Ramos Center Billing Update Blues The Ramos Report · 2020-06-29 · Opioids reduce the sensation...
2
During National Physical erapy Month in October, the American Physical erapy Association (APTA) will raise awareness among consumers about the risks of opioids and the benefits of Physical erapy as a safe and effective alternative for long-term pain management. Physical erapy is a safer alternative to treating pain for most non-cancer-related pain management. e CDC urges prescribers to reduce the use of opioids for pain management in favor of safer alternatives, such as physical therapy, particularly for low back pain, fibromyalgia, hip and knee osteoarthritis. Physical erapists treat pain through movement and exercise, helping patients improve strength, flexibility, and range of motion. Physical erapists also educate their patients about pain, which has been known to improve outcomes. No one wants to live in pain. But no one should put their health at risk in an effort to be pain free. Don’t just mask the pain... Treat it! Choose Physical erapy to manage your pain without the risks and side effects of opioids. Providers Communique Holiday Blues Although the holidays are a time of joy, they can also trigger symptoms of anxiety and depression in many individuals. Holiday blues are better known as Seasonal Affective Disorder (SAD). is moody state can be in part produced by the lack of sun light that may disrupt your body’s internal clock and decrease the amount of Serotonin in our brain, making us feel depressed, distressed, unhappy, intolerant etc. Some of the symptoms are tiredness, fatigue, altered patterns in your normal sleeping and eating habits among many others. It is important to prevent our patients from experiencing SAD. You may feel prone to consume alcoholic beverages, to take an excessive dosage of prescription pain medication or to even experience suicidal idealization (even if you do not have a real intention to commit suicide). At the Ramos Center, we have a Behavioral Health Program where we offer both individual and group therapy sessions, to help you cope with SAD. If you or someone you know is suffering from SAD, please contact Marly Ayala-Ycaza to schedule an appointment (941) 708-9555 Ext. 106 • [email protected]. Watch Dr. Ramos on ABC 7’s Suncoast View! Fighting Prescription Drug Abuse in Partnership with Sarasota Medical Alliance Foundation and Drug Free Sarasota Did you know that what you eat can affect your pain? Certain food ingredients can cause inflammation. It may be hard to resist certain “Yummies” such as pastries, chocolates, cakes, sodas and even fruit juices. e American Journal of Clinical Nutrition warns that processed sugars trigger the release of inflammatory messengers called cytokines. Sugars can be listed under many names. e key is to look for any word ending in “ose” e.g., fructose, or sucrose on ingredient labels. Saturated fats also trigger inflammation. Adipose (fat tissue) inflammation is an indicator for heart disease and can also worsen arthritis inflammation. Pizza and cheese are the biggest sources of saturated fats in many American’s diet according to the National Cancer Institute. Other offenders are meat/red meat products, full-fat dairy products, pastas. Trans fats ( trans fatty acids-an unhealthy substance) are known to trigger systemic inflammation. ese can be found in processed foods found in fast food, fried foods, frozen breakfast products, cookies, donuts,and most stick margarines. You want to avoid foods with partially hydrogenated oils in the ingredient labels. One ingredient foods are best- tomato, broccoli, fish, etc. White flour products (breads, rolls, crackers) white rice, white potatoes, and many cereals are refined carbohydrates that need to be limited. Processed carbohydrates are considered the main source of escalating rates of obesity and other chronic conditions such as diabetes, heart disease, joint disease. ese high-glycemic index foods fuel the production of advanced glycation end (AGE) products that stimulate inflammation. Cutting back on foods and drinks that promote inflammation can make a big difference in your arthritis symptoms. Healthy choices consist of fruits and vegetables, fish as a healthy source of protein with omega -3. Get Fishy! Certain types of fish are rich in inflammation fighting omega 3 fatty acids . ey work by reducing C-reactive protein and interleukin-6- two inflammatory proteins in your body. 3-4 ounces per week is the recommendation. Natural sources consist of salmon, tuna,sardines,anchovies and other cold water fish. Filling up on fiber can also be helpful as fiber lowers C-reactive protein. Break out the Beans! Beans have antioxidant and anti-inflammatory properties. Other healthy anti-inflammatory options are Turmeric and Tart cherry. Even high quality honey is rich in antioxidants (a substance that reduces /slows down damage to cells in our body). Now go out there and fill up on Vegetables full of fiber, lower carbohydrate fruits, and healthy proteins! Once again, Dr. Ramos made a guest appearance on the popular Suncoast View Talk Show. In this episode he discussed the local OPIOID DRUG CRISIS from a pain management perspective. Stacy Greeter, MD and Fabian Ramos, MD both tell how they want to educate both doctors and patients to make healthy, informed decisions and help end this crisis. Prescription drug abuse is a growing problem, but Suncoast experts are ready to help! Visit RamosCenter.com homepage and click on the link. Ramos Center for Interventional & Functional Pain Medicine The Ramos Report Volume 3 Ramos Center Billing Update BRADENTON Riverwalk Professional Park 100 3rd Ave. West n Suite 110 Bradenton, FL 34205 SARASOTA Medical Office Building at Doctors Hospital 5741 Bee Ridge Rd. n Suite 550 Sarasota, FL 34233 phone (941) 708-9555 fax (941) 708-5465 email [email protected] website RamosCenter.com Marly Ayala-Ycaza Licensed Mental Health Counselor We like to keep our patients informed and up to date on changes to the Ramos Center Charge Amounts. e Ramos Center charges will be increasing by 200%. What does this mean for you? is change will not affect your OOP (Out of Pocket Cost), payments or the insurance payments to the Ramos Center. Your Charge Amounts will be increased on your insurance EOB (Explanation of Benefits) and your patient billing statements, but this will not affect what you owe. Industry standard is to assess charges on a quarterly basis, updating the charge amount helps our practice collect 100% of our contract rate per insurance carrier. For example: We previously charged $215.38 for an established office visit and our contracted rate with a certain insurance is $107.69 if you have a 20% coinsurance then your portion is $21.54. e new charge amount will be $430.76 for an established office visit, our contracted rate with that same insurance will still be $107.69 and your 20% coinsurance is still $21.54 Reminder, it is the industry standard to update charges on a quarterly basis to keep up with the insurance carriers fee schedule. You will notice a slight change to our charge amounts every quarter once this initial update has been made. Facebook LinkedIn Instagram by Janine Zaccagnino, ARNP-BC Nurse Practitioner #ChoosePT ® MoveForwardPT.com CHOOSE THE SAFER WAY TO MANAGE PAIN. Ashley Sexton n Billing Manager (941) 708-9555 Ext. 107
Transcript of Ramos Center Billing Update Blues The Ramos Report · 2020-06-29 · Opioids reduce the sensation...
During National Physical Therapy Month in October, the American Physical Therapy Association (APTA) will raise awareness among consumers about the risks of opioids and the benefits of Physical Therapy as a safe and effective alternative for long-term pain management.
Physical Therapy is a safer alternative to treating pain for most non-cancer-related pain management. The CDC urges prescribers to reduce the use of opioids for pain management in favor of safer alternatives, such as physical therapy, particularly for low back pain, fibromyalgia, hip and knee osteoarthritis.
Physical Therapists treat pain through movement and exercise, helping patients improve strength, flexibility, and range of motion.
Physical Therapists also educate their patients about pain, which has been known to improve outcomes. No one wants to live in pain. But no one should put their health at risk in an effort to be pain free. Don’t just mask the pain... Treat it! Choose Physical Therapy to manage your pain without the risks and side effects of opioids.
Providers Communique
Holiday Blues
Although the holidays are a time of joy, they can also trigger symptoms of anxiety and depression in many individuals. Holiday blues are better known as Seasonal Affective Disorder (SAD). This moody state can be in part produced by the lack of sun light that may disrupt your body’s internal clock and decrease the amount of Serotonin in our brain, making us feel depressed, distressed, unhappy, intolerant etc.Some of the symptoms are tiredness, fatigue, altered patterns in your normal sleeping and eating habits among many others. It is important to prevent our patients from experiencing SAD. You may feel prone to consume alcoholic beverages, to take an excessive dosage of prescription pain medication or to even experience suicidal idealization (even if you do not have a real intention to commit suicide). At the Ramos Center, we have a Behavioral Health Program where we offer both individual and group therapy sessions, to help you cope with SAD. If you or someone you know is suffering from SAD, please contact Marly Ayala-Ycaza to schedule an appointment (941) 708-9555 Ext. 106 • [email protected].
Watch Dr. Ramos on ABC 7’s Suncoast View!Fighting Prescription Drug Abuse in Partnership with Sarasota Medical Alliance Foundation and Drug Free Sarasota
Did you know that what you eat can affect your pain?Certain food ingredients can cause inflammation. It may be hard to resist certain “Yummies” such as pastries, chocolates, cakes, sodas and even fruit juices. The American Journal of Clinical Nutrition warns that processed sugars trigger the release of inflammatory messengers called cytokines. Sugars can be listed under many names. The key is to look for any word ending in “ose” e.g., fructose, or sucrose on ingredient labels.Saturated fats also trigger inflammation. Adipose (fat tissue) inflammation is an indicator for heart disease and can also worsen arthritis inflammation. Pizza and cheese are the biggest sources of saturated fats in many American’s diet according to the National Cancer Institute. Other offenders are meat/red meat products, full-fat dairy products, pastas. Trans fats ( trans fatty acids-an unhealthy substance) are known to trigger systemic inflammation. These can be found in processed foods found in fast food, fried foods, frozen breakfast products, cookies, donuts,and most stick margarines. You want to avoid foods with partially hydrogenated oils in the ingredient labels. One ingredient foods are best- tomato, broccoli, fish, etc. White flour products (breads, rolls, crackers) white rice, white potatoes, and many cereals are refined carbohydrates that need to be limited. Processed carbohydrates are considered the main source of escalating rates of obesity and other chronic conditions such as diabetes, heart disease, joint disease. These high-glycemic index foods fuel the production of advanced glycation end (AGE) products that stimulate inflammation.Cutting back on foods and drinks that promote inflammation can make a big difference in your arthritis symptoms. Healthy choices consist of fruits and vegetables, fish as a healthy source of protein with omega -3. Get Fishy! Certain types of fish are rich in inflammation fighting omega 3 fatty acids . They work by reducing C-reactive protein and interleukin-6- two inflammatory proteins in your body. 3-4 ounces per week is the recommendation. Natural sources consist of salmon, tuna,sardines,anchovies and other cold water fish. Filling up on fiber can also be helpful as fiber lowers C-reactive protein. Break out the Beans! Beans have antioxidant and anti-inflammatory properties.
Other healthy anti-inflammatory options are Turmeric and Tart cherry. Even high quality honey is rich in antioxidants (a substance that reduces /slows down damage to cells in our body).Now go out there and fill up on Vegetables full of fiber, lower carbohydrate fruits, and healthy proteins!
Once again, Dr. Ramos made a guest appearance on the popular Suncoast View Talk Show. In this episode he discussed the local OPIOID DRUG CRISIS from a pain management perspective. Stacy Greeter, MD and Fabian Ramos, MD both tell how they want to educate both doctors and patients to make healthy, informed decisions and help end this crisis.Prescription drug abuse is a growing problem, but Suncoast experts are ready to help! Visit RamosCenter.com homepage and click on the link.
Ramos Center
for Interventional & Functional Pain Medicine
The Ramos Report
Volume 3
Ramos Center Billing Update
BRADENTON Riverwalk Professional Park 100 3rd Ave. West n Suite 110 Bradenton, FL 34205
SARASOTA Medical Office Building at Doctors Hospital 5741 Bee Ridge Rd. n Suite 550 Sarasota, FL 34233
phone (941) 708-9555 fax (941) 708-5465 email [email protected] website RamosCenter.com
Marly Ayala-YcazaLicensed Mental Health Counselor
We like to keep our patients informed and up to date on changes to the Ramos Center Charge Amounts.
The Ramos Center charges will be increasing by 200%. What does this mean for you? This change will not affect your OOP (Out of Pocket Cost), payments or the insurance payments to the Ramos Center.
Your Charge Amounts will be increased on your insurance EOB (Explanation of Benefits) and your patient billing statements, but this will not affect what you owe. Industry standard is to assess charges on a quarterly basis, updating the charge amount helps our practice collect 100% of our contract rate per insurance carrier.
For example:
We previously charged $215.38 for an established office visit and our contracted rate with a certain insurance is $107.69 if you have a 20% coinsurance then your portion is $21.54.
The new charge amount will be $430.76 for an established office visit, our contracted rate with that same insurance will still be $107.69 and your 20% coinsurance is still $21.54
Reminder, it is the industry standard to update charges on a quarterly basis to keep up with the insurance carriers fee schedule. You will notice a slight change to our charge amounts every quarter
once this initial update has been made.
Linked In
by Jan ine Zaccagnino, ARNP-BC Nurse Pract i t ioner
#ChoosePT®
MoveForwardPT.comCHOOSE THE SAFER WAY
TO MANAGE PAIN.
Ashley Sexton n Billing Manager(941) 708-9555 Ext. 107
Justin M. Kotlarczyk MSPT, CSCSPhys ical [email protected] Appointments: (941) 708-9555 Ext. 106
Physical Therapy vs Opioids: When to Choose Physical Therapy for Pain Management
Kat i uska M . Ramos Cer t i f ied Cl in ical Hypnotherap ist
NLP Practitioner( 94 1 ) 708 -9 5 5 5 E x t . 1 0 6
k r amos@ramoscen t e r. com
SleepIssues?
According to the Centers for Disease Control and Prevention (CDC), sales of prescription opioids have quadrupled in the United States, even though “there has not been an overall change in the amount of pain that Americans report.”Prescription opioids are appropriate in certain cases, including cancer treatment, palliative care, and end-of-life care, and also in certain acute care situations, if properly dosed. For other pain management, the CDC recommends non-opioid approaches including Physical Therapy.
Patients should choose Physical Therapy when.... . . The risks of opioid use outweigh the rewards. Potential side effects of opioids include depression, overdose, and addiction, plus withdrawal symptoms when stopping opioid use. Because of these risks, “experts agreed that opioids should not be considered firstline or routine therapy for chronic pain,” the CDC guidelines state. Even in cases when evidence on the long-term benefits of non-opioid therapies is limited, “risks are much lower” with non-opioid treatment plans.
. . . Patients want to do more than mask the pain. Opioids reduce the sensation of pain by interrupting pain signals to the brain. Physical Therapists treat pain through movement while partnering with patients to improve or maintain their mobility and quality of life.
. . . Pain or function problems are related to low back pain, hip or knee osteoarthritis, or fibromyalgia. The CDC cites “high-quality evidence” supporting exercise as part of a physical therapy treatment plan for those familiar conditions.
. . . Opioids are prescribed for pain. Even in situations when opioids are prescribed, the CDC recommends that patients should receive “the lowest effective dosage,” and opioids “should be combined” with non-opioid therapies, such as Physical Therapy.
. . . Pain lasts 90 days. At this point, the pain is considered “Chronic,” and the risks for continued opioid use increase. An estimated 116 million Americans have chronic pain each year. The CDC guidelines note that non-opioid therapies are “preferred” for chronic pain and that “clinicians should consider opioid therapy only if expected benefits for both pain and function are anticipated to outweigh risks to the patient.”
Physical Therapists can play a valuable role in the patient education process, including setting realistic expectations for recovery with or without opioids.
Stock the Cupboard!Food Drive for Food Bank of Manatee
After Hurricane Irma, many people lost all their food due to the power outages. The Food Bank of Manatee helped hundreds of families in need and now is in a depleted state.In response the Ramos Center is launching a food drive from October 15th through November 13th to assist the Food Bank of Manatee. We will be collecting canned goods and other non-perishable items to help replenish their inventory.Collection centers will be established in the waiting rooms at both of our Ramos Center offices.
begin to feel more awake and sleep eludes you for another night. Hypnotherapy will help you to have a clear understanding of the ways you might be stopping yourself from sleeping. After that, we will design a powerful self-hypnosis recording
for you to use at home. The relaxation techniques used in hypnosis will help you lower your adrenaline levels at night, helping you to fall asleep more easily. At the same time, the deepening techniques used during hypnosis represent a midway stage between alert conscious and sleep. Therefore, these deepening techniques help you smooth the transition from awaken to sleep. Hypnotherapy is a very natural and effective way to treat sleeping difficulties and have long-lasting benefits.
If you are suffering from difficulty to sleep at night, the following monologues will seem very familiar: The Clock Watcher: “oh no, two thirty in the morning. I’ve have been in bed since eleven and I still can’t get to sleep. Even if I get to sleep in five minutes, I will only be able to sleep four hours””
The Doomsayer: “I can’t sleep and I’m completely miserable. Everything is messed up anyway. I can’t seem to make anything work out.” The fixer: “I have to figure out a way out of this one…..what if I try to……I’ll just make a list in my mind of the things I need to do tomorrow…” Time passes and you know you need your rest and you are not getting it. Therefore, you begin to fear that you won’t sleep enough tonight. Consequently, adrenaline begins to pulse throughout your system and you
Quitting Isn’t Easy!Research shows that smokers are most successful in kicking the habit when they have support, such as:n Telephone smoking-cessation hotlinesn Stop-smoking groupsn Online quit groupsn Counselingn Nicotine replacement productsn Prescription medicine to lessen cravingsn Guide booksn Encouragement and support from friends & family
American Cancer Society’s Annual Event to Stop Smoking Kicks Off Thursday November 16th
For Our Local Great American Smokeout! Presented by Ramos Center for Pain Management November 16 • Ramos Center Bradenton 2nd level • Suite 210
5:00 PM - Sign-in, Snacks, Beverages, Mingling
5:30 PM - Guest Introductions. How much are you smoking, how long, why do you want to quit now?
6:00 PM - Post-It Activity (Focus on positive affirmation, rather than the negatives)
6:30 PM - How the Ramos Center Can Help You- Katiuska Ramos and Marly Ayala-Ycaza talk about their programs (Behavioral Therapy & Clinical Hypnotherapy)
7:00 PM - Next steps... Group Support Sessions Sign-Up’s
Raffle prizes and self help resources to take home! RSVP to (941) 708-9555 Ext.106
Quitting Tobacco Isn’t Easy! We want to support you every step of the way! Join us and others across the nation as we help you begin a tobacco-free life!
What is the Great American Smokeout?
Every year, on the third Thursday of November, smokers across the nation take part in the American Cancer Society Great American Smokeout event. Challenge yourself or encourage someone you know to use the date to make a plan to quit, or plan in advance and then quit smoking that day. By quitting – even for 1 day – smokers will be taking an important step toward a healthier life and reducing their cancer risk.
Pain & Balance
Physical Therapy
Mind and SuccessKatiuska Ramos Clinical Hypnotherapy
