Updates

• 
  Diana Smith I am a provider for oncology rehab and lymphedema. Specifically over the last 3+ years, Kaiser in WA state has been more restrictive of lymphedema treatment to 15 visits lifetime max, and now more frequently denying care for people referred for...  moreI am a provider for oncology rehab and lymphedema. Specifically over the last 3+ years, Kaiser in WA state has been more restrictive of lymphedema treatment to 15 visits lifetime max, and now more frequently denying care for people referred for oncology ROM and scar management even in absence of current swelling. This denial is happening even with the surgical code from the referring physician's office, not even if they enter a lymphedema code. I have also contacted our state APTA chapter who who is gathering my information to help us address this directly with Kaiser. I would like to know if there are other PTs that have found avenues to obtain authorization for patients with Kaiser coverage aside from submitting mobility or strength impairment codes if they have no edema requiring treatment ? I do know that Kaiser research to determine coverage for lymphedema clinical treatment is narrow from National Cancer Institute which explains diagnosis and treatment for lymphedema but does not include prevalence of lymphedema across survivorship or in light of progression of their cancer disease. Thank you  less

  • January 18, 2019
• 
  Diana Smith has just joined the community. Say hello!

  • January 14, 2019

  • 
    Lymphedema Community Staff Welcome!

    • January 14, 2019
    • -
    • Report