Hand Therapy Questions and Answers

Hand Therapy FAQs

Answers to Your Hand Therapy Questions

Do you have hand therapy questions? Our certified hand therapist Laura McCarthy, OTR, CHT answers some of the most common hand therapy questions we receive.


BASIC INFORMATION

 

Where are you located?

Our office is located at 5086 Dorsey Hall Drive Suite 106 in Ellicott City, MD.

What are your hours?

We are open Monday through Thursday from 7 a.m. to 6 p.m. and on Friday from 7 a.m. to 4 p.m.

We do not have weekend hours.  Please note we are typically closed on national holidays.


HAND THERAPY

 

Who do you treat?

We work with adolescents, senior citizens, and all ages in between. Our patients include musicians, athletes, students, and professionals who reside primarily in Maryland, Virginia, and Washington, DC.

What do you treat?

Our certified hand therapist and mentoring hand therapist treat injuries located between and including the fingertips and shoulder. Please note that we do NOT treat neck or head injuries.

Will my therapy hurt?

Therapy should not cause pain, but certain exercises could cause achiness on the day after therapy. Because of that possibility, we do our best to schedule your therapy sessions at least one day apart.

What kind of clothing should I wear to therapy?

If your hand, wrist, elbow, or shoulder is being treated, we recommend wearing a T-shirt or another garment that allows movement and ease of access. Lotion is used during some kinds of treatment, so please take that into consideration.

How long will my appointment take?

The average appointment takes 45 minutes. Appointments can range from 15 to 75 minutes depending on your treatment.

What kind of results can I expect with my therapy?

After completing therapy, most patients experience recovery from their injuries. Visit our Results page to read the results achieved by some of our patients.

Do you sell Spica Splints?

We make custom Spica splints, but we do not sell over-the-counter Spica splints. Please visit Laura’s Amazon store to view all of the hand therapy and ergonomic products you can buy online.

If my splint or brace breaks, where can I get a replacement?

There are some orthoses that can be fixed (such as the ones that Laura makes) but others (such as the pre-fabricated orthoses) cannot. Please call our office to find out if your orthosis can be fixed. We do carry some braces in our office, and there are also pre-fabricated ones listed in Laura’s Amazon store.

How do I schedule an appointment?

To schedule an appointment, please visit our Where to Begin page or give us a call at (410) 997-0037. We triage patients for medical necessity, and if needed, we will see the patient the same day or within 24 hours.


HAND THERAPY+

 

Become a Patient of LB Hand Therapy+ in Columbia MD

We are pleased to introduce LB Hand Therapy Plus.   As healthcare has become more insurance driven, we are frequently referred patients with problems outside the purview of hand therapy.  Many of these problems are solvable, but they require personal solutions typically uncovered by our healthcare system.  LBHand Therapy+ is designed to help patients solve problems so they can live healthier, less stressful lives.

 


ERGONOMICS

 

What is ergonomics?

The term “ergonomics” refers to the practice of evaluating and designing workplace environments for maximum productivity and safety. In the context of hand therapy, ergonomics refers to designing workspaces so as to reduce the possibility of pain or injury between and including the shoulder and fingertips.

To learn more about ergonomics, please visit the Occupational Safety and Health Administration’s (OSHA) website.

How can I get my work space set up ergonomically? Will you work with my employer?

We can work with your company’s human resources department to provide an ergonomic evaluation at your office. If that is not possible, we can use photographs of your workspace to see what needs to be adjusted with your employer’s permission.

Before requesting that you implement any changes to your workspace, you may schedule a session to try out the equipment at our office. For a pricing request, please email us with the number of people who would be evaluated and the location of your office, and we will call or email you with a quote.

How can I purchase ergonomic products?

LB Hand Therapy makes ergonomic products available to you online via Laura’s Amazon store.

How can I test out ergonomic products before I purchase them online?

If you would like to come to our office to test ergonomics products, there are a few different options. The first option is for you to come to our office and test out the different types of mice, keyboards, and chairs, with secured internet access for one hour. This service is $45.00 for a one-hour session.

If you would like to have an ergonomic assessment by an Occupational Therapist (Ergonomic Evaluation Certification Pending), along with the one hour trial of our ergonomics products, the charge is $115.00.

You may also rent the ergonomics equipment for a full day in our office. Please note that this is only available on Fridays from 7 am to 4 pm. The cost is $300.00. Please note that we require a non-refundable deposit of 50% of the charge when you make your appointment. We accept Visa, MasterCard, Discover, and American Express.

Can I use insurance to pay for ergonomic products purchased from Laura’s Amazon store?

To help keep your costs for ergonomics equipment low, we do not bill insurances or provide a bill for you to submit to your insurance.


TELEMEDICINE

 

What is telemedicine?

Telemedicine refers to the transfer of medical information from healthcare provider to patient via an electronic connection.

LB Hand Therapy allows qualifying patients to receive treatment for hand therapy, hand therapy +, and workplace ergonomic solutions via telemedicine. For more information, please visit our Telemedicine page.

Is telemedicine less effective than in-office visits?

When applied appropriately, treatment delivered via telemedicine can be just as effective as treatment delivered in-office. Telemedicine is appropriate for several kinds of hand therapy treatments, coaching appointments, and ergonomics assessments.

So that your therapist can get an accurate diagnosis and recommend the appropriate treatment, your first appointment must take place in-office.

How are telemedicine appointments billed?

Telemedicine is a special service that is not covered by insurance but could be in the near future. Until then, you will be responsible for all costs associated with telemedicine, as we do not submit telemedicine bills to insurance companies at this time. Medicare may cover the costs of telemedicine, but we encourage all patients to clarify – in advance with their insurance company – whether this service is covered.


BECOMING A PATIENT

 

How can I become a patient?

Visit our Where to Begin page to learn more about becoming a patient. If you’re ready to request an appointment, please call us at (410) 997-0037.

Do I need a referral?

Maryland is an “Open Access State,” which means that you do not need a referral to come to therapy. However, your insurance plan might require a referral in order to cover therapy. We recommend getting a referral first if you are interested in having insurance cover your therapy sessions.

Do you do home visits?

We are unable to provide home visits, but we do have telemedicine opportunities for qualifying clients. Please visit our Telemedicine page to learn more.

Does your office run on schedule?

Just like any other medical office, we experience emergencies that occasionally cause delays. However, our office runs on schedule most of the time. We value your time and do not double-book, which also helps us maintain efficiency.

Will you work with my schedule?

We do our best to work with your schedule, but we are not always able to accommodate you.

If you know in advance that you will need therapy, please call at least 3-4 weeks ahead (if possible) so that we can schedule you at your preferred time. Without at least 3-4 weeks’ notice, we cannot guarantee that your ideal time slot will be available.

What is your policy for treatment with car accidents?

We can treat patients who have been injured in a car accident, but we cannot wait for litigation to get paid.

Accident patients are treated as out-of-network insurance: You pay us out-of-pocket, and we provide your medical records and billing so that you can be compensated after litigation ends.

How do I get my medical records for a car accident case?

To receive your medical records, you must sign a medical record release form. We then send your medical records via certified mail once your treatment has been completed. A $25.00 processing fee is required to complete this process.

How many other patients will be treated during my appointment?

Our certified hand therapist and mentoring hand therapist believe that patients receive the highest quality of care during one-on-one appointments. When you are receiving treatment, you will be alone with our hand therapist. The only time you may have another patient with you is while your hand/arm is under a hot pack or on ice.

Will I see only one therapist during the course of therapy?

We do our best to ensure that you see the same hand therapist for the duration of your therapy, but we cannot guarantee it. If your therapist schedules vacation time or has a personal emergency, we will let you know if another therapist will be available during her absence.

How do I cancel an appointment?

You may cancel by calling us at (410) 997-0037 or emailing us at lbhandtherapy@comcast.net. If our office is closed when you call, please leave a message containing your name, phone number, and the date and time of the appointment you intend to cancel.

If you miss your appointment or cancel it less than 24 hours in advance, you must pay a $50.00 fee for hand therapy appointments. Ergonomic assessment appointments have a 50% non-refundable deposit, so there is no additional cancellation or missed appointment fee.


BILLING AND INSURANCE

 

How much will my hand therapy sessions cost?

The cost per appointment varies because each session requires different activities as the treatment progresses. This also varies per health insurance policies.

What insurances do you accept?

We accept the following insurance providers:

  • Aetna (all plans)
  • CareFirst Blue Cross Blue Shield (all plans)
  • Cigna
  • Medicare and Medicare DME Supplier for Custom Orthoses
  • Tricare
  • Prime Health Worker’s Compensation Network

We do not bill out-of-network insurances providers. If your insurance provider is out-of-network, you must pay at the time of your appointment and at your request, we will provide you with a bill you can submit to your insurance company for reimbursement.

Can I see you if you do not accept my insurance?

Yes, you may still see us, but you must pay out-of-pocket at the time of the visit. At your request, we will provide you with a bill to submit to your insurance company. Once you submit the bill, anything that your insurance company pays will go directly to you.

How can I pay my co-pay or co-insurance?

You can pay with cash, checks, or credit cards. We accept Visa, MasterCard, Discover, and American Express.

Is there a fee for missing an appointment?

The fee for missing a hand therapy appointment is $50.00, and the fee for missing a life coaching appointment is $120.00. All fees are payable by cash, check, or credit card. We require a non-refundable 50% deposit for ergonomic assessments, and there is no extra charge for missing or cancelling your ergonomics assessment appointment.

Whom should I contact if I have a question about my bill?

Please submit billing-related questions to lbht@lbhandtherapy.com or call us at (410) 997-0037.


Additional Hand Therapy Questions

If you have additional questions, please call the LB Hand Therapy office at (410) 997-0037.