Elite Home Visits: Bringing the Clinic Experience Home

home visits

Elite Home Visits

Elite Integrated Therapy Centers offers physical, occupational and speech therapy services in the home and in assisted-living facility settings. Our home visits are offered to anyone in the Upstate area with no restrictions or extra costs. It is billed exactly as if you are in the clinic with us, and there are no guidelines that need to be met to qualify for in-home treatment. This program also serves as an effective home health discharge plan reducing re-hospitalization/readmission rates for vulnerable patient populations.

Who Qualifies for Elite Home Visits?

Anyone and everyone! There are no limitations on who can receive these services. In contrast to home health, we bill Medicare Part B rather than Part A. Therefore, there are no additional fees or qualifications. Your copay will be dependent upon your insurance. We will also pre-verify your benefits before your first appointment so there are no surprises.

Those Who Benefit the Most

That said, this program is more beneficial to some more than others. We strongly encourage patients to attend their therapy sessions in the clinic. However, we realize that is not feasible for everyone so we wanted to bridge that gap.

Our home visit services are ideal for those who:

  • Are immunocompromised or have a respiratory condition at this time.
  • Are home-bound.
  • Have transportation issues.
  • Reside far from healthcare facilities.

If you fall into one of these categories, Elite home visits would be a great option for your physical, occupational and/or speech therapy needs. Our goal is to help you live your best, pain-free life.

Physical Therapy vs. Occupational Therapy vs. Speech Therapy

Physical, occupational and speech therapy all mutually focus on targeted tasks and problem solving to promote success in the home environment. However, each one can then be further broken down into assisting with the following objectives:

  • Physical Therapy: functional mobility, rehabilitation, assistive device utilization and balance.
  • Occupational Therapy: activities of daily living (bathing, dressing, driving), returning to work and fall prevention.
  • Speech Therapy: speech & language, cognition (memory, problem solving, safety), feeding/swallowing, fluency and voice disorders.

Treatment methods vary dependent upon your specific needs and goals. Your doctor may refer you for one of these services. You may also call us personally to schedule your appointment – no referral necessary! We will continue to keep your primary care physician updated with your progress throughout treatment.

What to Expect

Now that you have made your appointment, what can you expect?

We provide you with a two hour window in which we will arrive at your house and will call you the day of when we are on the way. Upon arrival, we will review your insurance information, as well as some general paperwork. The first part of your evaluation will be spent discussing your medical history, symptoms and goals. Various tests will be performed to determine your functional capabilities and limitations. Your results are then used to create a unique, individualized treatment program. We will work closely alongside you, helping you achieve your goals and measuring your success along the way.

Added Bonus!

In addition to these services, our in-home speech language pathologists can also help during this time for those who have suddenly become tasked with being an at home educator, which includes special education services. Our therapists can help bridge the gap and prevent regression. We are able to work with all ages, including infants, children and adolescents.

For Your Convenience

We accept most commercial insurances, Medicaid, Medicare and offer private pay services/payment plans. We are happy to work around your schedule to find a time most convenient for you. Our goal is to assist you as best we can during this unprecedented time. Continuing progress in therapy prevents regression or worsened symptoms of pain or injury, which is why we have chosen to remain available to those who need us the most. We are continuing to treat in the clinics, as well, and going above and beyond all CDC and WHO safety guidelines.

Our goal is to assist you as best we can during this unprecedented time throughout the Greenville, Anderson, Spartanburg, Belton, Boiling Springs, Fort Mill, Powdersville, Seneca and Simpsonville, SC areas.

Contact one of our clinics today to schedule an appointment.

Wheelchair and Seating Evaluations: Who Would Benefit and What to Expect

Man in WheelchairWe’re halfway through National Occupational Therapy Month! We wanted to take today to highlight a lesser-known service provided here at Elite Integrated Therapy Centers – Wheelchair and Seating Evaluations. Our Occupational Therapists are able to help determine if a wheelchair or scooter is right for you!

So… Who Would Benefit From a Wheelchair and Seating Evaluation?

Anyone who already has or is in need of a scooter, power, or manual wheelchair is eligible for a Wheelchair and Seating Evaluation. If you would like to be more independent, our Occupational Therapists would love to help determine the best fit for you and your lifestyle. We work closely with your primary care physician throughout this process, although you do not need a referral to come see us! When you first schedule your appointment, we verify your insurance and let you know your benefits ahead of time – no surprises!

Insurance Requirements to Obtain a Wheelchair

Each insurance is different, but most power and manual chairs are covered by insurance after following copay and deductible policies. Currently, insurance companies only require that the therapist documents how the wheelchair is going to be used inside the home. First, insurance requires the patient to have a face-to-face appointment with their physician to document that a wheelchair or scooter is medically-necessary. Then, you can schedule your appointment with us so one of our Occupational Therapists can perform the evaluation. Next, we fax the results to your physician. Finally, your physician will have a face-to-face visit with you in the office and he or she will submit the necessary paperwork to order your chair and/or parts!

WHAT does the Wheelchair and Seating Evaluation Include?

Our Occupational Therapists complete an in-depth, one-hour evaluation to determine what type of mobility device, either a manual wheelchair, power wheelchair, or scooter, is most appropriate. We assess balance, posture, strength, and range of motion of upper and lower extremities. A local Assistive Technology Provider will also be present for the evaluation to assist with taking measurements and choosing the optimal chair, seat cushion, and backrest. The Assistive Technology Provider works for the company that provides the chair or various parts.

Scooter vs. Power Wheelchair vs. Manual Wheelchair

A scooter is a power device that you would normally see or use in a grocery store. They have 3 or 4 wheels, giving them a larger turning radius, and also making it harder to get in and out of rooms. Scooters are difficult to use inside the home. Scooters allow you to use both of your upper extremities rather than just one hand.

Similarly, a power wheelchair provides more seating options and is controlled by a joystick. The power wheelchair has a smaller turning radius which makes it able to turn tight corners, which makes it easier to use in the home.  For those with poor trunk control and difficulty with transfers and walking, a power chair would be a better option.

Lastly, a manual wheelchair allows you to propel yourself and can be fitted specifically to you. These lightweight chairs are great for individuals who have good upper body function and the necessary strength to propel themselves around the home.

Back and Seat Cushions on a Wheelchair

Once you determine which device is best for you, the final step is to address backrests and seat cushions. Backrests on chairs can provide you with better stability if you have poor trunk control.  Depending on the condition of your spine, you may require a specialty backrest.  There are also specialty seat cushions that provide pressure-relief for individuals who are at high risk for pressure sores. If you have poor trunk control, then seat cushions that provide support and stability are also an option. These cushions can be used in both manual and power wheelchairs.

Maybe you’re considering a wheelchair or scooter to help you be more independent and have more mobility. Maybe you already have a chair and need it to be adjusted/repaired. Either way, contact us today! We would love to talk with you and get you set up with an appointment. We are passionate about helping you live your life to the fullest!

 

OT and Custom Splints: Keeping It Straight!

April is National Occupational Therapy Month! To kick it off, we wanted to dive into one of the most adaptable aspects of occupational therapy-splinting! A splint is a device worn on an affected area and can be used to immobilize, mobilize, restrict, support, or protect a body part.

What is OT, you ask?

Occupational Therapy is a rehabilitation discipline focused on maximizing one’s independence performing meaningful tasks. That means that we can treat you for problems you have when performing daily activities, work duties, or even leisurely pursuits and make these tasks easier for you. Yeah, it’s a pretty big deal.

What can OTs treat?

In our clinics, we see many different types of complaints including, but not limited to pain and weakness in any joint or area of the arm and shoulder, fractures of any part of the arm, rotator cuff injuries, shoulder pain with scapular dysfunction, nerve injuries/palsies, and many more. OTs can even conduct driver assessments and wheelchair evaluations. We also go beyond physical treatment and can help enable people with cognitive impairments including cerebral palsy, traumatic brain injury, spinal cord injury, Parkinson’s Disease, Alzheimer’s Disease, and the list goes on. For a full list of everything our OTs can treat, check out our diagnoses list!

How do OTs treat?

Our treatments usually involve a combination of exercise, activity practice, activity modification, and massage/manual therapy. Each session will be adjusted to meet your specific needs that day to ensure that you are getting the most out of every appointment. Also, you will have an individualized home exercise program to continue your progress when you are not in the clinic. And of course, our treatments are interactive and fun!

Splints

You have probably seen splints in stores such as CVS and Walgreens. However, they often don’t do the job quite right and that’s where custom splinting comes in! Our occupational therapists are trained to make a variety of finger, hand, wrist, and elbow splints that are customized for each condition and individual. The process is relatively simple and can be done during your first visit with a prescription. Most people find our custom splints more comfortable than those bought at a store. And even better, our custom splints are covered by most insurances!

Common diagnoses that our therapists make splints for include:

  •         Carpal tunnel syndrome
  •         Wrist sprain
  •         Wrist clicking
  •         Carpal instability
  •         Thumb arthritis
  •         Trigger finger
  •         Mallet finger
  •         Tennis elbow
  •         All types of fractures

We will fully assess your condition and needs to determine the best splint and adjust it for your unique needs!

The Splinting Process

The process of making a splint is surprisingly quick and easy! First, our therapists will perform a full assessment of your condition and what you need to do. Then, we will design a paper pattern for the splint sketching around your arm and try it on to ensure it meets your unique needs. Next, we will heat a special thermoplastic in warm water to make it soft. After cutting the material to match the pattern, we reheat it to a moldable, but comfortable, temperature. We will then apply the warm material to the affected area and ensure proper fit and position while the splint cools and firms (most people really enjoy how warm this feels!) Finally, we will fine-tune the splint to maximize comfort and add Velcro straps. Most splints only take 15-20 minutes to make!

 

OT making custom splint

Jon, OTR/L, making a custom splint in our clinic.

 

If you have any problems with a finger, hand, wrist, or elbow, then you should call in and ask to speak with one of our Occupational Therapists. We can discuss your specific condition, give immediate advice, and tell you if therapy, including a custom splint, is right for you. Often, we can see you in the clinic within 1-2 business days!