Re: step down Medicare payment

February 22, 2011

Yes, we noticed changed at the first of the year. It was not alot but definetly

a hit. BCBS of KC was our biggest hit with the tier payments. When billing 4

units of something it took us down by approx $30.00 per hour! They say the are

following Medicare with the tier payments so I don't understand why Medicare

change was approx $9 per hour when billing 4 units and theirs $30.00. It hit

very hard for a private practice.....

Heidi

Billing Manager

MO

Physician relations

Need some advice and a listening ear...

I have a physician that is being very " doctorish " over PT communicating with

im regarding patient progress. He is the only physician that has this problem.

He is wanting bi-weekly communication of how his patient's are progressing

hile in the hospital. he is adamant about not reading PT notes or learning any

PT " oriented abbreviations i.e. min assist, CGA, etc.

He now wants PT to document on a seperate sheet on patient progression.

Needleess to say I am frustrated by his stance and obstinance.

any suggestions, ideas or previous experience with similar matters is

ppreciated.

Gwilliam, PT, CWS

Director of Rehabiliation

Bowie Memorial Hospital

March 4, 2011

I'm in land and have not see this MMPPR kick in yet - any other land PT

practices seeing any changes in fees?

Thanks in advance.

B. Rohr, PT, OCS

land Physical Therapy