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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.

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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@...

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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@...

______________________________________________________________________

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  • 1 month later...

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@...

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