Guest guest Posted September 12, 2007 Report Share Posted September 12, 2007 Re: performance appraisal assessing dollars charged/hour: I would find it ethically challenging as a therapist knowing that my performance appraisal and thus likely my raise are partly contingent upon using higher-revenue codes. It would appear to put oneself at an ethical crossroads between doing what may be better for a patient versus what may be better for one's checking account with a pay raise? > > Steve- > > Our outpatient productivity standard is 2.8 one-on-one units charged per > hour worked. > > That equals 112 units in a 40-hour week. > > That equals 70% productivity. > > I count all the staff meetings, marketing visits, documentation time, etc. > etc. as hours worked. > > One of the scoring parameters on our performance appraisals asks for units > per hour worked and another asks for dollars charged per hour worked. The > latter is to encourage clinicians to charge higher quality codes. > > Rene van Doorn > Highline Therapy Services > Seattle > > Productivity > > > Can anyone share what standards they use for in patient OT and PT, > along with outpatient OT and PT. I.e are standards 75% of time worked > billable etc. Just looking for some comparisons, Also do people ie > productivity to their performance evaluations and how do you break > down average, above average etc. > > Steve Brown PT,SCS,ATC > Clinical Coordinator of Rehabilitation > Mercy Memorial Hospital System > Monroe, MI > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 12, 2007 Report Share Posted September 12, 2007 Our company expects 32 units per day or 160 units per week. That is 100% productivity. Until recently we were all salaried. Now we are being pain commission. A percentage of each charges. The more charges we record the more money each therapists make. Makes for interesting discussion regarding ethics. Lynette Jamison Director Of Aquatic & Rehab Services 6309 E. Baywood Avenue Mesa, AZ 85206 ext 208 Fax ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Rene Vandoorn Sent: Tuesday, September 11, 2007 5:08 PM To: PTManager Subject: RE: Productivity Steve- Our outpatient productivity standard is 2.8 one-on-one units charged per hour worked. That equals 112 units in a 40-hour week. That equals 70% productivity. I count all the staff meetings, marketing visits, documentation time, etc. etc. as hours worked. One of the scoring parameters on our performance appraisals asks for units per hour worked and another asks for dollars charged per hour worked. The latter is to encourage clinicians to charge higher quality codes. Rene van Doorn Highline Therapy Services Seattle Productivity Can anyone share what standards they use for in patient OT and PT, along with outpatient OT and PT. I.e are standards 75% of time worked billable etc. Just looking for some comparisons, Also do people ie productivity to their performance evaluations and how do you break down average, above average etc. Steve Brown PT,SCS,ATC Clinical Coordinator of Rehabilitation Mercy Memorial Hospital System Monroe, MI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 12, 2007 Report Share Posted September 12, 2007 bfs- You are absolutely right. We have made a direct link between the company's bottom line and the employee's bottom line. We believe that there should be a component of that in the employee's understanding of how a business operates. Our performance appraisal covers 36 parameters and 2 address productivity. That's 5.5% of their performance appraisal. Then only 10% of their pay is affected by the outcome of the performance review. That means these production parameters could affect a maximum of 0.5% of their pay. Clinicians should have their knowledge, skills, evidence, ethics and evaluation findings direct their intervention decisions. We don't feel that our system challenges them to forego these priorities. But it does raise a question for the group: at what percentage would we start enticing clinicians to forego their ethical priorities? And, how do bonus programs or incentive bonuses fit into this story? It seems to me that those programs are widely used, but rarely questioned for their enticing qualities. Rene van Doorn Highline Therapy Services Seattle Productivity > > > Can anyone share what standards they use for in patient OT and PT, > along with outpatient OT and PT. I.e are standards 75% of time worked > billable etc. Just looking for some comparisons, Also do people ie > productivity to their performance evaluations and how do you break > down average, above average etc. > > Steve Brown PT,SCS,ATC > Clinical Coordinator of Rehabilitation > Mercy Memorial Hospital System > Monroe, MI > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2007 Report Share Posted September 13, 2007 How many hours per day are worked to achieve the 32 units? If the therapists are working 8 hours, the company must have zero tolerance for no shows, cancellations, or changes in treatment plans that do not allow for 100% billable time with the patient. This is an unrealistic expectation and sets up the therapists to either inflate their billing and question ethics? Or work greater then 8 hours to achieve the productivity requirements. Ann Heiman, MS, MPT Director of Rehab Services aheiman@... ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Lynette Jamison Sent: Wednesday, September 12, 2007 12:18 PM To: PTManager Subject: RE: Productivity Our company expects 32 units per day or 160 units per week. That is 100% productivity. Until recently we were all salaried. Now we are being pain commission. A percentage of each charges. The more charges we record the more money each therapists make. Makes for interesting discussion regarding ethics. Lynette Jamison Director Of Aquatic & Rehab Services 6309 E. Baywood Avenue Mesa, AZ 85206 ext 208 Fax ________________________________ From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf Of Rene Vandoorn Sent: Tuesday, September 11, 2007 5:08 PM To: PTManager <mailto:PTManager%40yahoogroups.com> Subject: RE: Productivity Steve- Our outpatient productivity standard is 2.8 one-on-one units charged per hour worked. That equals 112 units in a 40-hour week. That equals 70% productivity. I count all the staff meetings, marketing visits, documentation time, etc. etc. as hours worked. One of the scoring parameters on our performance appraisals asks for units per hour worked and another asks for dollars charged per hour worked. The latter is to encourage clinicians to charge higher quality codes. Rene van Doorn Highline Therapy Services Seattle Productivity Can anyone share what standards they use for in patient OT and PT, along with outpatient OT and PT. I.e are standards 75% of time worked billable etc. Just looking for some comparisons, Also do people ie productivity to their performance evaluations and how do you break down average, above average etc. Steve Brown PT,SCS,ATC Clinical Coordinator of Rehabilitation Mercy Memorial Hospital System Monroe, MI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2007 Report Share Posted September 13, 2007 I agree that the 32 units for an 8 hour day is unrealistic and can only be achieved if a therapist does not take a lunch, break, or any scheduled non-productive meetings and does not have any cancellations/no-shows. Our goal is 80% or 6.4 billable hours or approximately 26 units. Ann O'Donnell Director, Physical Medicine Department Methodist Charlton Medical Center 3500 Wheatland Road Dallas, Texas 75237 Office Fax ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Ann Heiman Sent: Thursday, September 13, 2007 8:45 AM To: PTManager Subject: RE: Productivity How many hours per day are worked to achieve the 32 units? If the therapists are working 8 hours, the company must have zero tolerance for no shows, cancellations, or changes in treatment plans that do not allow for 100% billable time with the patient. This is an unrealistic expectation and sets up the therapists to either inflate their billing and question ethics? Or work greater then 8 hours to achieve the productivity requirements. Ann Heiman, MS, MPT Director of Rehab Services aheiman@... <mailto:aheiman%40spencerhospital.org> ________________________________ From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf Of Lynette Jamison Sent: Wednesday, September 12, 2007 12:18 PM To: PTManager <mailto:PTManager%40yahoogroups.com> Subject: RE: Productivity Our company expects 32 units per day or 160 units per week. That is 100% productivity. Until recently we were all salaried. Now we are being pain commission. A percentage of each charges. The more charges we record the more money each therapists make. Makes for interesting discussion regarding ethics. Lynette Jamison Director Of Aquatic & Rehab Services 6309 E. Baywood Avenue Mesa, AZ 85206 ext 208 Fax ________________________________ From: PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> ] On Behalf Of Rene Vandoorn Sent: Tuesday, September 11, 2007 5:08 PM To: PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> Subject: RE: Productivity Steve- Our outpatient productivity standard is 2.8 one-on-one units charged per hour worked. That equals 112 units in a 40-hour week. That equals 70% productivity. I count all the staff meetings, marketing visits, documentation time, etc. etc. as hours worked. One of the scoring parameters on our performance appraisals asks for units per hour worked and another asks for dollars charged per hour worked. The latter is to encourage clinicians to charge higher quality codes. Rene van Doorn Highline Therapy Services Seattle Productivity Can anyone share what standards they use for in patient OT and PT, along with outpatient OT and PT. I.e are standards 75% of time worked billable etc. Just looking for some comparisons, Also do people ie productivity to their performance evaluations and how do you break down average, above average etc. Steve Brown PT,SCS,ATC Clinical Coordinator of Rehabilitation Mercy Memorial Hospital System Monroe, MI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2007 Report Share Posted September 13, 2007 Many therapy companies and therapists see 2 patients every 45 minutes. And when they bill 3-4 units per patient, the 100% productivity becomes attainable. The difficulty comes in with Medicare patients and 1 on 1 vs group charge. The question of quality of care is a valid one. Normington Cherokee, Iowa From: PTManager [mailto:PTManager ] On Behalf Of Ann Heiman Sent: Thursday, September 13, 2007 8:45 AM To: PTManager Subject: RE: Productivity How many hours per day are worked to achieve the 32 units? If the therapists are working 8 hours, the company must have zero tolerance for no shows, cancellations, or changes in treatment plans that do not allow for 100% billable time with the patient. This is an unrealistic expectation and sets up the therapists to either inflate their billing and question ethics? Or work greater then 8 hours to achieve the productivity requirements. Ann Heiman, MS, MPT Director of Rehab Services aheiman@... <mailto:aheiman%40spencerhospital.org> ________________________________ From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf Of Lynette Jamison Sent: Wednesday, September 12, 2007 12:18 PM To: PTManager <mailto:PTManager%40yahoogroups.com> Subject: RE: Productivity Our company expects 32 units per day or 160 units per week. That is 100% productivity. Until recently we were all salaried. Now we are being pain commission. A percentage of each charges. The more charges we record the more money each therapists make. Makes for interesting discussion regarding ethics. Lynette Jamison Director Of Aquatic & Rehab Services 6309 E. Baywood Avenue Mesa, AZ 85206 ext 208 Fax ________________________________ From: PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> ] On Behalf Of Rene Vandoorn Sent: Tuesday, September 11, 2007 5:08 PM To: PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> Subject: RE: Productivity Steve- Our outpatient productivity standard is 2.8 one-on-one units charged per hour worked. That equals 112 units in a 40-hour week. That equals 70% productivity. I count all the staff meetings, marketing visits, documentation time, etc. etc. as hours worked. One of the scoring parameters on our performance appraisals asks for units per hour worked and another asks for dollars charged per hour worked. The latter is to encourage clinicians to charge higher quality codes. Rene van Doorn Highline Therapy Services Seattle Productivity Can anyone share what standards they use for in patient OT and PT, along with outpatient OT and PT. I.e are standards 75% of time worked billable etc. Just looking for some comparisons, Also do people ie productivity to their performance evaluations and how do you break down average, above average etc. Steve Brown PT,SCS,ATC Clinical Coordinator of Rehabilitation Mercy Memorial Hospital System Monroe, MI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2007 Report Share Posted September 13, 2007 Listserve: I couldn't agree more with Ann Heiman's posting. The requirement of 32 units in an 8 hour day is setting the therapist up for an unethical, unrealistic situation at best. Knowing full well that patient documentation time is not billable, when are the therapists expected to document? If they do so during their 8 hour day, they are never going to meet their productivity expectation. If they are expected to document on their own time, outside of their 8 hours, it is illegal not to pay them for that time. If I were hunting for a job, I would be very careful about what my potential employer's productivity expectations are. I would direct this warning to new-grad therapists especially, knowing that they may not be as well versed about what is and isn't billable time. Thanks, Curtis Marti Hillcrest Medical Center Tulsa, OK ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Ann Heiman Sent: Thursday, September 13, 2007 8:45 AM To: PTManager Subject: RE: Productivity How many hours per day are worked to achieve the 32 units? If the therapists are working 8 hours, the company must have zero tolerance for no shows, cancellations, or changes in treatment plans that do not allow for 100% billable time with the patient. This is an unrealistic expectation and sets up the therapists to either inflate their billing and question ethics? Or work greater then 8 hours to achieve the productivity requirements. Ann Heiman, MS, MPT Director of Rehab Services aheiman@... <mailto:aheiman%40spencerhospital.org> ________________________________ From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf Of Lynette Jamison Sent: Wednesday, September 12, 2007 12:18 PM To: PTManager <mailto:PTManager%40yahoogroups.com> Subject: RE: Productivity Our company expects 32 units per day or 160 units per week. That is 100% productivity. Until recently we were all salaried. Now we are being pain commission. A percentage of each charges. The more charges we record the more money each therapists make. Makes for interesting discussion regarding ethics. Lynette Jamison Director Of Aquatic & Rehab Services 6309 E. Baywood Avenue Mesa, AZ 85206 ext 208 Fax ________________________________ From: PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> ] On Behalf Of Rene Vandoorn Sent: Tuesday, September 11, 2007 5:08 PM To: PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> Subject: RE: Productivity Steve- Our outpatient productivity standard is 2.8 one-on-one units charged per hour worked. That equals 112 units in a 40-hour week. That equals 70% productivity. I count all the staff meetings, marketing visits, documentation time, etc. etc. as hours worked. One of the scoring parameters on our performance appraisals asks for units per hour worked and another asks for dollars charged per hour worked. The latter is to encourage clinicians to charge higher quality codes. Rene van Doorn Highline Therapy Services Seattle Productivity Can anyone share what standards they use for in patient OT and PT, along with outpatient OT and PT. I.e are standards 75% of time worked billable etc. Just looking for some comparisons, Also do people ie productivity to their performance evaluations and how do you break down average, above average etc. Steve Brown PT,SCS,ATC Clinical Coordinator of Rehabilitation Mercy Memorial Hospital System Monroe, MI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2007 Report Share Posted September 13, 2007 At my clinic, we have set a standard of 10-12 patients seen per therapist in a 10 hour day. Cancellations and DNS happen so I do not base productivity on patients seen. My PTA's, I have 2 with 5 PT's, must be 90% productive. Meaning they need to be treating and billing 90% of their total time worked in the facility. I have monthly productivity benchmarks for all my therapists. We are an aquatic/land based treatment facility, and when a patient is an aquatic/land treatment on the same day, the therapists must have a benchmark of 2.7units of 97113 (aquatics) and 1.2 units of some land code (normally it is 97112). This totals to 3.9 units/patient who get aquatic/land same day. For land only patients the benchmark is 3.5 units/pt. 90% of the time we are one on one for all patients. 10% of their performance criteria (for salary appraisals) is based on these benchmarks. Hankins, PT Synergy Therapies, LLC Independence, MO synergytherapiesofkc.com Normington wrote: Many therapy companies and therapists see 2 patients every 45 minutes. And when they bill 3-4 units per patient, the 100% productivity becomes attainable. The difficulty comes in with Medicare patients and 1 on 1 vs group charge. The question of quality of care is a valid one. Normington Cherokee, Iowa From: PTManager [mailto:PTManager ] On Behalf Of Ann Heiman Sent: Thursday, September 13, 2007 8:45 AM To: PTManager Subject: RE: Productivity How many hours per day are worked to achieve the 32 units? If the therapists are working 8 hours, the company must have zero tolerance for no shows, cancellations, or changes in treatment plans that do not allow for 100% billable time with the patient. This is an unrealistic expectation and sets up the therapists to either inflate their billing and question ethics? Or work greater then 8 hours to achieve the productivity requirements. Ann Heiman, MS, MPT Director of Rehab Services aheiman@... <mailto:aheiman%40spencerhospital.org> ________________________________ From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf Of Lynette Jamison Sent: Wednesday, September 12, 2007 12:18 PM To: PTManager <mailto:PTManager%40yahoogroups.com> Subject: RE: Productivity Our company expects 32 units per day or 160 units per week. That is 100% productivity. Until recently we were all salaried. Now we are being pain commission. A percentage of each charges. The more charges we record the more money each therapists make. Makes for interesting discussion regarding ethics. Lynette Jamison Director Of Aquatic & Rehab Services 6309 E. Baywood Avenue Mesa, AZ 85206 ext 208 Fax ________________________________ From: PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> ] On Behalf Of Rene Vandoorn Sent: Tuesday, September 11, 2007 5:08 PM To: PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> Subject: RE: Productivity Steve- Our outpatient productivity standard is 2.8 one-on-one units charged per hour worked. That equals 112 units in a 40-hour week. That equals 70% productivity. I count all the staff meetings, marketing visits, documentation time, etc. etc. as hours worked. One of the scoring parameters on our performance appraisals asks for units per hour worked and another asks for dollars charged per hour worked. The latter is to encourage clinicians to charge higher quality codes. Rene van Doorn Highline Therapy Services Seattle Productivity Can anyone share what standards they use for in patient OT and PT, along with outpatient OT and PT. I.e are standards 75% of time worked billable etc. Just looking for some comparisons, Also do people ie productivity to their performance evaluations and how do you break down average, above average etc. Steve Brown PT,SCS,ATC Clinical Coordinator of Rehabilitation Mercy Memorial Hospital System Monroe, MI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2007 Report Share Posted September 13, 2007 Rene, Perhaps I am wrong, but I think we are dealing with the difference between " ethical " issues and " legal " issues. It is my understanding that all insurance companies do not follow the 8 minute rule. Legally, only Medicare does. So many of my carries do not set rules on how many minutes constitutes " 1 " unit billed. Now, in my area I believe BlueCross has adopted the 8 minute rule. And we, as a hospital, have made the choice to treat everyone according to that rule. We believe this follows the " uniformed billing " regulations that are out there. Others disagree and say that that insurance companies shouldn't dictate care. So I see both sides and I choose the conservative for my group. I certainly understand 'timed codes " and all of the minute rules. The system needs some change to clarify these issues. Remember, the APTA produces mostly guidelines and not laws. Medicare writes rules for itself, not for private insurance companies. We need to look to our state practice acts and insurance companies on many of these issues. My thoughts. Normington Cherokee, Iowa From: PTManager [mailto:PTManager ] On Behalf Of Rene Vandoorn Sent: Thursday, September 13, 2007 11:52 AM To: PTManager Subject: RE: Productivity - I continue to be baffled that after years of education from the insurance companies, the APTA and on local levels (cont ed, etc) many therapy companies don't want to realize that they are committing insurance fraud if they see 2 patients every 45 minutes and charge 3-4 one-on-one CPT codes for each patient. Additionally, one needs to treat 53 minutes to be able to charge 4 units. So, the many companies you're referring to are not kosher on 2 fronts. I wouldn't want to be associated with them. Now, if they charge group codes (non one-on-one) for all these treatments, they are complying with the rules, but those charges and the insurance reimbursement and the quality of care is significantly lower. Rene van Doorn Highline Therapy Services Seattle Productivity Can anyone share what standards they use for in patient OT and PT, along with outpatient OT and PT. I.e are standards 75% of time worked billable etc. Just looking for some comparisons, Also do people ie productivity to their performance evaluations and how do you break down average, above average etc. Steve Brown PT,SCS,ATC Clinical Coordinator of Rehabilitation Mercy Memorial Hospital System Monroe, MI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2007 Report Share Posted September 13, 2007 Kathi- If you are billing with timed one-on-one CPT codes for 30 minutes of service you can only charge 2 one-on-one units for one patient at a time. You need a minimum of 8 minutes of intervention of a timed one-on-one code to be allowed to charge 1 unit. You need 23 minutes minimum for 2 charges. You need 38 minutes minimum for 3 units and 53 minutes minimum for 4 charges. Group codes are untimed, so no matter how much time you spend with a patient, you can only charge it once for that patient. But you're treating a group of patients, so if you have 50 patients in a group, then technically you could charge 50 group codes (one for each patient). In that latter case you may have to ask yourself if the quality of your care warrants any charge at all! I hope this helps. Rene van Doorn Highline Therapy Services Seattle Productivity Some one please correct me if I am wrong. It is my interpretation if you are billing with timed cpt codes, for 30 minutes of service you can only charge 2 units regardless if you are treating 1 or 50 patients in that time period and only if you spend at least 8 minutes of 1:1 per patient. Kathi Lee PT Carson City MI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2007 Report Share Posted September 13, 2007 I believe you can only bill the patient 2 units if you spend 23 minutes of 1:1 time with them if you are talking about a Medicare patient. If you have more than one patient in the clinic with the Medicare patient, you must use the group charge. That's been my understanding. Amy son, OT, CHT Midwest Hand Therapy > > Some one please correct me if I am wrong. It is my interpretation if > you are billing with timed cpt codes, for 30 minutes of service you > can only charge 2 units regardless if you are treating 1 or 50 > patients in that time period and only if you spend at least 8 minutes > of 1:1 per patient. > > Kathi Lee PT > Carson City MI > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2008 Report Share Posted June 11, 2008 Hello group-- I know we've been around the productivity block before, but would outpatient clinics please share how they measure their staff's productivity and what is the benchmark? We have historically used 75%, so if you take out paperwork time and lunch, we ask our therapists to be 75%. Does anyone use RVUs? If so, do you have a reference? Thanks again, Laurie Heer, MS,PT Supervisor of Rehabilitation Services Medical Associated Health Centers Wisconsin Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 15, 2008 Report Share Posted June 15, 2008 At our clinic we base productivity based on two values. One is billable time to total time in facility. Our benchmark is 80% of total time in facility should be billable time (8 out of 10 hours should be with a patient). If they have cancellations or DNS, we subtract them off the total time in facility so to not penalize them for non-compliant patients. The other productivity factor is total units billed per hour. Our monthly productivity benchmark is 3.8 & nbsp;procedure & nbsp;units & nbsp;per patient (60 min treatment slots) for PT's and 3.9 procedure units per patient for PTA's. We also have defined low productivity values for both. Based on their productivity marks we tag on a % & nbsp;to these values and that % is added to their annual raises. So to sum up, a productive & nbsp;PT is treating patients 80% of the time per day and coding their hourly patients 3.8 procedure units. I As you may note we do not use modality codes that often due to our philosophy of care. & nbsp; Hope this helps, Hankins, PT President Synergy Therapies, LLC From: Laurie Heer & lt;heerflute@... & gt; Subject: Productivity To: PTManager Date: Wednesday, June 11, 2008, 4:40 PM Hello group-- I know we've been around the productivity block before, but would outpatient clinics please share how they measure their staff's productivity and what is the benchmark? We have historically used 75%, so if you take out paperwork time and lunch, we ask our therapists to be 75%. Does anyone use RVUs? If so, do you have a reference? Thanks again, Laurie Heer, MS,PT Supervisor of Rehabilitation Services Medical Associated Health Centers Wisconsin Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2008 Report Share Posted June 16, 2008 In the PT Benchmark studies I look at productivity per paid hour and per clinical hour (time actually available for patient care, so it excludes meeting time and PTO). Visits are an imperfect measure since the economic value of visits varies significantly. Therefore I prefer looking at charges and collections per hour. Charges are easier to monitor on a short term basis, collections are what really count but requires a longer time frame due to the delays we experience in collections. This year's study using FY2007 data from 64 locations across the USA showed the following medians, although the range and standard deviations were rather large: * Visits per licensed hour: 1.091 * Charges per licensed hour: $149.36 * Collections per licensed hour: $97.48 Contact me directly if you'd like further information. Chuck R. Felder, PT, MBA HCS Consulting, Inc. 1303 W 6th St, Ste 104 Corona, CA 92882 Mobile: Fax: Office Phone: CFelder@... <http://www.hcsconsulting.com/> www.HCSconsulting.com This message contains confidential information intended only for the individual name and is protected from disclosure. If you are not the intended recipient you should delete this message, not use or disclose it in any form and contact the sender. _____ From: PTManager [mailto:PTManager ] On Behalf Of Laurie Heer Sent: Wednesday, June 11, 2008 2:41 PM To: PTManager Subject: Productivity Hello group-- I know we've been around the productivity block before, but would outpatient clinics please share how they measure their staff's productivity and what is the benchmark? We have historically used 75%, so if you take out paperwork time and lunch, we ask our therapists to be 75%. Does anyone use RVUs? If so, do you have a reference? Thanks again, Laurie Heer, MS,PT Supervisor of Rehabilitation Services Medical Associated Health Centers Wisconsin Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2008 Report Share Posted October 14, 2008 We ask our therapists for an average of 80% productivity which equates to 3.2 procedures per hour worked. An evaluation would count as 2 procedures. E. Muller, PhD, PT Director of Outpatient Rehab Stuart, FL. _____ From: PTManager [mailto:PTManager ] On Behalf Of bchacko71 Sent: Monday, October 13, 2008 11:08 PM To: PTManager Subject: Productivity Dear Group, I have been asked by a lot of Physical Therapists during interview's as to how many patients they are expected to see in a day (8hrs). Would the members here be kind enough to share their thoughts? Also what would be a good productivity standard to follow? Thank you B. Chacko Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2008 Report Share Posted October 14, 2008 We have a productivity standard of 2.70 units per hour. We are an hospital based practice mostly outpatient (85%) inpatient (15%), I realize that this is probably a little low compared to everyone else. We still use a hour for new evals and half hour for repeat visits. Hopes that this helps. Jeff Nolder CRMC To: PTManager@...: bchacko71@...: Tue, 14 Oct 2008 03:08:20 +0000Subject: Productivity Dear Group,I have been asked by a lot of Physical Therapists during interview's as to how many patients they are expected to see in a day (8hrs).Would the members here be kind enough to share their thoughts? Also what would be a good productivity standard to follow?Thank youB. Chacko _________________________________________________________________ Stay up to date on your PC, the Web, and your mobile phone with Windows Live. http://clk.atdmt.com/MRT/go/msnnkwxp1020093185mrt/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2008 Report Share Posted October 14, 2008 I think this discussion of productivity is an excellent one. An 80% efficient therapist is a great valuable member of the team. I might add that productivity needs to be linked to therapist's pay. Every new hire needs to understand that, as an employer, I want them to be the highest paid therapist in the area. But, if they want a high salary, they need to produce. 3.2 procedures per hour in upstate New York (the lowest reimbursement in the country) would not be viable. The same productivity in Texas might be appropriate. A therapist needs to produce approximately 3.8 to 4.5 times their own salary (including benefits) to cover the overhead and the payroll of administrative staff. Using this formula, the employer can work backwards from the production the therapist is willing/able to produce to offer a salary consistent with that production. This prevents the employer from setting productivity standards based upon units per hour (which has been controversial on this posting site) and allows the employer to intelligently set salary based upon production. Some PTs and PTAs are production machines, others are not. The producers should be paid more than the loafers. Rob Jordan, PT _____ From: PTManager [mailto:PTManager ] On Behalf Of Dr. Muller Sent: Tuesday, October 14, 2008 5:59 AM To: PTManager Subject: RE: Productivity We ask our therapists for an average of 80% productivity which equates to 3.2 procedures per hour worked. An evaluation would count as 2 procedures. E. Muller, PhD, PT Director of Outpatient Rehab Stuart, FL. _____ From: PTManager@yahoogrou <mailto:PTManager%40yahoogroups.com> ps.com [mailto:PTManager@yahoogrou <mailto:PTManager%40yahoogroups.com> ps.com] On Behalf Of bchacko71 Sent: Monday, October 13, 2008 11:08 PM To: PTManager@yahoogrou <mailto:PTManager%40yahoogroups.com> ps.com Subject: Productivity Dear Group, I have been asked by a lot of Physical Therapists during interview's as to how many patients they are expected to see in a day (8hrs). Would the members here be kind enough to share their thoughts? Also what would be a good productivity standard to follow? Thank you B. Chacko Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2008 Report Share Posted October 14, 2008 B. Chacko, We require the following productivity standards for an 8 hour work day. This is for Acute Care and IRU. 21 UOS (Units of Service) 70% Productivity 24 UOS (Unit of Service) 80% Productivity Do others require the same? B. Stowers, PTA, Ed.D. Clinical Manager CHRISTUS -St. Regional Medical Center Rehabilitation Services ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of bchacko71 Sent: Monday, October 13, 2008 9:08 PM To: PTManager Subject: Productivity Dear Group, I have been asked by a lot of Physical Therapists during interview's as to how many patients they are expected to see in a day (8hrs). Would the members here be kind enough to share their thoughts? Also what would be a good productivity standard to follow? Thank you B. Chacko Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2008 Report Share Posted October 14, 2008 1 PT with an Aid 2 patients per hour (4 units). New evals 1 hour and 1 hour for notes. 13 patients per day. PT is salary 90K plus 10% bonus over 21K month collections. aid is 18/hour. Productivity Dear Group,I have been asked by a lot of Physical Therapists during interview's as to how many patients they are expected to see in a day (8hrs).Would the members here be kind enough to share their thoughts? Also what would be a good productivity standard to follow?Thank youB. Chacko __________________________________________________________ Stay up to date on your PC, the Web, and your mobile phone with Windows Live. http://clk.atdmt.com/MRT/go/msnnkwxp1020093185mrt/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2008 Report Share Posted October 15, 2008 Recently, I have been conducting my own informal survey of productivity standards. Unfortunately, we do not all measure in the exactly the same way. The definition of " units " is muddy at best. Some of us count " billed " units, others count " timed " units. In addition, some of us include time not directly linked to CPT procedures, such as team conference time or time spent in consultation with other caregivers. For those of us who measure productivity in units per hour, I would like to survey productivity expectations with just two points of comparison: * Type of facility / setting * Expected percentage of treatment time per hour or number of 15-minute timed units per hour (including both timed and untimed procedures) based only upon the linear time spent providing skilled therapy procedures (as defined by Rehab-designated CPT codes) Thanks very much, Jane Meador Director of Rehabilitation Services Truman Medical Center Kansas City, Mo 816 404-4328 ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Babloo Chacko Sent: Tuesday, October 14, 2008 3:08 PM To: PTManager Subject: RE: Productivity I agree with you Rob Jordan. The discussion of productivity is very appropriate. I have come across new graduates as well as " seasoned " therapists who always ask about the number of patients that they are expected to see in an 8 hr day. They all expect to be paid top dollars for their service but does not show productivity to justify the pay. I have been trying to find an answer for a PT and tech working together as to how many patients that they should see in an 8 hr period not including evals or re-evals. Thank you B. Chacko From: Jordan <rjordanpt@... <mailto:rjordanpt%40cablelynx.com> > Subject: RE: Productivity To: PTManager <mailto:PTManager%40yahoogroups.com> Date: Tuesday, October 14, 2008, 9:21 AM I think this discussion of productivity is an excellent one. An 80% efficient therapist is a great valuable member of the team. I might add that productivity needs to be linked to therapist's pay. Every new hire needs to understand that, as an employer, I want them to be the highest paid therapist in the area. But, if they want a high salary, they need to produce. 3.2 procedures per hour in upstate New York (the lowest reimbursement in the country) would not be viable. The same productivity in Texas might be appropriate. A therapist needs to produce approximately 3.8 to 4.5 times their own salary (including benefits) to cover the overhead and the payroll of administrative staff. Using this formula, the employer can work backwards from the production the therapist is willing/able to produce to offer a salary consistent with that production. This prevents the employer from setting productivity standards based upon units per hour (which has been controversial on this posting site) and allows the employer to intelligently set salary based upon production. Some PTs and PTAs are production machines, others are not. The producers should be paid more than the loafers. Rob Jordan, PT _____ From: PTManager@yahoogrou ps.com [mailto:PTManager@yahoogrou ps.com] On Behalf Of Dr. Muller Sent: Tuesday, October 14, 2008 5:59 AM To: PTManager@yahoogrou ps.com Subject: RE: Productivity We ask our therapists for an average of 80% productivity which equates to 3.2 procedures per hour worked. An evaluation would count as 2 procedures. E. Muller, PhD, PT Director of Outpatient Rehab Stuart, FL. _____ From: PTManager@yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com [mailto:PTManager@ yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com] On Behalf Of bchacko71 Sent: Monday, October 13, 2008 11:08 PM To: PTManager@yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com Subject: Productivity Dear Group, I have been asked by a lot of Physical Therapists during interview's as to how many patients they are expected to see in a day (8hrs). Would the members here be kind enough to share their thoughts? Also what would be a good productivity standard to follow? Thank you B. Chacko Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2008 Report Share Posted October 15, 2008 I’d like to comment on some of the previous posts and most especially the one below with respects to the following quotes---'how many patients do I have to see in a day'------and -“ We as employers are to blame for not correcting this unprofessional behavior.”------------I believe that is a fair question to ask and don’t particularly think it’s unprofessional (if asked in the proper manner) by a new grad or an experienced employee. Isn’t it acceptable to know what your new employer expects up front? That being said, I’ve seen practices where a therapist was expected to see 15-20 patients in a day. I would think that most of us out there would think this is over the top and too many. I’ve seen places that just had a revolving door of patients with the goal of seeing as many patients as possible, vs being more productive with fewer patients and provide better care. Sure with the high salaries, much is expected. Clear expectations up front is the key but guidelines and standards still need to be reasonable albeit, at times we have to stretch ourselves. Mr. Chacko, our clinic operates very well with a PT treating 9-12 patients in an 8-8 ½ hour day and be very productive with quality/higher reimbursing interventions. The real issue here is having to find the most efficient way for documentation be done without impeding on the family life in the evening. Then, that’s a whole other subject. Kevyn Soupiset, MPT Progressive Therapy & Sports Medicine 117 West 6th Street Larned, KS 67550 Ph: Fax: From: PTManager [mailto:PTManager ] On Behalf Of Rapposelli Sent: Wednesday, October 15, 2008 8:51 AM To: PTManager Subject: RE: Productivity Amen to the 'how many patients do I have to see in a day' question from a new grad who wants $70k plus benefits. We as employers are to blame for not correcting this unprofessional behavior. Besides the benchmarking of revenue generated that we use, I want to switch to compensation as a percentage of revenue. If they can not stomach an 'eat what you kill' philosophy, then accept less pay. 'little risk, little reward'. Perhaps then, these new grads will be taught about risk vs. reward that they obviously did not get in PT school. As I tell prospective employees, 'we are all being paid to be here, including me.' From: Jordan <rjordanpt@cablelynx .com> Subject: RE: Productivity To: PTManager@yahoogrou ps.com Date: Tuesday, October 14, 2008, 9:21 AM I think this discussion of productivity is an excellent one. An 80% efficient therapist is a great valuable member of the team. I might add that productivity needs to be linked to therapist's pay. Every new hire needs to understand that, as an employer, I want them to be the highest paid therapist in the area. But, if they want a high salary, they need to produce. 3.2 procedures per hour in upstate New York (the lowest reimbursement in the country) would not be viable. The same productivity in Texas might be appropriate. A therapist needs to produce approximately 3.8 to 4.5 times their own salary (including benefits) to cover the overhead and the payroll of administrative staff. Using this formula, the employer can work backwards from the production the therapist is willing/able to produce to offer a salary consistent with that production. This prevents the employer from setting productivity standards based upon units per hour (which has been controversial on this posting site) and allows the employer to intelligently set salary based upon production. Some PTs and PTAs are production machines, others are not. The producers should be paid more than the loafers. Rob Jordan, PT _____ From: PTManager@yahoogrou ps.com [mailto:PTManager@ yahoogrou ps.com] On Behalf Of Dr. Muller Sent: Tuesday, October 14, 2008 5:59 AM To: PTManager@yahoogrou ps.com Subject: RE: Productivity We ask our therapists for an average of 80% productivity which equates to 3.2 procedures per hour worked. An evaluation would count as 2 procedures. E. Muller, PhD, PT Director of Outpatient Rehab Stuart, FL. _____ From: PTManager@yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com [mailto:PTManager@ yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com] On Behalf Of bchacko71 Sent: Monday, October 13, 2008 11:08 PM To: PTManager@yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com Subject: Productivity Dear Group, I have been asked by a lot of Physical Therapists during interview's as to how many patients they are expected to see in a day (8hrs). Would the members here be kind enough to share their thoughts? Also what would be a good productivity standard to follow? Thank you B. Chacko Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2008 Report Share Posted October 15, 2008 I have heard a lot of the same regarding new grads whom have interviewed with some of my fellow directors. I have interviewed one new grad in the past year. Asking how many patients are expected to be seen is a fair question, and knowing what you're worth is respectable from a new grad. I have often heard of new grads recently declaring how many patients they'll treat in a day rather than asking. Some schools from what I've seen in Florida are grooming their new grads to assert how much they want, and how many patients they'll treat in a day in interviews. They do not have a grasp on productivity however. New grads' willingness to command such expectations would be quite different were the job market not still so slim. I've heard of new grad interviews sound something like " I'll need $70,000, I'll treat 10 patients per day, I won't work with athletic trainers...etc. The problem is, many do not know what they are really worth. They only know what the job market is allowing them to expect. My clinic simply bases the productivity on cost per visit vs. therapists generated revenue per visit. We average a cost of $80 per visit for the clinic to operate. Therapists must obviously average more than that per visit, or see enough patients in a day to lower our per visit operating cost. Myself and my therapists average $100 per visit. I don't assess based on units per visit. Bisesi MPT COMT Winter Haven, FL From: Jordan <rjordanpt@cablelyn x .com> Subject: RE: Productivity To: PTManager@yahoogrou ps.com Date: Tuesday, October 14, 2008, 9:21 AM I think this discussion of productivity is an excellent one. An 80% efficient therapist is a great valuable member of the team. I might add that productivity needs to be linked to therapist's pay. Every new hire needs to understand that, as an employer, I want them to be the highest paid therapist in the area. But, if they want a high salary, they need to produce. 3.2 procedures per hour in upstate New York (the lowest reimbursement in the country) would not be viable. The same productivity in Texas might be appropriate. A therapist needs to produce approximately 3.8 to 4.5 times their own salary (including benefits) to cover the overhead and the payroll of administrative staff. Using this formula, the employer can work backwards from the production the therapist is willing/able to produce to offer a salary consistent with that production. This prevents the employer from setting productivity standards based upon units per hour (which has been controversial on this posting site) and allows the employer to intelligently set salary based upon production. Some PTs and PTAs are production machines, others are not. The producers should be paid more than the loafers. Rob Jordan, PT _____ From: PTManager@yahoogrou ps.com [mailto:PTManager@ yahoogrou ps.com] On Behalf Of Dr. Muller Sent: Tuesday, October 14, 2008 5:59 AM To: PTManager@yahoogrou ps.com Subject: RE: Productivity We ask our therapists for an average of 80% productivity which equates to 3.2 procedures per hour worked. An evaluation would count as 2 procedures. E. Muller, PhD, PT Director of Outpatient Rehab Stuart, FL. _____ From: PTManager@yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com [mailto:PTManager@ yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com] On Behalf Of bchacko71 Sent: Monday, October 13, 2008 11:08 PM To: PTManager@yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com Subject: Productivity Dear Group, I have been asked by a lot of Physical Therapists during interview's as to how many patients they are expected to see in a day (8hrs). Would the members here be kind enough to share their thoughts? Also what would be a good productivity standard to follow? Thank you B. Chacko Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2008 Report Share Posted October 16, 2008 , If you don't mind me asking, when you are assessing revenue per visit, are you gerneralizing based on insurance companies reimbursement rate, or do you have the therapists take responsibility for tracking the actual revenue? We are trying to find an easier way to do this, but as part of a hospital system, it is very difficult. Michigan > > From: Jordan <rjordanpt@cablelyn x .com> > Subject: RE: Productivity > To: PTManager@yahoogrou ps.com > Date: Tuesday, October 14, 2008, 9:21 AM > > I think this discussion of productivity is an excellent one. An 80% > efficient therapist is a great valuable member of the team. I might add > that productivity needs to be linked to therapist's pay. Every new hire > needs to understand that, as an employer, I want them to be the highest paid > therapist in the area. But, if they want a high salary, they need to > produce. 3.2 procedures per hour in upstate New York (the lowest > reimbursement in the country) would not be viable. The same productivity in > Texas might be appropriate. A therapist needs to produce approximately 3.8 > to 4.5 times their own salary (including benefits) to cover the overhead and > the payroll of administrative staff. Using this formula, the employer can > work backwards from the production the therapist is willing/able to produce > to offer a salary consistent with that production. This prevents the > employer from setting productivity standards based upon units per hour > (which has been controversial on this posting site) and allows the employer > to intelligently set salary based upon production. Some PTs and PTAs are > production machines, others are not. The producers should be paid more than > the loafers. > > Rob Jordan, PT > > _____ > > From: PTManager@yahoogrou ps.com [mailto:PTManager@ yahoogrou ps.com] On > Behalf > Of Dr. Muller > Sent: Tuesday, October 14, 2008 5:59 AM > To: PTManager@yahoogrou ps.com > Subject: RE: Productivity > > We ask our therapists for an average of 80% productivity which equates to > 3.2 procedures per hour worked. An evaluation would count as 2 procedures. > > E. Muller, PhD, PT > > Director of Outpatient Rehab > > Stuart, FL. > > _____ > > From: PTManager@yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com > [mailto:PTManager@ yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com] > On > Behalf > Of bchacko71 > Sent: Monday, October 13, 2008 11:08 PM > To: PTManager@yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com > Subject: Productivity > > Dear Group, > I have been asked by a lot of Physical Therapists during interview's > as to how many patients they are expected to see in a day (8hrs). > Would the members here be kind enough to share their thoughts? Also > what would be a good productivity standard to follow? > Thank you > B. Chacko > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2008 Report Share Posted October 16, 2008 With cost per visit, I assess this monthly. I look at numbers for total overhead for a given month - salaries, space rental etc (all expenses), which fluctuates obviously, and divide that by the total visits for that month. So, for a sample month, the expense is $80 per visit, I then evaluate therapists as a team and individually on whether they are generating more than that per visit. It works out because, if we have a very busy month, the therapists may have more patients and not be able to bill as much per visit. However, with more patients, the cost per visit will drop. Looking at two sample months, we averaged $68,000 overhead for all expenses: one month we saw 850 patients and the cost per visit was $80. My therapists averaged $100 revenue per visit. Another month we saw 920 patients and the cost per visit lowered to $74 per visit, and the therapists averaged $95 revenue per visit. If I were evaluating the therapists' productivity on units per visit, productivity would have dropped. If I am rating revenue per visit vs operating cost per visit, productivity increased. Bisesi MPT COMT Winter Haven, FL Subject: Re: Productivity To: PTManager Date: Thursday, October 16, 2008, 9:29 AM , If you don't mind me asking, when you are assessing revenue per visit, are you gerneralizing based on insurance companies reimbursement rate, or do you have the therapists take responsibility for tracking the actual revenue? We are trying to find an easier way to do this, but as part of a hospital system, it is very difficult. Michigan > > From: Jordan <rjordanpt@cablelyn x .com> > Subject: RE: Productivity > To: PTManager@yahoogrou ps.com > Date: Tuesday, October 14, 2008, 9:21 AM > > I think this discussion of productivity is an excellent one. An 80% > efficient therapist is a great valuable member of the team. I might add > that productivity needs to be linked to therapist's pay. Every new hire > needs to understand that, as an employer, I want them to be the highest paid > therapist in the area. But, if they want a high salary, they need to > produce. 3.2 procedures per hour in upstate New York (the lowest > reimbursement in the country) would not be viable. The same productivity in > Texas might be appropriate. A therapist needs to produce approximately 3.8 > to 4.5 times their own salary (including benefits) to cover the overhead and > the payroll of administrative staff. Using this formula, the employer can > work backwards from the production the therapist is willing/able to produce > to offer a salary consistent with that production. This prevents the > employer from setting productivity standards based upon units per hour > (which has been controversial on this posting site) and allows the employer > to intelligently set salary based upon production. Some PTs and PTAs are > production machines, others are not. The producers should be paid more than > the loafers. > > Rob Jordan, PT > > _____ > > From: PTManager@yahoogrou ps.com [mailto:PTManager@ yahoogrou ps.com] On > Behalf > Of Dr. Muller > Sent: Tuesday, October 14, 2008 5:59 AM > To: PTManager@yahoogrou ps.com > Subject: RE: Productivity > > We ask our therapists for an average of 80% productivity which equates to > 3.2 procedures per hour worked. An evaluation would count as 2 procedures. > > E. Muller, PhD, PT > > Director of Outpatient Rehab > > Stuart, FL. > > _____ > > From: PTManager@yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com > [mailto:PTManager@ yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com] > On > Behalf > Of bchacko71 > Sent: Monday, October 13, 2008 11:08 PM > To: PTManager@yahoogrou <mailto:PTManager% 40yahoogroups. com> ps.com > Subject: Productivity > > Dear Group, > I have been asked by a lot of Physical Therapists during interview's > as to how many patients they are expected to see in a day (8hrs). > Would the members here be kind enough to share their thoughts? Also > what would be a good productivity standard to follow? > Thank you > B. Chacko > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2008 Report Share Posted October 16, 2008 : You make a lot of sense as you have the same ideas as many of us who are small private practise owners. I have been a PT in practise since 1985 and have seen all types of new grads. I am hoping that our state assoc approach each school and let them know the reality of reimbusement situation. I do not know how hospital based practises make money. In CA my reimbusements have consistently gone down throughout the years and PT salary expectations have consistently gone up...there seems to be no match. I had to finally let go many of my staff PTs and consolidate my practises and work myself. With this economy I am certainly learning to live slightly below my means. Hiten Dave' PT --------- Productivity > > Dear Group, > I have been asked by a lot of Physical Therapists during interview's > as to how many patients they are expected to see in a day (8hrs). > Would the members here be kind enough to share their thoughts? Also > what would be a good productivity standard to follow? > Thank you > B. Chacko > > Quote Link to comment Share on other sites More sharing options...
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