Patient-Centered, Objective and Compassionate Care
Patient-Centered, Objective and Compassionate Care
The COVID-19 coronavirus pandemic has had a significant impact on everyone, including how we care for ourselves and those we care for. The professional staff at CORE Injury Management is no exception, and each of us have fully committed to the creation and maintenance of a safe environment for both our patients and our staff.
Please note the steps we have taken to minimize risk during this pandemic.
We remain open during this time in order to provide the excellent service we are known for. While pandemic restrictions are starting to ease, medical environments continue to represent a greater risk for infection, and we will continue to maintain a heightened level of restrictions at this time to ensure the safest environment we are able. When you come for your visit, please follow our guidelines and procedures to make your visit safe.
Additional information regarding the CDC national healthcare guidelines are provided at the Interim Infection Prevention & Control Recommendations.
CORE Injury Management patient registration forms should be printed, completed by hand, and brought to the office at the time of the first appointment. These forms may be accessed from the Patient Registration Page. If access to a printer is not available, please inform the office prior to your appointment in order to provide another means to obtain these forms.
Effective January 1st, 2020, Washington State implemented the Balance Billing Protection Act (WA-BBPA) to offer protection from surprise medical bills. This was supplemented on a national level when on January 1st, 2022, the Federal No Surprises Act (“FNSA”) was implemented, which applies to a broader scope of plans and services than Washington’s BBPA. Their combined purpose is to offer transparency and disclosure for individuals seeking medical services.
Under the law, health care providers must give patients who either don’t have insurance or who are not using insurance (e.g. for an elective non-covered procedure or treatment), an estimate of the bill for the health care items and services they are about to receive. A Good Faith Estimate provides transparency for the total expected cost when scheduling or upon request.
Balance Billing (also referred to as Surprise Billing) occurs when an out-of-network provider bills the patient for the difference between the provider’s charge and the insurance company’s allowed amount.
In the interest of disclosure, healthcare facilities and providers are required to provide a list of the commercial health insurer provider networks in which they participate. Click here to see the networks’ list for CORE Injury Management. Click here to learn more about your rights and protections.
These protections apply to fully insured commercial, Federal Employees Health Benefits (FEHB), Public Employees Benefits Board (PEBB), School Employees Benefits Board (SEBB), and self-funded employer sponsored.
If you have questions regarding your statement and balance billing, contact the office at 425-270-3152.
Notice: The material contained on this page is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care provider. Section 1557 Affordable Care Act (ACA)
Dr. Jo, a physical therapist and a Doctor of Physical Therapy, provides an informative web site (Ask Dr. Jo) that contains helpful information and instructional videos on exercises and stretching for various injuries and conditions.
Regenerative Orthopedic Medicine encompasses those areas of medicine focused upon the process of replacing, engineering or regenerating human or animal cells, tissues or organs to restore or establish normal function. Our application of Regenerative Orthopedic Medicine employs non-surgical injections to create an environment in which the body’s damaged tissues can re-grow and repair themselves without invasive surgery.
Prolotherapy, or more formally Proliferation Therapy, is a nonsurgical regenerative injection technique for the treatment of chronic musculoskeletal pain and instability. Prolotherapy relies upon the same mechanism that the human body naturally uses to stimulate the body’s healing system — through the inflammatory process. The goal of Prolotherapy is the stimulation of body’s natural healing and regenerative processes to facilitate the repair and regrowth of connective tissue, ligaments, tendons, cartilage and other joint stabilizing structures of the musculoskeletal system.
The technique employs small amounts of a sterile solution that are injected into the site of painful and/or damaged connective tissues (i.e. tendons, ligaments), joints, and adjacent joint spaces. These injections selectively stimulate the inflammatory response which activates the healing process, and the growth of new connective tissue is stimulated by these inflammatory processes. Analysis of the ligaments and tendons produced (regenerated) after Prolotherapy reveals the growth of new healthy tissues that are thicker and stronger.
Depending upon the severity of the condition, multiple treatment sessions may be necessary. Prolotherapy may even been combined with Platelet-Rich Plasma (see below) in the most severe cases.
While Prolotherapy has been in use within the medical community for more than 80 years, the earliest form of Prolotherapy is believed to have been in practice dating from time of the early Greek Olympics!
Dr Hayes has been incorporating Prolotherapy within her practice for more than two decades. She has trained with the most highly recognized Prolotherapy associations, and has organized and overseen international Prolotherapy training conferences
Additional information may be found from this Prolotherapy Overview.
Neural Prolotherapy, or more formally Neurofascial Prolotherapy (NPT), is a nonsurgical regenerative injection technique for the treatment of neurogenic inflammation – a condition adversely affecting sensory nerve function due to excessive inflammatory activity in the body. Neural Prolotherapy employs a series of shallow injections into the area surrounding an inflamed nerve. The goal of Neural Prolotherapy treatment is to reduce inflammation and pain of the affected nerve.
Additional information may be found from this Neural Prolotherapy Overview.
Platelet-rich plasma (PRP) consists of plasma (the liquid portion of blood) and platelet-type blood cells (key to the healing processes that naturally takes place throughout the body). Platelets contain various growth and healing factors that stimulate repair — in the form of cell reproduction, growth, and tissue regeneration. The PRP is a simply a form of the patient’s own blood, where the platelets are concentrated to a lever higher than their normal blood — hence the term platelet-rich plasma.
Platelet-rich plasma is made at the time of a scheduled procedure, whereby the doctor takes a sample of the patient’s blood and spin-separates the components through the use of a special centrifuge. The concentrated portion of platelets is then gathered and used as an injection into the specific areas of injury (such as a shoulder or knee, or a ligament or tendon).
While the mechanism underlying PRP injections is not completely understood, the use of this type of therapy has achieved broad acceptance and application in medicine. Clinical studies have shown that the amplification of growth factors in PRP is believed to stimulate the healing process and reduce the healing time of an injury.
Additional information may be found from this Platelet-Rich Plasma Overview.