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Re: Guaranteed therapy

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Steve -

When we take an AmeriHealth HMO patient (This is a subsidiary of Liberty

Blue Cross) we do the whole outpatient case for $255.00. The break even

point (BEP) is at the fifth visit.

It would seem that we're assuming financial responsibility for the

entire case for that amount, which is a bit like what you described.

Dick Hillyer, PT

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Steve,

In a practice I was formerly in, we did not guarantee results but did

" guarantee " our service delivery. We had a plaque on the waiting room wall that

read in part, " ...due to the variable response to treatment, we cannot guarantee

the results of your treatment. We do guarantee the service you will receive at

our clinics. Should our service delivery be less than optimal, please let us

know and we will do what is takes to satisfy you, up to and including, crediting

your account. " Many patients commented positively on this. Very few actually

sought some form of compensation. Our staff was very aware of customer service

and worked very hard at it, so I believe this was a factor. I'm not aware of any

regs prohibiting a guarantee of results, but I haven't done an exhaustive search

of the topic. It will be interesting to see what others have to say about this.

Kujawa, PT, OCS

Director, Outpatient Therapy Services

Medical College of Ohio

>>> 04/17 3:52 PM >>>

Is there a way to guarantee our Physical Therapy work if we wanted to. Is it

possible to say you will guarantee improvement in X amount of time or your

further treatment is on the house. Or if unsuccessful you will not be

billing Medicare. Of course certain restrictions would apply as to all

circumstances, but would it be somehow fraud if you took this approach???

Steve Marcum P.T.

Director Of Rehabilitation

Pattie A. Clay Hospital

Garrard County Memorial Hospital

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Thanks for the reply, I have been frustrated in the past by companies that

have come in , promised the moon and stars, and then after about a year can

not deliver, and leave the facility worse off than when I was replaced. It

just bothers me.

Steve Marcum P.T.

Kentucky Physical Therapy Association

Chairman Education/Conference Committee

Member of Socioeconomic Committee (reimbursements)

Director of Rehabilitation Services

Pattie A. Clay Rehabilitation Center

Garrard County Hospital

Rockcastle Hospital and Respiratory Care Center

Diplomate of American Board of Quality Assurance

and Utilization Review Physicians.

pacrock@...

FAX

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Steve...good questions, but I am afraid that many insurance companies have

already discussed such things about all of medicine. Some say that this is

the next evolution in medicine: that is, payment for services will ONLY be

forthcoming if the outcomes/goals are met under a specific time frame.

Interesting, but scary! This raises some issues regarding clinical efficacy

vs. patient satisfaction - or are these saying the same thing? It has

been observed and surmised that seasoned therapists tend to achieve the best

outcomes from interventions stemming at an interpersonal/relational level

between therapist and patient - NOT necessarily the therapists' skill set or

their choice of clinical intervention. What do you think?

Sorry I don't have specific answers but the question is very thought

provoking! Don Walsh, MS, PT, OCS

Guaranteed therapy

> Is there a way to guarantee our Physical Therapy work if we wanted to. Is

it

> possible to say you will guarantee improvement in X amount of time or your

> further treatment is on the house. Or if unsuccessful you will not be

> billing Medicare. Of course certain restrictions would apply as to all

> circumstances, but would it be somehow fraud if you took this approach???

>

>

> Steve Marcum P.T.

> Director Of Rehabilitation

> Pattie A. Clay Hospital

> Garrard County Memorial Hospital

>

> ------------------------------------------------------------------------

>

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