Question

Application or removal of a cast or splint can be billed separately in some situations but not in others. In which situations is separate billing appropriate? Why do some situations dictate separate billing but others treat cast application as an included procedure? Must be at least 250 words

Answer 1

Situations in which separate billing is appropriate include, recording of deductibles in a proper way ,sperating on a cost basis form those paid on a charge badsis of the experience or for the purpose of accounting and statistical reasons (hcpro,2012)

The ability to properly apply casts and splints is a thechnical skill easily mastered with practice and an understanding of basic principles.the intial approch to casting and splinting start with application of stockintte ,followed by padding . splinting involves subsequent application of a no circumferential support held in place by an elastic b andage .splints are faster and easier to apply .allow for the natural swelling that occurs during the acute

inflammatory phase of an injury,are easily removed for inspection of the inury site,and are often the preferred tool for immobilization in the acute care setting.Disadvantages of splinting include lack of patient compliance and increased motion at the injury site.casting involves circumferential application of plaster or fiberglass .As such ,casts provide Superior im mobilization.but they are more technically difficult to apply and less forgiving during the acute inflammatory atage ,they also carry a higher risk of complications of splinting and casting .patient education regarding swelling,signs of vascular compromise,and recommendations for follow_up is crucial after cast or splint application.