After this introduction, you will be able to understand the specific role the Dynamic Arc fulfills in your facility
The Dynamic Arc is the premier functional balance system utilized in healthcare today. Whether for balance screening, assessment or rehabilitation/treatment, the Dynamic Arc provides an objective platform to provide optimal care to your patients and residents.
This brief video will give you insight to the specific role that the Dynamic Arc will have in the provision of your services.
True or False on the general abilities of the Dynamic Arc
- The Dynamic Arc: Barnett Balance Assessment is a descriptive and objective functional balance assessment
- The Dynamic Arc: Barnett Balance Assessment collects objective data on functional balance performance that can be directly translated to a patient's ability to perform functional tasks
- The Dynamic Arc: Barnett Balance Assessment lacks the ability to quantify a patient's progression under your care
- The data provided by the Dynamic Arc: Barnett Balance Assessment will reinforce your documentation by objectively establishing medical necessity, quantifying patient gains as a result of intervention, and determine outcomes
If your product came with the included CD-Rom, insert the disc into your laptop at this time. Click on the disc drive to open the software then complete the following steps:
TO LOAD THE SOFTWARE ONTO YOUR COMPUTER:
- Open the software and drag the two folders titled "Software-BBA" and "Read Me Files" onto your desktop
- Once the software has successfully downloaded onto your computer, open the "Read Me Files" folder and explore the various documents/templates for your use. Included in this file are several references that our clinical specialists have assembled for ease of use, documentation shortcuts, and verbiage for documentation with other items.
- Once you have read the files in the "Read Me" folder, open the "Software-BBA" folder.
- Double-Click on the "setup" icon and run the software setup.
- Once setup is completed, you can then click the icon labeled "Barnett Balance Assessment". The program will load and display the data collection sheet upon opening.
WORKING WITH THE BARNETT BALANCE ASSESSMENT PROGRAM:
The program itself does not store patient information but rather acts as a collection and scoring platform. In the program there is 2 tabs at the top; the "Worksheet" and the "Results". You will input all the appropriate data into the worksheet, and then click the results tab upon completion for normative comparisons and raw scores. Once all data is entered and results tallied, you can either print the score sheets to your local or network-based printer or save the image as a .tiff to your desktop to load into your EMR. The printed score sheets (there will be 2 in total) can also be scanned and uploaded to your EMR should you choose that option as well.
Make sure you maintain all files in the designated folders or the program will not work correctly.
The Dynamic Arc has 2 components for assembly, the base/column and the arc itself. To assemble, raise the column up and fasten screw to secure. Make sure that the screw is tight to prevent sway in the column itself.
Then, place the arc on to the column with the post placed in the hole on top. Make sure the arc is properly aligned with the etching on the moving mechanism placed in the front side of the column. Also, make sure that the screw on the underside of the Dynamic Arc rests in the groove that is on the collar of the column.
Mechanisms of Dynamic Arc
The moving parts for the Dynamic Arc are labeled in the image below. Click on a hotspot to highlight movable part:
- The Dynamic Arc is a medical instrument that should be utilized ONLY by trained and licensed medical professionals who have successfully completed and passed associated training module
- The Dynamic Arc is a dynamic balance device. Proper safety must always take priority over scoring. ALWAYS utilize a gait belt during assessment and NEVER assess a patient who is a danger to harm themselves during usage. Use clinical judgement to maintain safety, associated precautions (hip precautions, spine precautions, etc) to ensure accurate scoring and no harm to patient.
- The Dynamic Arc is NOT DESIGNED to hold weight, as an important safety mechanism is for the instrument to fall out of the way should it be placed in a hazardous position. ONLY maintain <5lbs of weight total on the Dynamic Arc to ensure compliance.
- The Dynamic Arc is protected with anti-microbial coating however is safe to properly sanitize prior to/following use. Maintain sanitary conditions when utilizing this and all equipment
- When moving the Dynamic Arc through the mechanisms, make sure that the patient's and administrator's hands are clear from moving parts to prevent injury
CPT Coding and ICD-10
Samples of Applicable ICD 10 Coding to Justify Assessment:
Z91.81 History of Falling
R26.9 Abnormalities of gait
M62.81 Muscle Weakness
R26.2 Difficulty in Walking
R26.81 Unsteadiness on Feet
R29.6 Repeated Falls
Appropriate CPT Coding to Report:
97750-Physical Performance Test with Written Report (Most often utilized and most appropriate)
- Time-based code (reported in 15 minute units) utilized by MD's, DO's, DPM's, DC's, NP's, PA's, PT/OT's
- MUST include written report in patient's medical record. See CMS guidelines for further definition
- CANNOT be reported on same day as PT/OT Evaluation or PT/OT Re-Evaluation
- Frequency is typically every progress reporting period 10-14 days or when deemed medically necessary
*Other Physical Medicine/Physical and Occupational Therapy Codes can be appropriate if nature of assessment/activity is more applicable to another coding category.