step down Medicare payment

[Guest guest]

Group,

Has anyone heard or encountered step down or tiered pymnt for Medicare this

year? Step down pymnt for each unit of a charge. Did I miss a change somewhere?

Mark Niles PT, MS, CSCS

Orthopedic Specialists PA

mniles@...

x3

fax

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From: PTManager [mailto:PTManager ] On Behalf Of

Dr. E. Muller

Sent: Saturday, February 19, 2011 2:02 PM

To: PTManager

Subject: Re: Physician relations

Many facilities (including mine) are totally eliminating abbreviations. That

might help as well.

Sent from my iPad

On Feb 19, 2011, at 11:59 AM, Tmabrahano <TMAbrahano@...

<mailto:TMAbrahano%40aol.com> > wrote:

> Suggestion: Give him a 3x5 index card with the common abbreviations. He can

stick it in his pocket and have it accessible when reading charts.

> Added touch: laminate it.

>

> You are doing your job and having to write separate is simply ludicrous. You

may have to take him to the side and talk to him. Stand your ground.

>

> Good Luck!

>

> Tony Abrahano, PT

> Abrahano Physical Therapy Services, Inc.

>

> Physician relations

>

> Need some advice and a listening ear...

>

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

him 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

while 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

appreciated.

>

> Gwilliam, PT, CWS

> Director of Rehabiliation

> Bowie Memorial Hospital

>

>