Installment Terms For Financial Help For MedFaxx Patients.

 

Below terms are for patients who have, or will have a balance due to MedFaxx.    We try to minimize the financial discomfort to our patients and offer up to 48 month interest free financing.

 

Patient Balance     -     Maximum Term

Up to $150                 4 months

$151 to $400              5 months

$401 to $999            12 months

$1,000 to $2,500      24 months

$2,501 to $5,000      36 months

$5,001+                    48 months

 

In addition to the above terms for purchase of items we also offer rental agreements for medical equipment in lieu of actual purchasing.   Contact us for details.

 

   A payment plan can be established by the patient and/or guarantor for the terms listed above.  Please This email address is being protected from spambots. You need JavaScript enabled to view it.or call us at 800-937-3993 for further service.

Existing payment plan terms may be altered or extended on a temporary or permanent basis as long as they are in compliance with policy guidelines.   Any exceptions must be reviewed and given written approval by management.

 

Functional Restoration Reduces Rehabilitation Times After ACL Repair

  For years there has been considerable controversy as to why "Russian Stimulation" or what is referred to as "Dr. Kots" type stimulation increases muscle bulk and strength in athletes. There has been very little documented, peer reviewed study on what has become and, is becoming, a new aspect of rehabilitation medicine.  For an actual acl case study of the timeline to recover of the author's daughter go here - 98 days.

  Let's take a specific type injury, ACL surgery to repair, replace or transplant ligament. Generally speaking most people anticipate a very long time period of discomfort, weakness and limited range of motion, based upon the historical methods of treating anterior cruciate ligament repair or replacments ( hence ACL). Many injured anticipate 8 - 9 months minimum, however more realistic today is 8- 9 weeks. In the medical community the treatment is for tissue damage, whereas in the athletic world they have taken well conditoned athletes and improved their performance using treatments that complement rehabilitation procedures. The athletic trainer tries to increase muscle strength, torque, quickness for winning competitons. Following ACL repairs the same concepts are needed.

   Here is a simplfied version of what is going on when functional restoration electrotherapy is used in both of the above situations.

 

  The natural movement in our body is to enlist the smaller diameter muscle fibers first, followed by recruiting the larger diameter muscle fibers last. The coordinated recruitment provides us with a smooth movement, not a jerky non functioning movement. With the use of functional electrical stimulation we do the exact opposite. With external sources of electricity the first fibers to fire are the larger diameter fibers. If the electrical current from the electric stimulation machine is high then after recruiting the larger diameter motor nerves then the smaller diameter nerves are recruited. The effect is to have more motor fibers recruited using functional stimulation and volitional exercises than one would have with solely volitional exercising.

   The decreased time period to restore strength and full range of motion is reduced because of the electro stimulation actually stimulating more motor nerves. The use of functional electrical restoration can not stand alone by itself as being beneficial, unless the patient actually is willing to do the exercises, including the painful process to restore full range of motion. It's a given that without pain there is no gain, however pain will always be there whether one exercises or not. If not the pain is there, except it is extended for longer periods of time. With a cooperative patient doing the exercises and using functional electrical stimlation there is pain as one gains but the time period is cut by 30 - 70%. Worth the effort. See video.

 

 

 

Pre and Post Operative ACL Surgical Protocols

 

    Once the diagnosis is determined that the ACL, anterior cruciate ligament, has been torn or partially torn, then the Dr. and patient have to plan a course of action.   What is generally forgotten is the repair of torn tissue is relatively easy to repair, however the real injury is the atrophy, stiffness, loss of range of motion the patient encounters pre and post surgery.   Most orthopedic surgeons do not want to operate on a knee when it is inflammed, red and the patient is in pain.   Our body actually adjusts to the injury and proceeds to "self heal" through a series of chemical and electrical changes it initiates.    That is the inflammatory process and is natural but it does carry additional risk if surgical intervention occurs during this process.

 

 

 

    Many of the MedFaxx non patient customers such as physical therapy clinics, chiroprator billing offices, medical offices and insurance companies are only allowed to bill for medical services and products if the correct billing codes are used.   These codes are referred to as "medical billing codes", "cpt codes", "ICD codes" and "medicare billing codes" to name a few generic examples.   Often services and products are paid for, or denied, based upon the correct use of the proper medical billing codes.  

    For patients and clinicians it is so frustrating to have denials of services or products because the bill was filed with the wrong code.   It is for this reason we provide a list of the most common codes associated with our products and services for our prescribing or treating clinicians to use.  The job description of medical billing personnel is very important to the financial success of any medical office.   The success of any clinic is very dependent upon the expertise of using the correct medical billing software or employing people who understand the processes.  

   If for any reason you, the patient of MedFaxx, receives notification of a denial for our products or services please let us know.   We strive to use the correct billing codes for our claims and the medical billing claims of physicians, physical therapists, athletic trainers and chiropractors. 

 

 

 

Neuropatia periférica tratada com restauração funcional

 



  

Ted é um dos nossos pacientes que sofriam de neuropatia periférica em sua panturrilha direita e no pé desde 1987. Ted hoje tem 77 anos e em boa saúde, mas a falta de sensação, e um pouco de dor, a partir da neuropatia periférica. Deixe-me contar um pouco sobre Ted e seus métodos.

Ted era um representante de vendas de produtos farmacêuticos. mais de 35 anos e sempre tive um grande interesse na forma como nosso corpo funciona quimicamente. Sua formação farmacêutica ajudou a entender os meandros das ações químicas na cura e doença. Mas Ted é um verdadeiro "Tomé". Ao longo dos anos Ted sempre demonstrou interesse em ajudar-se por compreender o que está acontecendo com seu corpo, e não aceitar conselhos de ninguém, sem comprometer seriamente a questionar a lógica, os resultados positivos e negativos, se ele optar por seguir o tratamento recomendado de seus médicos . O plural é usado como Ted não vai ver um médico, mas vários, quando ele tem um problema. Ele ouve dos médicos generalistas, neurologistas, ortopedistas, quiropráticos, fisioterapeutas, etc, e em seguida, compila seu próprio entendimento das questões de saúde e forma sua própria opinião de seus tratamentos pessoais.

Ted foi originalmente diagnosticado com neuropatia periférica em 1987 por um neurologista após um extenso estudo de condução nervosa. Em 1986, Ted tinha visitado Duke Medical Center como ele tinha notado um pequeno tremor que não era visível para os outros, mas ele sabia disso. Ted era um atirador certificada no Exército dos EUA e da Guarda Nacional para que ele continuou concursos sua pontaria. Foi a necessidade de ficar totalmente parado e, lentamente, apertar o gatilho que alertou Ted algo não estava certo.

Ted também era um jogador ávido, competir nos nacionais, e em 2004 ele deixou porque ele estava perdendo a capacidade de mover seus pés e controlar o equilíbrio. Ele competiu a nível nacional para a progressão da neuropatia periférica era algo que limita suas capacidades competitivas e ele perdeu essa vantagem competitiva para ganhar a esse nível de competição.

Ele usou múltiplas drogas e combinações ao longo dos anos para combater a neuropatia periférica.

Ted chegou até nós, porque ele estava perdendo a sensação em sua panturrilha direita e do pé. Isto estava causando um problema, porque Ted é um esposo único sobrevivente. Ele perdeu sua mulher para o câncer há 20 anos e é auto-dependente. Ted é muito independente e dirige seu carro quando ele tem que e ele estava se tornando perigoso para Ted e os outros motoristas, porque, devido às sensações perdidas em seu pé, ele não era mais capaz de discernir por sentir se o seu pé estava no freio ou pedal do acelerador. Ted superou isso simplesmente olhando para o pé para ver qual era a pedal. Ted estava muito preocupado, que depois de 25 anos, a neuropatia ia limitar a sua capacidade de conduzir e cuidar de si mesmo.

Ted chegou até nós depois de sua quiroprático sugeriu que ele poderia "ajudar a neuropatia periférica", usando uma máquina de eletroterapia, tratando Ted 3x por semana, durante aproximadamente 6 meses em seu escritório. Ted viveram mais de 45 milhas do seu quiroprático e as viagens seriam proibitivos, bem como dispendioso. Ele imaginou que teria custado aproximadamente US $ 8.000 + apenas para os tratamentos, mais o tempo eo custo da viagem. Ele estava procurando uma outra opção e veio nos pedir ajuda.

Quando falamos com Ted que lhe perguntou o que era sobre esta máquina o doutor usado que seria supostamente "ajudar a sua neuropatia periférica". Ted encontrou o site para a empresa e também nos enviou a literatura a empresa enviou aos médicos que explicam o equipamento. Para mim, eu tive sorte, como eu estava muito familiarizado com a empresa, o proprietário, ea história de como a máquina evoluiu. Não houve "mistério forma de onda", nem qualquer informação conhecida apenas pelo fabricante. O aparelho em si era basicamente muito simples, tanto quanto circuito eletrônico vai e não havia nada de novo no equipamento que não tinha sido há décadas.

Oferecemos Ted um uso experimental livre de Infrex máquina terapia interferencial e instruiu-o sobre os protocolos apropriados e posicionamentos de eletrodos para ver se o tratamento iria ajudá-lo. É realmente apelou para Ted que ele poderia auto tratar em seu lazer e não tem que comutar para trás e para o escritório do seu médico para tratamento. Nós sabíamos que Ted seria um dos pacientes mais compatíveis que nunca tinha tido devido a sua natureza inquisitiva tentando compreender os processos de eletroterapia e efeitos.

Ted iria para casa em recline noite, em seu Lazy Boy e aplicar um eletrodo para o fundo de seu pé direito, ponto de cintura costados, eo outro no espaço poplítea (atrás do joelho), ou panturrilha, coxa inferior das costas. Ted usaria o modo interferencial apenas por 45 minutos todas as noites, em seguida, alterar o eletrodo superior e ir para 30 minutos para o alívio da dor controle sensorial antes de ir dormir. Ele mudou a localização do eletrodo superior a cada noite, dependendo da entrada sensorial percebeu. Ele nos chamou uma vez nos primeiros 30 dias para se certificar de que ele estava usando o aparelho corretamente. Nós não ouvir de Ted para os próximos 30 dias.

Uma manhã a primeira chamada recebi começou dessa forma. "Bob Eu quero começar o seu dia e semana com uma nota boa" foi a saudação. Foi Ted. Ele explicou como ele tinha chegado ao ponto que em sua opinião ele havia restaurado 30% do sentimento e da função para o pé e panturrilha. Ele me disse pela primeira vez em mais de 10 anos, ele agora podia realmente sentir os dedos dos pés e tinha a sensação neles. A cor do seu pé tinha sido restaurado para um matiz mais brilhante tom de pele, a insensibilidade, frio azulada era uma vez, estava indo embora, e ele teve maior amplitude de movimento do que tinha antes do tratamento da dor, ausente.

Ted continua a usar sua máquina diariamente e continua a ver a melhoria semana por semana. O que é interessante para nós é, há esperança para tantas pessoas que se resignaram às consequências patológicas de resultados negativos. Agora, com a capacidade de auto-tratamento, com uma máquina clínica interferencial - o Infrex, as perspectivas de se manter a doença, os sintomas de marcha atrás, está começando a oferecer uma nova esperança para pacientes nunca antes imaginados. Restauração funcional está ocorrendo agora eo futuro parece brilhante.


 

Fatos e mitos sobre Enxaquecas

 

 

 

 

O artigo abaixo é uma reprodução da Web MD, webmd.com, com base em uma pesquisa de perguntas on-line para ajudar sofredores de enxaqueca mito separado do fato de enxaqueca. Nós achamos que isso seria informativo e queria divulgar esta para aqueles que sofrem crises de enxaqueca. Você vai encontrar um outro artigo no nosso site sobre "enxaquecas", que também se aplica como usar o Infrex Além disso interferencial para enxaqueca.
   
Como com todas as dores de cabeça, se cluster ou enxaqueca, a fim de utilizar a terapia interferencial é para evitar a ocorrência não, tratar a ocorrência. Uma vez que a enxaqueca começou há poucas coisas que se pode fazer para tratar os sintomas. O ideal é para evitar a ocorrência de enxaquecas, diminuir a frequência, ou reduzir a duração. A utilização de interferencial em casa, conforme necessário estimular o nervo occipital é para evitar a ocorrência de enxaquecas.

1. Enxaqueca geralmente sentida em apenas um lado da cabeça

2. Queijo Cheddar tende a trazer em enxaquecas

Below is the Medicare required CMN Tens Supplies form for getting monthly kits for the chronic pain patient.    MedFaxx will send this form to the patient or the physician office for completion so each patient can receive free montly tens supplies in the monthly kit(s).  Once completed MedFaxx will begin shipping montly supplies to your home or office.   Call MedFaxx at 800-937-3993 for more details.  We use this form constantly and can help any patient or physician office complete the form.

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES Form Approved
CENTERS FOR MEDICARE & MEDICAID SERVICES OMB No. 0938-0679


DME 06.03B

CERTIFICATE OF MEDICAL NECESSITY
CMS-848 — TRANSCUTANEOUS ELECTRICAL NERVE STIMULATOR (TENS)

SECTION A Certification Type/Date: INITIAL ___/___/___ REVISED ___/___/___ RECERTIFICATION___/___/___


PATIENT NAME, ADDRESS, TELEPHONE and HIC NUMBER
(__ __ __) __ __ __ - __ __ __ __ HICN _______________________


SUPPLIER NAME, ADDRESS, TELEPHONE and NSC or applicable

 

NPI NUMBER/LEGACY NUMBER


(__ __ __) __ __ __ - __ __ __ __ NSC or NPI #_________________


PLACE OF SERVICE______________ HCPCS CODE PT

DOB ____/____/____ Sex ____ (M/F) Ht. ____(in) Wt ____(lbs.)


NAME and ADDRESS of FACILITY
if applicable (see reverse)
__________
__________
__________
__________
PHYSICIAN NAME, ADDRESS, TELEPHONE and applicable


NPI NUMBER or UPIN
(__ __ __) __ __ __ - __ __ __ __ UPIN or NPI #_________________


SECTION B Information in this Section May Not Be Completed by the Supplier of the Items/Supplies.


EST. LENGTH OF NEED (# OF MONTHS): ______ 1-99 (99=LIFETIME) DIAGNOSIS CODES (ICD-9): ______ ______ ______ ______


ANSWERS ANSWER QUESTIONS 1-6 for purchase of TENS


(Circle Y for Yes, N for No,)
Y N 1. Does the patient have chronic, intractable pain?
_________ Months 2. How long has the patient had intractable pain? (Enter number of months, 1 - 99.)
1 2 3 4 5 3. Is the TENS unit being prescribed for any of the following conditions? (Circle appropriate number)
1 -Headache 2 - Visceral abdominal pain 3 - Pelvic pain
4 -Temporomandibular joint (TMJ) pain 5 - None of the above
Y N
Y N
4. Is there documentation in the medical record of multiple medications and/or other therapies that have been
tried and failed?
5. Has the patient received a TENS trial of at least 30 days?
_____/_____/_____ 6. What is the date that you reevaluated the patient at the end of the trial period?
NAME OF PERSON ANSWERING SECTION B QUESTIONS, IF OTHER THAN PHYSICIAN (Please Print):


NAME: ____________________________________________TITLE: ________________________EMPLOYER:__________________________


SECTION C Narrative Description of Equipment and Cost


(1) Narrative description of all items, accessories and options ordered; (2) Supplier’s charge; and (3) Medicare Fee Schedule Allowance for each
item, accessory, and option. (see instructions on back)


SECTION D PHYSICIAN Attestation and Signature/Date


     I certify that I am the treating physician identified in Section A of this form. I have received Sections A, B and C of the Certificate of Medical
Necessity (including charges for items ordered). Any statement on my letterhead attached hereto, has been reviewed and signed by me. I certify
that the medical necessity information in Section B is true, accurate and complete, to the best of my knowledge, and I understand that any
falsification, omission, or concealment of material fact in that section may subject me to civil or criminal liability.
PHYSICIAN’S SIGNATURE_________________________________________________________________________ DATE _____/_____/_____

Form CMS-848 (09/05)

 

 

INSTRUCTIONS FOR COMPLETING THE CERTIFICATE OF MEDICAL NECESSITY
FOR TRANSCUTANEOUS ELECTRICAL NERVE STIMULATOR (TENS) (CMS-848)


SECTION A: (May be completed by the supplier)


CERTIFICATION If this is an initial certification for this patient, indicate this by placing date (MM/DD/YY) needed initially in the space
TYPE/DATE: marked “INITIAL.” If this is a revised certification (to be completed when the physician changes the order, based on the
patient’s changing clinical needs), indicate the initial date needed in the space marked “INITIAL,” and indicate the
recertification date in the space marked “REVISED.” If this is a recertification, indicate the initial date needed in the
space marked “INITIAL,” and indicate the recertification date in the space marked “RECERTIFICATION.” Whether
submitting a REVISED or a RECERTIFIED CMN, be sure to always furnish the INITIAL date as well as the REVISED or
RECERTIFICATION date.


PATIENT Indicate the patient’s name, permanent legal address, telephone number and his/her health insurance claim number


INFORMATION: (HICN) as it appears on his/her Medicare card and on the claim form.


SUPPLIER Indicate the name of your company (supplier name), address and telephone number along with the Medicare Supplier


INFORMATION: Number assigned to you by the National Supplier Clearinghouse (NSC) or applicable National Provider Identifier (NPI). If
using the NPI Number, indicate this by using the qualifier XX followed by the 10-digit number. If using a legacy number,
e.g. NSC number, use the qualifier 1C followed by the 10-digit number. (For example. 1Cxxxxxxxxxx)


PLACE OF SERVICE: Indicate the place in which the item is being used, i.e., patient’s home is 12, skilled nursing facility (SNF) is 31, End
Stage Renal Disease (ESRD) facility is 65, etc. Refer to the DMERC supplier manual for a complete list.


FACILITY NAME: If the place of service is a facility, indicate the name and complete address of the facility.


HCPCS CODES: List all HCPCS procedure codes for items ordered. Procedure codes that do not require certification should not be listed
on the CMN.


PATIENT DOB, HEIGHT, Indicate patient’s date of birth (MM/DD/YY) and sex (male or female); height in inches and weight in pounds, if requested.


WEIGHT AND SEX:


PHYSICIAN NAME, Indicate the PHYSICIAN’S name and complete mailing address.


ADDRESS:


PHYSICIAN Accurately indicate the treating physician’s Unique Physician Identification Number (UPIN) or applicable National


INFORMATION: Provider Identifier (NPI). If using the NPI Number, indicate this by using the qualifier XX followed by the 10-digit number.
If using UPIN number, use the qualifier 1G followed by the 6-digit number. (For example. 1Gxxxxxx)


PHYSICIAN’S Indicate the telephone number where the physician can be contacted (preferably where records would be accessible


TELEPHONE NO: pertaining to this patient) if more information is needed.


SECTION B: (May not be completed by the supplier. While this section may be completed by a non-physician clinician, or a
Physician employee, it must be reviewed, and the CMN signed (in Section D) by the treating practitioner.)


EST. LENGTH OF NEED: Indicate the estimated length of need (the length of time the physician expects the patient to require use of the ordered
item) by filling in the appropriate number of months. If the patient will require the item for the duration of his/her life, then
enter “ 99”.


DIAGNOSIS CODES: In the first space, list the ICD9 code that represents the primary reason for ordering this item. List any additional ICD9
codes that would further describe the medical need for the item (up to 4 codes).


QUESTION SECTION: This section is used to gather clinical information to help Medicare determine the medical necessity for the item(s)
being ordered. Answer each question which applies to the items ordered, circling “Y” for yes, “N” for no, or “D” for
does not apply.


NAME OF PERSON If a clinical professional other than the treating physician (e.g., home health nurse, physical therapist, dietician) or a
ANSWERING SECTION B physician employee answers the questions of Section B, he/she must print his/her name, give his/her professional title
QUESTIONS: and the name of his/her employer where indicated. If the physician is answering the questions, this space may be left blank.


SECTION C: (To be completed by the supplier)


NARRATIVE Supplier gives (1) a narrative description of the item(s) ordered, as well as all options, accessories, supplies and drugs;


DESCRIPTION OF (2) the supplier’s charge for each item(s), options, accessories, supplies and drugs; and (3) the Medicare fee schedule


EQUIPMENT & COST: allowance for each item(s), options, accessories, supplies and drugs, if applicable.


SECTION D: (To be completed by the physician)


PHYSICIAN The physician’s signature certifies (1) the CMN which he/she is reviewing includes Sections A, B, C and D; (2) the
ATTESTATION: answers in Section B are correct; and (3) the self-identifying information in Section A is correct.


PHYSICIAN SIGNATURE After completion and/or review by the physician of Sections A, B and C, the physician’s must sign and date the CMN in
AND DATE:

Section D, verifying the Attestation appearing in this Section. The physician’s signature also certifies the items ordered
are medically necessary for this patient.

According to According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control
number for this information collection is 0938-0679. The time required to complete this information collection is estimated to average 12 minutes per response, including the time to review instructions,
search existing resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate or suggestions for
improving this form, please write to: CMS, Attn: PRA Reports Clearance Officer, 7500 Security Blvd. Baltimore, Maryland 21244.

DO NOT SUBMIT CLAIMS TO THIS ADDRESS. Please see http://www.medicare.gov/ for information on claim filing.

Form CMS-848 (09/05) INSTRUCTIONS


 

 

Migraine Aura by Kaleidoscope

 

   The below article is a reprint from Web M.D., webmd.com,  based upon an online question survey to help migraine headache sufferers separate myth from fact on migraine headaches.  We thought this would be informative and wanted to circulate this to those who suffer migraine attacks.    You will find another article on our web site about "cluster headaches" which also applies to how to use the Infrex Plus interferential for migraine headaches.  

   As with all headaches, whether cluster or migraines, the goal of using interferential therapy is to prevent the occurrence, not treat the occurrence.  Once a migraine has started there are few things one can do to treat the symptoms.  The ideal is to prevent the occurrence of migraines, lessen the frequency, or reduce the duration.  The use of interferential at home as needed stimulating the occipital nerve is to prevent the occurrence of migraine headaches.  

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