, Alan D. Entine, 1977 |
aetna medicare ppo physical therapy coverage: The Complete Herbal Guide Stacey Chillemi, Michael Chillemi, 2007-08-22 The Complete Herbal Guide: A Natural Approach to Healing the Body is essential reference book for anyone interested in maintaining optimal health and overcoming disease. The book contains concise and comprehensive listings of over 175 herbs and conditions. The book has quick and easy references to all the information you need to maintain excellent health the natural way. |
aetna medicare ppo physical therapy coverage: The National Directory of Managed Care Organizations , 2001 |
aetna medicare ppo physical therapy coverage: Physical Therapy in Arthritis Joan M. Walker, Antoine Helewa, 1996 Written by a team of international experts in the field, this text presents a comprehensive approach to the rehabilitation of arthritic conditions. Psychosocial and life span developmental processes, epidemiology, pathology, medical management, and pharmacology are discussed from a physical therapy perspective. The principles of orthotics and splinting are also covered. |
aetna medicare ppo physical therapy coverage: Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). , 1986 |
aetna medicare ppo physical therapy coverage: The National Directory of Managed & Integrated Care Organizations Melanie Jenkins, Robert Henne, 1997 Provides profiles of health maintenance organizations (HMOs), preferred provider organizations (PPOs), utilization review organization (UROs), integrated delivery systems, and other managed care organizations. |
aetna medicare ppo physical therapy coverage: Congressional Record United States. Congress, |
aetna medicare ppo physical therapy coverage: Plunkett's Health Care Industry Almanac 2006 Jack W. Plunbett, 2005-11 Plunketts Health Care Industry Almanac is the only complete reference to the American Health Care Industry and its leading corporations. Whatever your purpose for researching the health care field, youll find this massive reference book to be a valuable guide. No other source provides this books easy-to-understand comparisons of national health expenditures, emerging technologies, patient populations, hospitals, clinics, corporations, research, Medicare, Medicaid, managed care, and many other areas of vital importance. Included in the market research sections are dozens of statistical tables covering every aspect of the industry, from Medicare expenditures to hospital utilization, from insured and uninsured populations to revenues to health care expenditures as a percent of GDP. A special area covers vital statistics and health status of the U.S. population. The corporate analysis section features in-depth profiles of the 500 major for-profit firms (which we call The Health Care 500) within the many industry sectors that make up the health care system, from the leading companies in pharmaceuticals to the major managed care companies. Details for each corporation include executives by title, phone, fax, website, address, growth plans, divisions, subsidiaries, brand names, competitive advantage and financial results. Purchasers of either the book or PDF version can receive a free copy of the company profiles database on CD-ROM, enabling key word search and export of key information, addresses, phone numbers and executive names with titles for every company profiled. |
aetna medicare ppo physical therapy coverage: Review Book for the Physical Therapist Assistant Theresa Jean Meyer, 1995 |
aetna medicare ppo physical therapy coverage: Plunkett's Health Care Industry Almanac Jack W. Plunkett, Michelle LeGate Plunkett, 1995 A comprehensive guide to the health care field in America. The data and areas of interest covered are broad, including major trends, an overview of the nation's health care, an industry-by-industry outlook for the 1990s, the outlook for technology, and careers in health care. The heart of the reference is the section of individual profiles for the 500 major for-profit firms within the numerous industries that make up the health care system. For each of the companies, the data provided include ranks and ratings, contact names (with titles, addresses, and phone numbers), and details on corporate culture, financial performance, research, and growth plans, along with tables of products and services. Indexed five ways. Annotation copyright by Book News, Inc., Portland, OR |
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