Project #4525 - memo

 

Project Objective: Many evidence-based guidelines are publicly accessible. In this assignment you’ll discover a large public database of guidelines and learn how to find one that you need to evaluate the appropriateness of a particular treatment intervention.  

Instructions:

 

Assume you are the office manager in large outpatient clinic. It seems that a new osteopathic physician who recently joined the clinic has ordered TENS (Transcutaneous Electrical Stimulation Units) for three of his patients who have chronic low back pain. The physician feels that TENS therapy is very helpful in reducing chronic pain in the lumbar & thoracic areas. The patients’ insurance companies (Blue Cross, Aetna, and Cigna) are refusing to pay for rental of the TENS equipment. According to the insurance companies, TENS is not considered a standard acceptable treatment for chronic low back pain.

 

The other clinic physicians have never ordered this type of treatment for patients with back pain and the business office supervisor doesn't know how to respond to the insurance coverage denials. The supervisor asks you to research treatment of patients with chronic low back pain to determine if TENS is considered an appropriate treatment modality based on scientific evidence or professional consensus.  

 

Assignment:

 

1.        Search the National Guidelines Clearinghouse (www.guideline.gov) to locate a recently published clinical practice guideline that addresses the treatment of patients with chronic low back pain and use of TENS for this condition. Limit your search to guidelines developed and published by a U.S. source and listed in the National Guidelines Clearinghouse database.  

 

2.        Write a memo to the business office manager that includes the following information:

a)    Description of the issue that prompted your research

b)    Title of the guideline you found and group that published the guideline

c)    Year the guideline was first published and if it is has been reviewed or revised since first published, the latest review or revision date

d)    What the guideline recommends about the use of TENS for patients with chronic low back pain.

e)    Suggested course of action for the business office supervisor, e.g. should the insurance payment denials be challenged or not? If the denials should be challenged, what evidence supports the use of TENS for treatment of chronic low back pain? If the denials should not be challenged, why not?

 

Upload your memo to the assignment drop-box. Remember to include your name at the top of the document. 

 

There is no particular format required for the memo. This assignment will be graded according to compliance with instructions, demonstrated effort, ability to accurately interpret guideline recommendations, and spelling/grammar. 

Subject General
Due By (Pacific Time) 04/19/2013 12:00 pm
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