doctor resources added, moved public content

website/app/(pages)/articles/(content)/omt-codes/page.tsx

@@ -0,0 +1,286 @@
+import Article from "@/components/Article";
+
+const ArticleOmtCodes = () => {
+  return (
+    <Article
+      title="OMT Codes"
+      author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
+    >
+      <p>
+        <em>Richard A. Feely, D.O. FAAO, FCA, FAAMA</em>
+      </p>
+      <h2>Coding</h2>
+      <p>
+        The CPT Editorial Panel ruled to include OMT codes starting in the 1994
+        edition of the CPT Manual. (All{" "}
+        <em>Physicians Current Procedural Terminology [CPT] </em>five-digit
+        numeric codes, descriptions, numeric modifiers, instructions,
+        guidelines, and other material are copyright American Medical
+        Association.)
+      </p>
+      <p>
+        Osteopathic manipulative treatment is a form of manual treatment applied
+        by a physician to eliminate or alleviate somatic dysfunction and related
+        disorders. This treatment may be accomplished by a variety of
+        techniques.
+      </p>
+      <p>
+        Body regions are defined as head, cervical, thoracic, lumbar, sacrum,
+        lower extremity, upper extremity, pelvis, ribs, abdomen and viscera.
+        (Such regions are defined in ICD-9-CM codes 739.0-739.9. This
+        information should be shown on the claim form or in the physician
+        record.
+      </p>
+      <div>
+        <table>
+          <tbody>
+            <tr>
+              <td>CPT Codes</td>
+              <td>Procedure Description</td>
+            </tr>
+            <tr>
+              <td>
+                <p>98925</p>
+                <p>98926</p>
+                <p>98927</p>
+                <p>98928</p>
+                <p>98929</p>
+              </td>
+              <td>
+                <p>OMT; one to two body regions involved</p>
+                <p>OMT; three to four body regions involved</p>
+                <p>OMT; five to six body regions involved</p>
+                <p>OMT; seven to eight body regions involved</p>
+                <p>OMT; nine to ten body regions involved</p>
+              </td>
+            </tr>
+          </tbody>
+        </table>
+      </div>
+      <p>
+        The physician, insurance companies, Medicare, Medicaid, workers
+        compensation and all other third party reimbursement systems need to
+        know the following:
+      </p>
+      <ul>
+        <li>
+          These codes are to be used by physicians for osteopathic manipulative
+          treatments as of January 1, 1994. It is important that all carriers,
+          claims examiners and physicians be educated on the use of these codes
+          so that the present confusion of coding can be resolved.
+        </li>
+        <li>
+          These codes are separate and distinct from evaluation and management
+          codes, and should be billed separately.
+        </li>
+        <li>
+          These codes are to be used for inpatient and outpatient osteopathic
+          manipulative treatment services along with the appropriate evaluation
+          and management codes.
+        </li>
+        <li>
+          These codes define the body regions appropriately for use with
+          osteopathic manipulative treatments.
+        </li>
+      </ul>
+      <h2>Using The Codes</h2>
+      <p>
+        These patient vignettes are designed to give specific examples of the
+        types of services involved in the procedure codes for osteopathic
+        manipulative treatment. Examples featuring different specialist
+        physicians and surgeons are used in the examples to illustrate that any
+        physician may utilize all of the codes found below. The definitions of
+        body areas are found in the ICD-9 reference text under the codes 739.0
+        through 739.9.
+      </p>
+      <p>
+        After evaluating a patient and arriving at a diagnosis which includes
+        somatic dysfunction it is appropriate to utilize an evaluation and
+        management (E&amp;M) code to describe the evaluation and management
+        service. If the diagnosis includes somatic dysfunction, the physician
+        then utilizes one of the following procedure codes for describing the
+        service of rendering OMT to treat the dysfunction.{" "}
+        <em>
+          Note that these procedure codes do not include the service involved in
+          determining a diagnosis.
+        </em>
+      </p>
+      <p>
+        <strong>98925</strong> OMT to one to two body regions defined.
+        <br />A 39-year-old presents to the family practitioner with right ankle
+        pain following an injury. After the evaluation and assessment of the
+        patient the physician arrives at a diagnosis of (1) ankle sprain and (2)
+        somatic dysfunction of the right lower extremity. This is coded for by
+        utilizing an appropriate E&amp;M code. The use of 98925 involves the
+        treatment by the family practitioner utilizing application of
+        osteopathic manipulative treatment to the right lower extremity.
+      </p>
+      <p>
+        <strong>98926 </strong>OMT to three to four body regions defined.
+        <br />A 4-year-old female presents to her pediatrician with a fever,
+        cough, and sputum production. After the E&amp;M assessment and coding, a
+        diagnosis of (1) bronchitis and (2) somatic dysfunction of the cervical,
+        thoracic, rib and abdominal area is determined. The bronchitis is
+        treated with medications. The subsequent use of 98926 involves the
+        treatment by the pediatrician of the somatic dysfunction of the
+        cervical, thoracic, rib and abdominal regions utilizing osteopathic
+        manipulative treatment.
+      </p>
+      <p>
+        <strong>98927 </strong>OMT to five to six body regions defined.
+        <br />A 42-year-old male presents to the neurosurgeon with confusion and
+        pain in the neck and upper back and exacerbation of a previous history
+        of lumbar disc herniation with radiculitis following a motorcycle
+        accident. After E&amp;M assessment and coding, the diagnosis is that of
+        (1) closed head injury and (2) somatic dysfunction of the head,
+        cervical, thoracic, lumbar, sacral and rib region. The subsequent use of
+        98927 involves the treatment by the neurosurgeon of the somatic
+        dysfunction of the head, cervical, lumbar, sacral and rib regions
+        utilizing osteopathic manipulative treatment.
+      </p>
+      <p>
+        <strong>98928 </strong>OMT to seven to eight body regions defined.
+        <br />
+        Following cholecystectomy, a 32-year-old female develops abdominal pain
+        and distention. After E&amp;M assessment and coding, the attending
+        physician and surgeon arrives at a diagnosis of (1 ) post-operative
+        ileus and (2) somatic dysfunction of the head, cervical, thoracic,
+        lumbar, sacral, ribs and abdominal/visceral regions. The subsequent use
+        of 98928 involves the treatment by the surgeon of the somatic
+        dysfunction of the head, cervical, thoracic, sacral, rib, and
+        abdominal/visceral regions utilizing osteopathic manipulative treatment.
+      </p>
+      <p>
+        <strong>98929 </strong>OMT to nine to ten body regions defined.
+        <br />A 29-year-old female complains of generalized aching, low back
+        pain and cephalgia following a vaginal delivery. After assessment of the
+        patient using an E&amp;M code the family practitioner arrives at a
+        diagnosis of (1 ) cephalgia and (2) post-obstetric somatic dysfunction
+        of the head, cervical, thoracic, rib cage, lumbar, sacral, pelvic, and
+        upper and lower extremity regions. The use of 98929 then involves the
+        application by the family practitioner of osteopathic manipulative
+        treatment to the head, cervical, thoracic, rib cage, lumbar, sacral,
+        pelvic abdominal upper and lower extremity areas.
+      </p>
+      <p>
+        Complete and easily understandable documentation for OMT is necessary to
+        ensure adequate third party comprehension of the procedures for
+        appropriate payment. Different forms of osteopathic documentation exist
+        and should be reviewed for appropriate application. Available sources
+        for information on terminology and codes include the Glossary of
+        Osteopathic Terminology as published by the AOA, and information in CPT,
+        HCPCS and ICD-9-CM.
+      </p>
+      <p>
+        A commonly used method of documentation for OMT is illustrated in the
+        use of the SOAP note. <strong>SOAP </strong>is an acronym for a format
+        of recording information found during a physician visit. It includes
+        Subjective complaints and histories from the patient; Objective findings
+        of the physician’s exam and tests; Assessment or differential diagnosis
+        based on the first two; and Plan that is the course of treatment
+        designed by the physician.
+      </p>
+      <p>
+        Somatic dysfunction is a diagnosis utilized by osteopathic physicians to
+        code for disorders in the skeletal, arthrodial, myofascial and visceral
+        structures as well as related vascular, Iymphatic, and neural elements.
+        Palpatory findings may include, but are not limited to, tenderness,
+        asymmetry, range of motion abnormalities and tissue texture changes. A
+        more detailed list of terms and definitions can be found in the AOA
+        Glossary of Osteopathic Terminology.
+      </p>
+      <p>
+        In general, osteopathic manipulative techniques include, but are not
+        limited to, three broad categories: soft tissue techniques such as
+        stretch, gentle range of motion, and kneading; direct techniques such as
+        joint mobilization, thrust and muscle energy; and, indirect techniques
+        such as myofascial release, strain/counters/rain and cranial osteopathy.
+        A complete list of techniques and their descriptions can be found in the
+        AOA Glossary of Osteopathic Terminology.
+      </p>
+      <h2>New Patient</h2>
+      <p>
+        <strong>S</strong>
+        <strong>.</strong> A 20-year-old African-American male complains of low
+        back pain that began 3 days ago after he lifted a heavy object. Cannot
+        straighten up when walking. Pain with change of position. Denies
+        radiation of pain, it stays along the low back and waist line. Denies
+        areas of numbness. Comfortable when Iying down. Aspirin helps some. Has
+        used heat with some help. No prior history of back pain or injury.
+        Denies allergies. Medical/surgical history is unremarkable.
+      </p>
+      <p>
+        <strong>O.</strong> Tenderness noted over lumbar and sacral regions
+        Inability to extend lumbar spine when standing Flexion posture when
+        standing Muscle spasms noted in paraspinals of the lumbar region
+        Decreased range of motion of lumbar spine and sacrum was noted on active
+        and passive motion testing neurologic exam normal
+      </p>
+      <p>
+        <strong>A.</strong> 1. Lumbosacral sprain/strain<strong> 846.0</strong>
+        <br />
+        2. Somatic dysfunction lumbar, sacral <strong>739.3 and 739.4</strong>
+      </p>
+      <p>
+        <strong>P.</strong> 1. OMT <em>(appropriate techniques used)*, </em>
+        applied to the lumbar and sacral regions
+        <br />
+        2. Continue aspirin
+        <br />
+        3. No lifting, bending or twisting
+        <br />
+        4. Follow up in two days to reevaluate patient progress
+      </p>
+      <p>Coding For This Case</p>
+      <p>
+        Evaluation/management; new patient <strong>99203</strong>
+        <br />
+        OMT two body regions; lumbar/sacral <strong>98925</strong>
+      </p>
+      <h2>Established Patient</h2>
+      <p>
+        <strong>S.</strong> Patient is here for a recheck. He states that the
+        pain has decreased in his low back and that he can get around better. He
+        states that he has no radiation of pain into his legs. He does state
+        that he feels stiff and achy if he tries to do his normal daily
+        activities. He is still taking aspirin with some relief.
+      </p>
+      <p>
+        <strong>O.</strong> Tenderness with palpation and stretch of the erector
+        spinaemuscles
+        <br />
+        Pain with extension and rotation left of L5
+        <br />
+        Pain along right Sl joint with sacral extension
+        <br />
+        No muscle spasms noted with active or passive range of motion
+        <br />
+        Negative neurologic exam of lower extremities
+      </p>
+      <p>
+        <strong>A.</strong> 1. Lumbosacral sprain/strain; improving
+        <strong> 846.0</strong>
+        <br />
+        2. Somatic Dysfunction, lumbar, sacral; improving{" "}
+        <strong>739.3, 739.4</strong>
+      </p>
+      <p>
+        <strong>P.</strong> 1. OMT <em>(appropriate techniques used)* </em>to
+        lumbar and sacral regions
+        <br />
+        2. Instructed on proper posture when lifting
+        <br />
+        3. Increase home activities gradually and to tolerance 4. Follow up if
+        improvement does not continue
+      </p>
+      <p>Coding For This Case</p>
+      <p>
+        Evaluation and management; established patient <strong>99213</strong>
+        <br />
+        OMT two body regions; lumbar, sacral <strong>98925</strong>
+      </p>
+    </Article>
+  );
+};
+
+export default ArticleOmtCodes;

website/app/(pages)/articles/views/ArtsForDocs.tsx

@@ -5,13 +5,18 @@ const ArtsForDocs = () => {
     <section className="min-h-screen" id="artsfordocs">
       <div>
         <h1>Osteopathy</h1>
+        <div>
+          <h2>Articles</h2>
           <Link href="/articles/osteopathic-head-pain" className="block">
             Head Pain
           </Link>
           <Link href="/articles/neural-biological-mechanisms" className="block">
             Neural Biological Mechanisms
           </Link>
-        <Link href="/articles/intervertebral-disc-herniation" className="block">
+          <Link
+            href="/articles/intervertebral-disc-herniation"
+            className="block"
+          >
             The Basics of Intervertebral Disc Herniation
           </Link>
           <Link href="/articles/cranial-manipulation" className="block">
@@ -21,6 +26,23 @@ const ArtsForDocs = () => {
             The Trauma of Birth
           </Link>
         </div>
+        <div>
+          <h2>Resources</h2>
+          <Link href="/articles/cranial-manipulation" className="block">
+            Feely's Abridged Osteopathic Dictionary
+          </Link>
+          <Link href="/articles/the-trauma-of-birth" className="block">
+            OMT Codes
+          </Link>
+          <Link
+            href="/content/doctor-resources/drg_omt_chart.pdf"
+            target="_blank"
+            className="block"
+          >
+            DRG/OMT Chart [PDF]
+          </Link>
+        </div>
+      </div>
     </section>
   );
 };

website/app/views/Introduction.tsx

@@ -2,7 +2,7 @@
 
 import Carousel from "@/components/Carousel";
 import { ChevronDoubleDownIcon } from "@heroicons/react/24/solid";
-import drFeelyPic from "@/public/dr_feely_headshot.png";
+import drFeelyPic from "@/public/content/dr_feely_headshot.png";
 import Image from "next/image";
 
 const Introduction = () => {

website/components/Carousel.tsx

@@ -1,9 +1,9 @@
 "use client";
 
 import Image from "next/image";
-import chicagoPic from "@/public/homepage_carousel/chicago.jpg";
+import chicagoPic from "@/public/content/homepage-carousel/chicago.jpg";
-import indianapolisPic from "@/public/homepage_carousel/indianapolis.webp";
+import indianapolisPic from "@/public/content/homepage-carousel/indianapolis.webp";
-import naturePic from "@/public/homepage_carousel/nature.jpg";
+import naturePic from "@/public/content/homepage-carousel/nature.jpg";
 import { useEffect, useState } from "react";
 import { useTransition, animated } from "@react-spring/web";
 

website/components/Navbar/index.tsx

@@ -3,8 +3,8 @@
 import { useEffect, useState } from "react";
 import { Bars3Icon, XMarkIcon } from "@heroicons/react/24/solid";
 import NavPages from "./NavPages";
-import logo from "@/public/logo.png";
+import logo from "@/public/content/logo.png";
-import logo_small from "@/public/logo_small.png";
+import logo_small from "@/public/content/logo_small.png";
 import Image from "next/image";
 import { usePathname } from "next/navigation";