DIAGNOSTICS FOR PT

What, why and how

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ADDING HANDS-ON DIAGNOSTIC TESTING
GREATLY INCREASES YOUR PER-PATIENT INSURANCE REIMBURSEMENT

PTs have been limited to physical examinations – evaluations and patient histories for constructing treatment plans. Patient histories, in particular, are a valuable source of information, but the information obtained is dependent on the patient’s awareness of symptoms and how he or she describes those symptoms.

Physical examination – evaluation of a patient is limited to the sensitivity and specificity of the various physical examination tests a therapist can perform.  Take for example commonly used tests:

  • Tinnel Sign – Sensitivity 23% (Kuhlman and Hennessey 1997)
  • Phalen Sign – Sensitivity 51% &  Specificity 76% (Kuhlman and Hennessey 1997)
  • Spurlings test – Sensitivity 30% (Tong, H. C., Haig, A. J., & Yamakawa, K. (2002). The Spurling test and cervical radiculopathy. Spine, 27(2), 156-159.) 

These low sensitivity numbers lead to many false negatives and also to the inability for early detection.  

At Hands-on Diagnostics, we recognized the need for a channel to the most innovative and ground-breaking technologies for diagnosis. We found the best testing technologies available and appropriate for the PT practice. These testing technologies provide accurate, objective and highly reliable diagnostic information.

These tests have high sensitivity and specificity for most musculoskeletal problems.  For example: In Carpal Tunnel Syndrome:

  • EMG/NCS Sensitivity is 86% and Specificity 98% (American Association of Electrodiagnostic Medicine, American Academy of Physical et al. 2002) 
  • Musculoskeletal Ultrasound Sensitivity is 77.6% and Specificity is 86.8% (Fowler, J. R., Gaughan, J. P., & Ilyas, A. M. (2011). The sensitivity and specificity of ultrasound for the diagnosis of carpal tunnel syndrome: a meta-analysis. Clinical Orthopaedics and Related Research®, 469(4), 1089-1094.). 
  • In Cervical Radiculopathy EMG/NCS: Sensitivity is 71% (Muscle Nerve 22: Supplement8: S209-S211, 1999)

Now HODS makes these t\available to you, along with a uniquely robust training method that puts accurate diagnoses at your fingertips in the fastest route possible. We found the technology that can help a PT locate and isolate the underlying cause of a patient’s distress or pain.  And we thoroughly researched the best ways to apply these tools in a physical therapy practice.

Want to improve patient outcomes? We can help. Want to expand your practice? We can help with that too. Want the autonomy that precise diagnostic tools bring to your treatment plans? We are here for you.

Don’t wait—contact us now to find out more.

The Actual Benefits

ACCURATE DIAGNOSTICS

The power of a treatment plan shows in patient outcomes. Your treatment plans can reach a whole new level of effectiveness.

Differentiate Your Practice

Elevate your practice with diagnostic tools other practitioners don’t offer. Let them come to you for the best, most effective diagnostics.

TREAT THE ACTUAL PROBLEM

Treating symptoms can be frustrating all around. Be the first to offer tests that identify the real, underlying causes.

Elevate Your Practice Clinically

Whether your patients are referrals or direct access, troubleshoot difficult ones quickly and accurately with evidence-based treatment plans.

More Physician Referrals

Help your referral sources by delivering more comprehensive and accurate diagnostics, and watch those referrals grow.

Additional CPT Codes

By diversifying your practice with new CPT codes, you can double the income almost overnight. With our unique training methods, start billing almost immediately.

Increase Insurance Reimbursement

Expect an average increase of reimbursement from insurance companies of 75%. If they won’t pay faster, at least they’ll pay more.

Increases Per Visit Billing

Average per-patient billings will double as you put our diagnostic tools into use.

How Diagnostic Testing Helps your Practice and your Patients

USED BY HUNDREDS OF PHYSICAL THERAPISTS

THE REAL NUMBERS

Here are some actual average numbers from PT offices

The statistics shown here are based on actual numbers from practitioners who have taken advantage of Hands-on Diagnostics.

From a 30% increase in patient referrals (based on successful outcomes) to a 100% increase on average reimbursement per case, the numbers speak for themselves.

  • Increased insurance reimbursements 75%
  • Increased average per-hour reimbursement 80%
  • Increased average per-case reimbursement 100%
  • Treatment-plan changes based on diagnostic testing data 35%
  • Increased patient referrals by existing referral sources 30%

HEAR IT FROM OTHER PTs

Here are some words from other Physical Therapists

After receiving my initial training under HODS in EMG, I was able to really help a new patient. She was an osteoarthritic knee patient who also complained of pain that radiated from the knee to the 4th toe. We weren’t certain whether her pain was from was a peripheral nerve injury or nerve root problem. After EMG we were able to confirm an L5 nerve root injury, provide focused treatment to the lower lumbar spine, and eliminate her radiating symptoms in 2 visits, then completed her care for the arthritic knee after clearing that. Great success to eliminate her pain so quickly through the guidance of EMG, and not just make a “best guess” approach to PT treatment.

Nathan Shields, PT

I got involved with HODS because we were looking for a solution to the problem with reimbursements. With HODS, we could improve patient outcomes and help our staff make more money while increasing our income.

For example, if we had a patient who came in with “rotator cuff” diagnosis without identifying the specific muscle involved, we would do Musculoskeletal Ultrasound and we would be able to be more specific with our Therapy. All of these tests allow us to better treat the patients. I really feel like we are ahead of the field.

Cindi A. Prentiss

We’ve been fighting with reimbursements, we’ve been fighting with declining reimbursements and it is very easy to get frustrated and wonder, how am I going to survive? Well, bringing in diagnostics is not only in line with APTA’s 2020 vision of PTs as truly autonomous practitioners, but from a financial prospective, puts me more in control of my financial picture because diagnostics add a new revenue line into my PT practice and allows me to expand while helping my patients get better.

Daniel Sage

HEAR IT FROM PHYSICIANS

Here are some words from other Physicians

I trust the Physical Therapy team of Dr. Kostopoulos providing accurate diagnostic testing results for my patients. The competency level of the physical therapists who perform the various tests exceeds any of my expectations.
Intazam Khan, MD
Clinical Assistant Professor of Neurology
Diplomat American Board of Psychiatry & Neurology

Coupling the physical therapy training with EMG training is actually ideal because it helps them actually talk to the patient and figure out what test the could do and interact with the ordering physician to really determine what’s the best test and what the beast outcome should be.

Prem C. Chatpar, M.D., F.A.C.R.
Director of East Coast Rheumatology

Diagnostic testing performed by competent, HODS trained physical therapists have made a difference in my practice, helping me manage my patients more effectively.

Alexios Apazidis, MD,
Spine Surgeon

DIAGNOSTIC ADVANCEMENTS FOR PHYSICAL THERAPISTS

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