The last two installments in this forum dealt with the first two steps of required documentation for reimbursement for custom foot orthotics. To summarize those steps were proper clinical documenta...
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I treat patients; I'm not a salesman
I seldom take the time to comment about the opinions of others, however the short essay regarding Orthotic Packaging by Mr. Rosler is one that I'm going to have to totally disagree with. The reason...
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Posterior Tibial Taping Video
We all see so many posterior tibial tendon injuries. I have attached a video for patients to attempt their own taping with Leukotape and Coverall. This has been an excellent technique to eliminate ...
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Add Value with Orthotics Packaging
When an eye doctor hands your prescription glasses over to you, you already know what to expect—frames you’ve picked out, fitted with the correct lenses. The surprise? A really c...
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Case Study: Ankle Pain in a Softball Pitcher (Answers Below)
Patient #20: Dorsal Foot Pain in College Softball Pitcher &nbs...
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Inverted Forefoot Deformities: Some Thoughts and a Review
As you know many patients have inverted forefoot deformities. This is the relationship between the forefoot and rearfoot in neutral subtalar joint positioning. Typically measure...
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Proper Documentation for Custom Foot Orthotics 2
Assuming all the clinical requirements for the medical necessity for custom foot orthotics have been met, what other issues must the chart documentation address? There are two major issues which m...
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Case History: Medial Knee Pain in a Runner
Case History: Medial Knee Pain in a Runner History and Chief Complaint A long distance runner began to get right medial knee pain It came on running over 5 miles, but now bothers...
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Metatarsal Doming or Arcing: Great Way of Strengthening the Intrinsic Arch Muscles
Please review the following video on Metatarsal Doming. It is a great exercise for patients to strengthening their intrinsic arch muscles.
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Happy Birthday
Years ago, I made my living selling copy machines. I was very very good at it. My secret? I reached out to prospective customers with often funny, business greeting cards asking ...
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Abnormal Pronation: Sore Spots based on Individual's Weak Spots
As I have harped on before, mechanical problems like abnormal or excessive pronation can cause a myriad of issues from the foot and proximally. I love the Rule of 3 defined: It takes 3 issu...
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Proper documentation for custom foot orthotics 1
What must I document in my patient’s chart to document medical necessity for custom foot orthotics? This is a common question asked by many of my clients. There are many issues to address wit...
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Peroneal Tendon Strengthening Video
The following is a video using progressive resistance bands to strengthen the 2 peroneal tendons. When patients are supinators in general, have a history of instability and falls, or have had previ...
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Historical Review Provides Good Clues into Problems
Taking a Good History of the Present and Past can help to steer the course of treatment. In the medical arena, an important time to steer the ship/treatment plan in the right direction is by the pa...
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The One Thing All Your Patients Want
@Randy Rosler Randy, this would be great if the person that is in charge of your office's orthotic process is better than you in designing orthoses. If not, how would you go about hiring and...
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The One Thing All Your Patients Want
The one thing all your patients want, and deserve, is your full attention. Delivering a stellar experience to every single patient is almost impossible when you are the one doing ...
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Strengthening the Posterior Tibial Tendon
Posterior Tibial Tendon Resistance Exercise Below is the link for strengthening the vital posterior tibial tendon. Even if you...
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Community Guidelines
Thanks for your support I am happy to see your guidelines I am Arturo Chapman academic consultant at Top Course Taker which has the best platform Pay Someone To Take My Online Course For Me provide...
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Does Joyce Know About You?
Say you have a patient, let's call her "Joyce," that comes in once in a while for fungal nail care. Well, Joyce has put on some weight since you last saw her. To get back on track, she start...
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SWO Do I need one
Several colleagues have recently been hit with audit denials for an incomplete or absent Standard Written Order (SWO). Why can’t Medicare get this right? A Standard Written Order in DME parl...