Guest guest Posted September 14, 1998 Report Share Posted September 14, 1998 You are absolutely right. If you look at Rehab Ultra high - 720 minutes, one discipline to see the patient 5 out of seven days. But the catch is that, again, to be able to be classified under this category, you have to have seen the patient five out of the first five days. Assume that the patient got discharged on Friday - to be able to capture optimal reimbursement (assuming this patient qualifies to be ultra high/high) you've got to provide thepay on saturday and sunday to get the first five out of five days (after this period you can do five out of seven days). So the moral of the story is that you still have to have staff available on weekends to provide treatments to complete this 5/5 day business or to evaluate and treat patients being admitted on weekends. ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 15, 1998 Report Share Posted September 15, 1998 Mark (and others) I am referring to the following post: >Your goal of 140 billable 15 minute units per day for 2 PT's and 3 PTA's (28 >units per therapists = 7 treatment hours per day per therapist) is close to >what we expect. We allow 6.5 hours per day for patient care and expect >25-26 units. That may change when we go under PPS, but the fact is that we >exceed 25 units fairly often. This is the expectation for PT and OT. My question is this: How do you define units? Are you consistant we CPT code language or time? I.e. PT eval can only be billed once but may involve 3 units of time (in 15 min increments). Is that considered 1 unit or 3? How do you account for documentation time, inservices and other non--patient care activities? How does your staff document this information? Thanks for your insight. T ^^^^^^^^^^^^^^^^ Todd Cepica, P.T. Assistant Director Physical Medicine and Rehabilitation University Medical Center Lubbock, Tx 79417 Ph: Fax: ntc@... ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 15, 1998 Report Share Posted September 15, 1998 1.Your description of eval would be counted as 3 units. 2. We track " non-billable " 15 minute units of time as statistics, i.e.,30 min. of documentation time per day is 2 units, a 1 hr pt. staffing is 4 units, etc. Then our monthly report tracks total departmental nonbillable units. We also track missed treatment units the same way in order to get a handle on potential lost revenue because of reasons cited by code, ie, staff unavailable, patient ill, patient refused, etc. Gives us an idea about what are the problems and what can be improved upon to reduce % of missed tx units in the future. >>> Todd Cepica 09/15 12:49 PM >>> Mark (and others) I am referring to the following post: >Your goal of 140 billable 15 minute units per day for 2 PT's and 3 PTA's (28 >units per therapists = 7 treatment hours per day per therapist) is close to >what we expect. We allow 6.5 hours per day for patient care and expect >25-26 units. That may change when we go under PPS, but the fact is that we >exceed 25 units fairly often. This is the expectation for PT and OT. My question is this: How do you define units? Are you consistant we CPT code language or time? I.e. PT eval can only be billed once but may involve 3 units of time (in 15 min increments). Is that considered 1 unit or 3? How do you account for documentation time, inservices and other non--patient care activities? How does your staff document this information? Thanks for your insight. T ^^^^^^^^^^^^^^^^ Todd Cepica, P.T. Assistant Director Physical Medicine and Rehabilitation University Medical Center Lubbock, Tx 79417 Ph: Fax: ntc@... ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 1998 Report Share Posted October 19, 1998 A recent question was posed regarding tracking productivity. Some respoded by describing a system in which a " target multiplier " was used. Others used a percentage figure based on billed units vs. total worked hours. Does one system have advantages over the other? Why use a multiplier? Is there any practice specific standards in place? Our accounting department recently did a survey of 250 Primier hospitals to compare productivity. They looked at visits and procedures per worked FTE's. I need some information to discuss this issue with them. They grouped IP, OP, Trainers, ancillary and receptionist staff into this report. I would appreciate any information you may have. Thanks T ^^^^^^^^^^^^^^^^ Todd Cepica, P.T. Assistant Director Physical Medicine and Rehabilitation University Medical Center Lubbock, Tx 79417 Ph: Fax: ntc@... ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
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