Important Documents Concerning Medicare Policy
On Biofeedback, Electrical Stimulation, and Incontinence.
John Whyte, MD, of HCFA has requested that
professional organizations discuss their positions on incontinence treatments
among themselves, before the Medicare Coverage Advisory Committee's
public hearing on April 12-13, 2000 in Baltimore. Below are all statements that we have received to date.
The
Continence Coalition's spring 1998 "Position Statement: Coverage for
Pelvic Floor Biofeedback Therapy". (See the statement
posted on the WOCN website).
Dr.
John Perry's Recommendations to the Coalition for Utilization Parameters.
(June, 1999) (See excerpts at http://www.incontinet.com/ccsuggestions.htm).
The
Coalition's "Biofeedback Utilization Parameters" were
submitted to HCFA on September 22, 1999.
(See http://www.incontinet.com/ccbiofbup.htm)
The
Coalition's "Utilization Parameters" for Electrical Stimulation
for Incontinence. (See http://www.incontinet.com/ccestimup.htm).
The
American Urological Association's (AUA) "Incontinence Policy".
(See http://www.incontinet.com/aua2hcfa.htm.)
The
American Urogynecologic Society (AUGS) sent a position statement; a description
(not the full text) appears on their website.
The
Association for Applied Psychophysiology and Biofeedback (AAPB) reviewed
the Coalition's Biofeedback Utilization Parameters and voted to
"endorse" them -- with seven important qualifications and
corrections. (See http://www.incontinet.com/bfviewofup.htm).
The
AAPB also submitted (1) a letter (http://www.incontinet.com/aapbestimltr.htm),
(2) a critique (http://www.incontinet.com/aapbestimup.htm),
and (3) an article (http://www.incontinet.com/isestimadrug.htm)
in response to the Coalition's Utilization Parameters for Electrical
Stimulation
Dr.
John Perry,
the psychologist who invented the EMG vaginal sensor and developed the first
protocols for EMG biofeedback for incontinence, submitted a cover letter (See http://www.incontinet.com/perrycoverltr.htm)
and
a critique of the Monaco Report, (http://www.incontinet.com/monaco.htm.)
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