PTA supervision

[Guest guest]

Can someone explain the rational of why a pta has to have a PT on site in

private practice, not when incident to and no pta can work doing home visits

with a PT doing and billing for home visits part B? or is it still that way?

Mark Niles PT, MS, CSCS

Orthopedic Specialists PA

mniles@...

x3

fax

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From: PTManager [mailto:PTManager ] On Behalf

Of Northwest Rehabilitation

Sent: Saturday, September 10, 2011 6:29 PM

To: PTManager

Subject: support staff FTE per therapist FTE

Mike -

I am forwarding an email that I saw years ago (2006), posted on PTManager.

This is not my data, yet I agree with the parameters and our clinic fits

within the projections outlined. I do know the source of the email, yet I

will let that individual identify themselves if they should so choose.

So...here you go:

.............................................................................

.......................................

Subject: RE: Re: Support Staffing

To: PTManager <mailto:PTManager%40yahoogroups.com>

Date: Saturday, August 12, 2006, 7:13 AM

We've done a few of these projects in the past, and here's a sort of rule of

thumb:

(Office staff FTEs) + (Clinical FTEs) = Total FTEs

Office staff: A " step model " driven by daily patient visits and managed

over each two-week pay period.

(This model is for an OP clinic which handles all telephoning, intake,

authorization, appointments, charge entry, medical records, chart

assembly/disassembly. They don't print, assemble, or mail bills or receive

payments. Obviously, individual cases will call for more detailed

calculations.)

0-25 visits/day - 2 staff

26-75 visits/day - 3 staff

76-100 visits/day - 4 staff

Clinical Staff: In a mainly 1:1 clinic with 45 minute visits (1-hour

evals).

Based on the premise that clincal staff are there to see

patients,

but that there are evil events, such as no-shows.

3 billable 15-minute units per paid manhour. 75% of paid time is

billable. 6 hours of patient care per 8-hour day. Tech/aide staff is only

present to enable therapists and clinicians to see paying patients, so their

hours are included, but they, of course, have no billable productivity.

So, a week with, say, 400 visits would average 80/day. Visits

average 3 units of One-to-One care. (80 visits/day X 3units/visit=240

units/day) That's 80 manhours/day, or 10 clinicians (aggregate

Therapist/Assistant/Tech).

A smaller clinic with half those visits would have 5 clinicians and 3 office

staff.

Hope that helps!

.............................................................................

...

Mike

Salem, OR

Mike Studer,PT,MHS,NCS, CEEAA

2011 Neurology Section Clinician of the Year

President, Northwest Rehabilitation Associates Inc. Serving You With

Specialist Care and a Personal Touch

Phone:

Fax:

mike@... <mailto:mike%40northwestrehab.com>

www.northwestrehab.com