Guest guest Posted January 16, 2008 Report Share Posted January 16, 2008 I have seen 2 sites that associate with Certified Hand Therapists HYPERLINK " http://www.htcc.org/ " http://www.htcc.org/ HYPERLINK " https://www.asht.org/education/htcc_history.cfm " https://www.asht.org/educat ion/htcc_history.cfm We see both OT and PT members. I don’t know all the steps but it’s a lengthy process to become certified and requires close to a full time hand therapy caseload to gain the hours. Steve Passmore PT CEO Healthy Recruiting Tools HYPERLINK " mailto:spass@... " spass@... HYPERLINK " http://www.healthyrecruiting.com/ " www.HealthyRecruiting.com " What we did for you yesterday is history.... What can we do for you today " From: PTManager [mailto:PTManager ] On Behalf Of Verkey Sent: Tuesday, January 15, 2008 10:44 PM To: PTManager Subject: Hand Therapy Dear List Serve, We are a small privately owned clinic in upstate NY and are considering adding hand therapy services. There appears to be a need for these service in the area, but are unsure of typical start up costs and feasibility. Some of the questions we have include: the cost of credentialing? Length of time involved in the credentialing process? Any recommended courses? Typical cost for splinting materials? Common reimbursement issues to be aware of? Any information on the above questions or suggestions to help answer them would be greatly appreciated. Professionally, Verkey, PT, DPT --------------------------------- Looking for last minute shopping deals? Find them fast with Yahoo! Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2008 Report Share Posted January 17, 2008 , The credentialling process is no differnet if you are speaking of payer credentialling. If you are asking about CHT credentialling that is a long process. I belive every area has regional needs and in your area you may not need to have a CHT provide the hand therpay. In some areas you would not receive any referrals if you did not have the CHT on staff. That should be part of your market assessment. As to the splinting costs the materials really are not that expensive, especially realtive to what you will be reimbursed for the L-codes. One of the highest cost items is the hiring of the CHT as an experienced one will not come cheaply. As to courses and specifics I would reccomend starting with the ASHT website. You also will see there the specifics of CHT credentialling. The biggest payer issue really is the L-codes. W/C is always challenging to get paid and every state has a different requirement. Medicare also has specific requirements to be able to bill for the L- Codes but Medicare tends to be a small percentage of hand therapy. One final thought is that we have hand therapists in several areas of the country and I can tell you that it is a rare thing for hand therapy to reach a level of productivity that is comparable to typical outpatient PT. That being said if there is a need in your area and you have the resources to start the program it likely will be worth it for you and certainly would better serve your community. Jeff Weil, PT Raleigh, NC > > Dear List Serve, > > We are a small privately owned clinic in upstate NY and are considering adding hand therapy services. There appears to be a need for these service in the area, but are unsure of typical start up costs and feasibility. > > Some of the questions we have include: the cost of credentialing? Length of time involved in the credentialing process? Any recommended courses? Typical cost for splinting materials? Common reimbursement issues to be aware of? > > Any information on the above questions or suggestions to help answer them would be greatly appreciated. > > Professionally, > > Verkey, PT, DPT > > > > --------------------------------- > Looking for last minute shopping deals? Find them fast with Yahoo! Search. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2008 Report Share Posted January 19, 2008 Jeff wrote, " The biggest payer issue really is the L-codes. W/C is always challenging to get paid and every state has a different requirement. Medicare also has specific requirements to be able to bill for the L- Codes but Medicare tends to be a small percentage of hand therapy. " I have not had much trouble with the L-codes and in fact, have found that they pay pretty well. Of course, there are always payer specific issues. We do have about 40% W/C with hand therapy, so you want to become familiar with W/C regs in your area if you are not aleady. And as Jeff said, very little Medicare. I have a question Jeff, you mentioned that Medicare has specific requirements for billing the L-codes. It was my understanding that you must be set up as a DME provider in order to bill the Lcodes and the claims must go to Palmetto. Is that what you were referring to, or am I off base on that point? Our area has a big need for CHTs who are few and far between and our CHT has had more pts. than she can keep up with, so it very well may be worth looking into for your area. Good luck! Cheri Freeman, CMRS Mountain View Physical Therapy > > > > Dear List Serve, > > > > We are a small privately owned clinic in upstate NY and are > considering adding hand therapy services. There appears to be a need > for these service in the area, but are unsure of typical start up > costs and feasibility. > > > > Some of the questions we have include: the cost of credentialing? > Length of time involved in the credentialing process? Any recommended > courses? Typical cost for splinting materials? Common reimbursement > issues to be aware of? > > > > Any information on the above questions or suggestions to help > answer them would be greatly appreciated. > > > > Professionally, > > > > Verkey, PT, DPT > > > > > > > > --------------------------------- > > Looking for last minute shopping deals? Find them fast with Yahoo! > Search. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 21, 2008 Report Share Posted January 21, 2008 As to the question about being a DME provider yes that was what i was referring to. The claims will go to the specific DME carrier. I am sure there are others here more in tune with the carrier changes for 2008 but it may or may not be Palmetta, depending on your location. Regards, Jeff Weil, PT Raleigh, NC > > > > > > Dear List Serve, > > > > > > We are a small privately owned clinic in upstate NY and are > > considering adding hand therapy services. There appears to be a > need > > for these service in the area, but are unsure of typical start up > > costs and feasibility. > > > > > > Some of the questions we have include: the cost of > credentialing? > > Length of time involved in the credentialing process? Any > recommended > > courses? Typical cost for splinting materials? Common > reimbursement > > issues to be aware of? > > > > > > Any information on the above questions or suggestions to help > > answer them would be greatly appreciated. > > > > > > Professionally, > > > > > > Verkey, PT, DPT > > > > > > > > > > > > --------------------------------- > > > Looking for last minute shopping deals? Find them fast with > Yahoo! > > Search. > > > > > > Quote Link to comment Share on other sites More sharing options...
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