Physical therapy and disability management are inextricably linked because therapists are THE functional experts in the American medical hierarchy. Physical therapists have the unique position of being both “specialists” and “generalists” because nearly every body system involves conditions that therapists are trained to manage. Therapists are especially trained to manage and treat persons with neuromuscular conditions, which explain the prevalence of physical therapy in workers compensation and Medicare. The current and emerging patient demographics of aging population, increasing frequency of chronic conditions & co-morbidities and Americans working longer all but guarantees a growing role for physical therapy case management.

D+WC focuses exclusively on physical rehabilitation and disability management therefore; we are the provider of choice when it comes to physical disability management. Unlike some competitors, we do not solely focus on cost reduction because it is a well-known fact, that if you squeeze the healthcare balloon in one area (cost discounts), it bulges in another area (utilization rates). Complex cases require case management skills that only a physical therapist can fully understand. These include the following conditions:

  • Chronic & Complex Cases
  • Asthma
  • Cancer
  • Coronary Artery Disease
  • Chronic Kidney Disease
  • Chronic Obstructive Pulmonary Disease
  • Complex Hand Injuries
  • Depression
  • Diabetes
  • Low Back Pain (chronic or >8wks duration)
  • Multiple Sclerosis
  • Muscular Dystrophy
  • Neck pain (chronic or >8wks duration)
  • Nerve Transplants
  • Obesity

We offer our clients wisdom grounded in unparalled experience. D+WC’s founder, David W. Clifton, PT started the nation’s first physical therapy-specific utilization & peer review company in 1982 (Physical Therapy Review Services/PTRS), and has been an active clinician and educator throughout his career. He recognizes the difference between what constitutes medically necessary and reasonable physical therapy and what does not satisfy standards of care. 

In the 1980s, David became concerned that all physical therapists would be judged (via claims denials) because of the actions of a minority, he continues to have this concern particularly, because the future need for physical therapy will explode along with population demographics