KALPESHKUMAR

About KALPESHKUMAR

My name is Kalpesh Patel. I am a highly experienced Physical Therapist with over 19 years in the field, including more than 5 years specializing in adult orthopedic environments. With a focus on enhancing patient outcomes, I excels in conducting OASIS assessments and developing individualized care plans tailored to the unique needs of each patient. Licensed in the state of Michigan, I am well-versed in making determinations of medical necessity and clinical appropriateness, supporting utilization management strategies across a variety of health plan structures such as Fully Insured, Medicare, Medicaid, and Workers Compensation. With a deep understanding of practice guidelines, regulatory requirements, and healthcare affordability initiatives, I ensures compliance with all necessary policies and procedures. Their ability to collaborate consultatively with both clinical and non-clinical professionals has significantly contributed to improved care quality and patient outcomes. Highly proficient in clinical documentation, I utilizes platforms such as Kinnser, Devero, Axxess, Synergy, and HCHB, and is skilled in the use of MS Office Suite (Outlook, Word, Excel, MS Teams). I also thrives in remote work environments, supported by a dedicated home office and reliable high-speed internet access.