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Please keep in mind that your question not only applies to Medicare patients,

but all patients whom you are billing their insurance for therapy. It does not

matter how you schedule your patients. What matters is how you bill your

patients for the treatment you provided. You bill the patients for the time you

spent with them, not how much time they are in your facility. The definition of

the CPT codes applies to all insurance companies, not just the Medicare program.

Nothing says you can't double book patients or overlap patients regardless of

their insurance. What matters is that you bill correctly.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

> Hi all,

> I would like to know how other facilities manage their patient load? Medicare

patients can only be seen one at a time. Is it legal to have one patient on

modality while treating another medicare patient for a one-on-one treatment

session? It only makes sense that by the time, PT session is over with one

medicare patient, the next patient is ready for PT, prepped with modalities.

> My second question is: How can a PT survive if they schedule one patient at a

time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> I think we need a better system of billing.

> I am looking forward to your input.

> Thanks,

> Aradhana S.,P.T.

> Manager

> MAX HEALTH CLINIC

>

>

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Please keep in mind that your question not only applies to Medicare patients,

but all patients whom you are billing their insurance for therapy. It does not

matter how you schedule your patients. What matters is how you bill your

patients for the treatment you provided. You bill the patients for the time you

spent with them, not how much time they are in your facility. The definition of

the CPT codes applies to all insurance companies, not just the Medicare program.

Nothing says you can't double book patients or overlap patients regardless of

their insurance. What matters is that you bill correctly.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

> Hi all,

> I would like to know how other facilities manage their patient load? Medicare

patients can only be seen one at a time. Is it legal to have one patient on

modality while treating another medicare patient for a one-on-one treatment

session? It only makes sense that by the time, PT session is over with one

medicare patient, the next patient is ready for PT, prepped with modalities.

> My second question is: How can a PT survive if they schedule one patient at a

time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> I think we need a better system of billing.

> I am looking forward to your input.

> Thanks,

> Aradhana S.,P.T.

> Manager

> MAX HEALTH CLINIC

>

>

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Share on other sites

Please keep in mind that your question not only applies to Medicare patients,

but all patients whom you are billing their insurance for therapy. It does not

matter how you schedule your patients. What matters is how you bill your

patients for the treatment you provided. You bill the patients for the time you

spent with them, not how much time they are in your facility. The definition of

the CPT codes applies to all insurance companies, not just the Medicare program.

Nothing says you can't double book patients or overlap patients regardless of

their insurance. What matters is that you bill correctly.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

> Hi all,

> I would like to know how other facilities manage their patient load? Medicare

patients can only be seen one at a time. Is it legal to have one patient on

modality while treating another medicare patient for a one-on-one treatment

session? It only makes sense that by the time, PT session is over with one

medicare patient, the next patient is ready for PT, prepped with modalities.

> My second question is: How can a PT survive if they schedule one patient at a

time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> I think we need a better system of billing.

> I am looking forward to your input.

> Thanks,

> Aradhana S.,P.T.

> Manager

> MAX HEALTH CLINIC

>

>

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Share on other sites

And the final piece to the puzzle, is KNOW your cancellation rates for your

demographics, and OVERSCHEDULE accordingly…

i.e. if you have a 13% cancellation rate, schedule for 113% caseload, daily.

E. Lynn MS PT

Director of Rehabilitation

Marlton Rehabilitation Hospital

92 Brick Rd.

Marlton, NJ 08055

ext 4204

From: PTManager [mailto:PTManager ] On Behalf Of

Rick Gawenda

Sent: Friday, October 14, 2011 11:59 AM

To: PTManager

Subject: Re: Medicare billing

Please keep in mind that your question not only applies to Medicare patients,

but all patients whom you are billing their insurance for therapy. It does not

matter how you schedule your patients. What matters is how you bill your

patients for the treatment you provided. You bill the patients for the time you

spent with them, not how much time they are in your facility. The definition of

the CPT codes applies to all insurance companies, not just the Medicare program.

Nothing says you can't double book patients or overlap patients regardless of

their insurance. What matters is that you bill correctly.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

On Oct 13, 2011, at 8:31 PM, " Aradhana "

<vimalaradhana@...<mailto:vimalaradhana%40yahoo.com>> wrote:

> Hi all,

> I would like to know how other facilities manage their patient load? Medicare

patients can only be seen one at a time. Is it legal to have one patient on

modality while treating another medicare patient for a one-on-one treatment

session? It only makes sense that by the time, PT session is over with one

medicare patient, the next patient is ready for PT, prepped with modalities.

> My second question is: How can a PT survive if they schedule one patient at a

time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> I think we need a better system of billing.

> I am looking forward to your input.

> Thanks,

> Aradhana S.,P.T.

> Manager

> MAX HEALTH CLINIC

>

>

Link to comment
Share on other sites

And the final piece to the puzzle, is KNOW your cancellation rates for your

demographics, and OVERSCHEDULE accordingly…

i.e. if you have a 13% cancellation rate, schedule for 113% caseload, daily.

E. Lynn MS PT

Director of Rehabilitation

Marlton Rehabilitation Hospital

92 Brick Rd.

Marlton, NJ 08055

ext 4204

From: PTManager [mailto:PTManager ] On Behalf Of

Rick Gawenda

Sent: Friday, October 14, 2011 11:59 AM

To: PTManager

Subject: Re: Medicare billing

Please keep in mind that your question not only applies to Medicare patients,

but all patients whom you are billing their insurance for therapy. It does not

matter how you schedule your patients. What matters is how you bill your

patients for the treatment you provided. You bill the patients for the time you

spent with them, not how much time they are in your facility. The definition of

the CPT codes applies to all insurance companies, not just the Medicare program.

Nothing says you can't double book patients or overlap patients regardless of

their insurance. What matters is that you bill correctly.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

On Oct 13, 2011, at 8:31 PM, " Aradhana "

<vimalaradhana@...<mailto:vimalaradhana%40yahoo.com>> wrote:

> Hi all,

> I would like to know how other facilities manage their patient load? Medicare

patients can only be seen one at a time. Is it legal to have one patient on

modality while treating another medicare patient for a one-on-one treatment

session? It only makes sense that by the time, PT session is over with one

medicare patient, the next patient is ready for PT, prepped with modalities.

> My second question is: How can a PT survive if they schedule one patient at a

time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> I think we need a better system of billing.

> I am looking forward to your input.

> Thanks,

> Aradhana S.,P.T.

> Manager

> MAX HEALTH CLINIC

>

>

Link to comment
Share on other sites

And the final piece to the puzzle, is KNOW your cancellation rates for your

demographics, and OVERSCHEDULE accordingly…

i.e. if you have a 13% cancellation rate, schedule for 113% caseload, daily.

E. Lynn MS PT

Director of Rehabilitation

Marlton Rehabilitation Hospital

92 Brick Rd.

Marlton, NJ 08055

ext 4204

From: PTManager [mailto:PTManager ] On Behalf Of

Rick Gawenda

Sent: Friday, October 14, 2011 11:59 AM

To: PTManager

Subject: Re: Medicare billing

Please keep in mind that your question not only applies to Medicare patients,

but all patients whom you are billing their insurance for therapy. It does not

matter how you schedule your patients. What matters is how you bill your

patients for the treatment you provided. You bill the patients for the time you

spent with them, not how much time they are in your facility. The definition of

the CPT codes applies to all insurance companies, not just the Medicare program.

Nothing says you can't double book patients or overlap patients regardless of

their insurance. What matters is that you bill correctly.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

On Oct 13, 2011, at 8:31 PM, " Aradhana "

<vimalaradhana@...<mailto:vimalaradhana%40yahoo.com>> wrote:

> Hi all,

> I would like to know how other facilities manage their patient load? Medicare

patients can only be seen one at a time. Is it legal to have one patient on

modality while treating another medicare patient for a one-on-one treatment

session? It only makes sense that by the time, PT session is over with one

medicare patient, the next patient is ready for PT, prepped with modalities.

> My second question is: How can a PT survive if they schedule one patient at a

time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> I think we need a better system of billing.

> I am looking forward to your input.

> Thanks,

> Aradhana S.,P.T.

> Manager

> MAX HEALTH CLINIC

>

>

Link to comment
Share on other sites

Hi,

You can double Medicare patients but you do have to charge differently.

Additionally, I thought that they could be treated in a group setting as long as

the group did not exceed 4 patients. From my understanding for both Medicare

patients and those with other insurance benefits you cannot charge for

unsupervised treatment time where you are not in direct contact and are with

another patient. Is this true as well?

Thanks,

Dail, MSPT

Atlanta, GA

>

> Hi all,

> I would like to know how other facilities manage their patient load? Medicare

patients can only be seen one at a time. Is it legal to have one patient on

modality while treating another medicare patient for a one-on-one treatment

session? It only makes sense that by the time, PT session is over with one

medicare patient, the next patient is ready for PT, prepped with modalities.

> My second question is: How can a PT survive if they schedule one patient at a

time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> I think we need a better system of billing.

> I am looking forward to your input.

> Thanks,

> Aradhana S.,P.T.

> Manager

> MAX HEALTH CLINIC

>

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Hi ,

By doubling do you mean concurrent for Med A? Our company discourages concurrent

for Med A's, only for HMO's...

Thanks!

Jezille ez, PT

OHRC, Philadelphia, PA

Sent via BlackBerry from T-Mobile

Re: Medicare billing

Hi,

You can double Medicare patients but you do have to charge differently.

Additionally, I thought that they could be treated in a group setting as long as

the group did not exceed 4 patients. From my understanding for both Medicare

patients and those with other insurance benefits you cannot charge for

unsupervised treatment time where you are not in direct contact and are with

another patient. Is this true as well?

Thanks,

Dail, MSPT

Atlanta, GA

>

> Hi all,

> I would like to know how other facilities manage their patient load? Medicare

patients can only be seen one at a time. Is it legal to have one patient on

modality while treating another medicare patient for a one-on-one treatment

session? It only makes sense that by the time, PT session is over with one

medicare patient, the next patient is ready for PT, prepped with modalities.

> My second question is: How can a PT survive if they schedule one patient at a

time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> I think we need a better system of billing.

> I am looking forward to your input.

> Thanks,

> Aradhana S.,P.T.

> Manager

> MAX HEALTH CLINIC

>

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Why only for HMO's? I know your answer, but you have to be careful about hat you

say on a public list serv. You should provide what the patient needs.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

> Hi ,

> By doubling do you mean concurrent for Med A? Our company discourages

concurrent for Med A's, only for HMO's...

> Thanks!

> Jezille ez, PT

> OHRC, Philadelphia, PA

> Sent via BlackBerry from T-Mobile

>

> Re: Medicare billing

>

> Hi,

>

> You can double Medicare patients but you do have to charge differently.

Additionally, I thought that they could be treated in a group setting as long as

the group did not exceed 4 patients. From my understanding for both Medicare

patients and those with other insurance benefits you cannot charge for

unsupervised treatment time where you are not in direct contact and are with

another patient. Is this true as well?

>

> Thanks,

> Dail, MSPT

> Atlanta, GA

>

>

> >

> > Hi all,

> > I would like to know how other facilities manage their patient load?

Medicare patients can only be seen one at a time. Is it legal to have one

patient on modality while treating another medicare patient for a one-on-one

treatment session? It only makes sense that by the time, PT session is over with

one medicare patient, the next patient is ready for PT, prepped with modalities.

> > My second question is: How can a PT survive if they schedule one patient at

a time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> > I think we need a better system of billing.

> > I am looking forward to your input.

> > Thanks,

> > Aradhana S.,P.T.

> > Manager

> > MAX HEALTH CLINIC

> >

>

>

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I'm sorry, I was probably misunderstood. With the new Medicare rules, we're

trying to work on a schedule that will work for everybody especially the

patients. What I know is we're supposed to treat them one-on-one (please correct

me if I'm wrong), but concurrent with other Medicare A's is discouraged . For

other insurance, we can see them concurrently as needed and if appropriate, and

bill accordingly. Please feel free to correct me, as we are trying to make

necessary adjustments to meet new Medicare ruling.

Jezille ez, PT

OHRC, Philadelphia, PA

Sent via BlackBerry from T-Mobile

Re: Medicare billing

>

> Hi,

>

> You can double Medicare patients but you do have to charge differently.

Additionally, I thought that they could be treated in a group setting as long as

the group did not exceed 4 patients. From my understanding for both Medicare

patients and those with other insurance benefits you cannot charge for

unsupervised treatment time where you are not in direct contact and are with

another patient. Is this true as well?

>

> Thanks,

> Dail, MSPT

> Atlanta, GA

>

>

> >

> > Hi all,

> > I would like to know how other facilities manage their patient load?

Medicare patients can only be seen one at a time. Is it legal to have one

patient on modality while treating another medicare patient for a one-on-one

treatment session? It only makes sense that by the time, PT session is over with

one medicare patient, the next patient is ready for PT, prepped with modalities.

> > My second question is: How can a PT survive if they schedule one patient at

a time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> > I think we need a better system of billing.

> > I am looking forward to your input.

> > Thanks,

> > Aradhana S.,P.T.

> > Manager

> > MAX HEALTH CLINIC

> >

>

>

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Just a thought...

Why are we being dictated to the amount we are going to be paid as well as the

type of service we will provide? Should that not be our call?! The saying you

get what you pay for definitely applies here. If you want to pay less...then

don't expect the platinum treatment! We (field of physical therapy) have been

" giving away " our services far too long. The APTA needs to " inform " Medicare

that if you are going to slash re-imbursement... then treatment methodology will

be changed as well. We don't go to a fast food place paying the dollar menu

price and get mad when we don't receive a 5 course surf & turf meal....do we?

I know this will ruffle some feathers but " we " need to be the ones who direct

treatment...not the insurance system!

Ciao,

Sasha

Sasha Digges, Jr. PT, ATC, CSCS

Founder & President

PEAK Physical Therapy

& Sports Rehabilitation

344 McLaws Circle

burg, VA. 23185

Phone:

Fax:

Confidential Statement

NOTICE: This communication and the information attached included with this

transmission is for the use of the named individual to which it is directed and

DOES contain information that is privileged AND confidential. It is NOT to be

transmitted to or received by anyone other than the named addressee (or a person

authorized to deliver it to the named addressee). It is NOT to be copied or

forwarded to any unauthorized persons. If you have received this electronics

mail transmission in error, delete it from your system without copying or

forwarding it, and notify the sender of the error by replying via email or by

calling , so that our address record can be corrected.

> I'm sorry, I was probably misunderstood. With the new Medicare rules, we're

trying to work on a schedule that will work for everybody especially the

patients. What I know is we're supposed to treat them one-on-one (please correct

me if I'm wrong), but concurrent with other Medicare A's is discouraged . For

other insurance, we can see them concurrently as needed and if appropriate, and

bill accordingly. Please feel free to correct me, as we are trying to make

necessary adjustments to meet new Medicare ruling.

>

> Jezille ez, PT

> OHRC, Philadelphia, PA

> Sent via BlackBerry from T-Mobile

>

> Re: Medicare billing

> >

> > Hi,

> >

> > You can double Medicare patients but you do have to charge differently.

Additionally, I thought that they could be treated in a group setting as long as

the group did not exceed 4 patients. From my understanding for both Medicare

patients and those with other insurance benefits you cannot charge for

unsupervised treatment time where you are not in direct contact and are with

another patient. Is this true as well?

> >

> > Thanks,

> > Dail, MSPT

> > Atlanta, GA

> >

> >

> > >

> > > Hi all,

> > > I would like to know how other facilities manage their patient load?

Medicare patients can only be seen one at a time. Is it legal to have one

patient on modality while treating another medicare patient for a one-on-one

treatment session? It only makes sense that by the time, PT session is over with

one medicare patient, the next patient is ready for PT, prepped with modalities.

> > > My second question is: How can a PT survive if they schedule one patient

at a time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> > > I think we need a better system of billing.

> > > I am looking forward to your input.

> > > Thanks,

> > > Aradhana S.,P.T.

> > > Manager

> > > MAX HEALTH CLINIC

> > >

> >

> >

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So if you overschedule, how do you know who is not showing up in what time

slot? Or do patients just have to wait?

Diane , PT, DPT, MHA

Manager of Rehabilitation Services

Langlade Health And Rehabilitation

112 E. 5th Ave.

Antigo, WI 54409

PH:

FAX:

Nationally Ranked – Modern Healthcare’s Top 100 “Best Places to Work in

Healthcare†(2009 & 2010)

From: PTManager [mailto:PTManager ] On Behalf Of

Lynn

Sent: Friday, October 14, 2011 11:30 AM

To: 'PTManager '

Subject: RE: Medicare billing

And the final piece to the puzzle, is KNOW your cancellation rates for your

demographics, and OVERSCHEDULE accordingly…

i.e. if you have a 13% cancellation rate, schedule for 113% caseload, daily.

E. Lynn MS PT

Director of Rehabilitation

Marlton Rehabilitation Hospital

92 Brick Rd.

Marlton, NJ 08055

ext 4204

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

[mailto:PTManager <mailto:PTManager%40yahoogroups.com>] On Behalf

Of Rick Gawenda

Sent: Friday, October 14, 2011 11:59 AM

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

Subject: Re: Medicare billing

Please keep in mind that your question not only applies to Medicare patients,

but all patients whom you are billing their insurance for therapy. It does not

matter how you schedule your patients. What matters is how you bill your

patients for the treatment you provided. You bill the patients for the time you

spent with them, not how much time they are in your facility. The definition of

the CPT codes applies to all insurance companies, not just the Medicare program.

Nothing says you can't double book patients or overlap patients regardless of

their insurance. What matters is that you bill correctly.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

On Oct 13, 2011, at 8:31 PM, " Aradhana "

<vimalaradhana@...<mailto:vimalaradhana%40yahoo.com><mailto:vimalaradhana%\

40yahoo.com>> wrote:

> Hi all,

> I would like to know how other facilities manage their patient load? Medicare

patients can only be seen one at a time. Is it legal to have one patient on

modality while treating another medicare patient for a one-on-one treatment

session? It only makes sense that by the time, PT session is over with one

medicare patient, the next patient is ready for PT, prepped with modalities.

> My second question is: How can a PT survive if they schedule one patient at a

time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> I think we need a better system of billing.

> I am looking forward to your input.

> Thanks,

> Aradhana S.,P.T.

> Manager

> MAX HEALTH CLINIC

>

>

Link to comment
Share on other sites

So if you overschedule, how do you know who is not showing up in what time

slot? Or do patients just have to wait?

Diane , PT, DPT, MHA

Manager of Rehabilitation Services

Langlade Health And Rehabilitation

112 E. 5th Ave.

Antigo, WI 54409

PH:

FAX:

Nationally Ranked – Modern Healthcare’s Top 100 “Best Places to Work in

Healthcare†(2009 & 2010)

From: PTManager [mailto:PTManager ] On Behalf Of

Lynn

Sent: Friday, October 14, 2011 11:30 AM

To: 'PTManager '

Subject: RE: Medicare billing

And the final piece to the puzzle, is KNOW your cancellation rates for your

demographics, and OVERSCHEDULE accordingly…

i.e. if you have a 13% cancellation rate, schedule for 113% caseload, daily.

E. Lynn MS PT

Director of Rehabilitation

Marlton Rehabilitation Hospital

92 Brick Rd.

Marlton, NJ 08055

ext 4204

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

[mailto:PTManager <mailto:PTManager%40yahoogroups.com>] On Behalf

Of Rick Gawenda

Sent: Friday, October 14, 2011 11:59 AM

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

Subject: Re: Medicare billing

Please keep in mind that your question not only applies to Medicare patients,

but all patients whom you are billing their insurance for therapy. It does not

matter how you schedule your patients. What matters is how you bill your

patients for the treatment you provided. You bill the patients for the time you

spent with them, not how much time they are in your facility. The definition of

the CPT codes applies to all insurance companies, not just the Medicare program.

Nothing says you can't double book patients or overlap patients regardless of

their insurance. What matters is that you bill correctly.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

On Oct 13, 2011, at 8:31 PM, " Aradhana "

<vimalaradhana@...<mailto:vimalaradhana%40yahoo.com><mailto:vimalaradhana%\

40yahoo.com>> wrote:

> Hi all,

> I would like to know how other facilities manage their patient load? Medicare

patients can only be seen one at a time. Is it legal to have one patient on

modality while treating another medicare patient for a one-on-one treatment

session? It only makes sense that by the time, PT session is over with one

medicare patient, the next patient is ready for PT, prepped with modalities.

> My second question is: How can a PT survive if they schedule one patient at a

time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> I think we need a better system of billing.

> I am looking forward to your input.

> Thanks,

> Aradhana S.,P.T.

> Manager

> MAX HEALTH CLINIC

>

>

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Share on other sites

So if you overschedule, how do you know who is not showing up in what time

slot? Or do patients just have to wait?

Diane , PT, DPT, MHA

Manager of Rehabilitation Services

Langlade Health And Rehabilitation

112 E. 5th Ave.

Antigo, WI 54409

PH:

FAX:

Nationally Ranked – Modern Healthcare’s Top 100 “Best Places to Work in

Healthcare†(2009 & 2010)

From: PTManager [mailto:PTManager ] On Behalf Of

Lynn

Sent: Friday, October 14, 2011 11:30 AM

To: 'PTManager '

Subject: RE: Medicare billing

And the final piece to the puzzle, is KNOW your cancellation rates for your

demographics, and OVERSCHEDULE accordingly…

i.e. if you have a 13% cancellation rate, schedule for 113% caseload, daily.

E. Lynn MS PT

Director of Rehabilitation

Marlton Rehabilitation Hospital

92 Brick Rd.

Marlton, NJ 08055

ext 4204

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

[mailto:PTManager <mailto:PTManager%40yahoogroups.com>] On Behalf

Of Rick Gawenda

Sent: Friday, October 14, 2011 11:59 AM

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

Subject: Re: Medicare billing

Please keep in mind that your question not only applies to Medicare patients,

but all patients whom you are billing their insurance for therapy. It does not

matter how you schedule your patients. What matters is how you bill your

patients for the treatment you provided. You bill the patients for the time you

spent with them, not how much time they are in your facility. The definition of

the CPT codes applies to all insurance companies, not just the Medicare program.

Nothing says you can't double book patients or overlap patients regardless of

their insurance. What matters is that you bill correctly.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

On Oct 13, 2011, at 8:31 PM, " Aradhana "

<vimalaradhana@...<mailto:vimalaradhana%40yahoo.com><mailto:vimalaradhana%\

40yahoo.com>> wrote:

> Hi all,

> I would like to know how other facilities manage their patient load? Medicare

patients can only be seen one at a time. Is it legal to have one patient on

modality while treating another medicare patient for a one-on-one treatment

session? It only makes sense that by the time, PT session is over with one

medicare patient, the next patient is ready for PT, prepped with modalities.

> My second question is: How can a PT survive if they schedule one patient at a

time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> I think we need a better system of billing.

> I am looking forward to your input.

> Thanks,

> Aradhana S.,P.T.

> Manager

> MAX HEALTH CLINIC

>

>

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Share on other sites

I am curious about the same question. It makes sense to overbook for the

reasons stated, but the operational challenges of where and how to provide

quality care in an double booked situation is worth discussing. Those with

insight, please share…

Jeanne Bradshaw, PT, OCS

Director of Rehabilitation Services

Appalachian Regional Healthcare System

phone

fax

P Please consider the environment before printing this e-mail

From: PTManager [mailto:PTManager ] On Behalf Of

Diane

Sent: Friday, October 21, 2011 11:53 AM

To: 'PTManager '

Subject: RE: Medicare billing

So if you overschedule, how do you know who is not showing up in what time slot?

Or do patients just have to wait?

Diane , PT, DPT, MHA

Manager of Rehabilitation Services

Langlade Health And Rehabilitation

112 E. 5th Ave.

Antigo, WI 54409

PH:

FAX:

Nationally Ranked – Modern Healthcare’s Top 100 “Best Places to Work in

Healthcare†(2009 & 2010)

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

[mailto:PTManager <mailto:PTManager%40yahoogroups.com>] On Behalf

Of Lynn

Sent: Friday, October 14, 2011 11:30 AM

To: 'PTManager <mailto:%27PTManager%40yahoogroups.com>'

Subject: RE: Medicare billing

And the final piece to the puzzle, is KNOW your cancellation rates for your

demographics, and OVERSCHEDULE accordingly…

i.e. if you have a 13% cancellation rate, schedule for 113% caseload, daily.

E. Lynn MS PT

Director of Rehabilitation

Marlton Rehabilitation Hospital

92 Brick Rd.

Marlton, NJ 08055

ext 4204

From:

PTManager <mailto:PTManager%40yahoogroups.com><mailto:PTManager%4\

0yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com><mailto:PTM\

anager%40yahoogroups.com>] On Behalf Of Rick Gawenda

Sent: Friday, October 14, 2011 11:59 AM

To:

PTManager <mailto:PTManager%40yahoogroups.com><mailto:PTManager%4\

0yahoogroups.com>

Subject: Re: Medicare billing

Please keep in mind that your question not only applies to Medicare patients,

but all patients whom you are billing their insurance for therapy. It does not

matter how you schedule your patients. What matters is how you bill your

patients for the treatment you provided. You bill the patients for the time you

spent with them, not how much time they are in your facility. The definition of

the CPT codes applies to all insurance companies, not just the Medicare program.

Nothing says you can't double book patients or overlap patients regardless of

their insurance. What matters is that you bill correctly.

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

On Oct 13, 2011, at 8:31 PM, " Aradhana "

<vimalaradhana@...<mailto:vimalaradhana%40yahoo.com><mailto:vimalaradhana%\

40yahoo.com><mailto:vimalaradhana%40yahoo.com>> wrote:

> Hi all,

> I would like to know how other facilities manage their patient load? Medicare

patients can only be seen one at a time. Is it legal to have one patient on

modality while treating another medicare patient for a one-on-one treatment

session? It only makes sense that by the time, PT session is over with one

medicare patient, the next patient is ready for PT, prepped with modalities.

> My second question is: How can a PT survive if they schedule one patient at a

time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> I think we need a better system of billing.

> I am looking forward to your input.

> Thanks,

> Aradhana S.,P.T.

> Manager

> MAX HEALTH CLINIC

>

>

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Share on other sites

  • 2 weeks later...

Sasha,

AMEN!!! I could not have said it any better.

Do realize that every other management/billing seminar, class or lecture

these days is about what not to do, and how not to bill, and God forbid you

should make a profit. Why are we as a profession allowing this to happen?

The MD's and the chiros are all about business and profit, and that's OK,

if it's done ethically. It just seems that these day there is this

expectation that we need to provide this " Platinum Service " as you put it,

and get paid even LESS for it.....Sorry you hit a nerve, I'm just venting...

Mike

Trinity, NJ

On Tue, Oct 18, 2011 at 1:51 PM, SASHA DIGGES wrote:

> **

>

>

> Just a thought...

>

> Why are we being dictated to the amount we are going to be paid as well as

> the type of service we will provide? Should that not be our call?! The

> saying you get what you pay for definitely applies here. If you want to pay

> less...then don't expect the platinum treatment! We (field of physical

> therapy) have been " giving away " our services far too long. The APTA needs

> to " inform " Medicare that if you are going to slash re-imbursement... then

> treatment methodology will be changed as well. We don't go to a fast food

> place paying the dollar menu price and get mad when we don't receive a 5

> course surf & turf meal....do we?

>

> I know this will ruffle some feathers but " we " need to be the ones who

> direct treatment...not the insurance system!

>

> Ciao,

>

> Sasha

>

> Sasha Digges, Jr. PT, ATC, CSCS

> Founder & President

>

> PEAK Physical Therapy

> & Sports Rehabilitation

>

> 344 McLaws Circle

> burg, VA. 23185

> Phone:

> Fax:

>

> Confidential Statement

> NOTICE: This communication and the information attached included with this

> transmission is for the use of the named individual to which it is directed

> and DOES contain information that is privileged AND confidential. It is NOT

> to be transmitted to or received by anyone other than the named addressee

> (or a person authorized to deliver it to the named addressee). It is NOT to

> be copied or forwarded to any unauthorized persons. If you have received

> this electronics mail transmission in error, delete it from your system

> without copying or forwarding it, and notify the sender of the error by

> replying via email or by calling , so that our address

> record can be corrected.

>

>

>

> > I'm sorry, I was probably misunderstood. With the new Medicare rules,

> we're trying to work on a schedule that will work for everybody especially

> the patients. What I know is we're supposed to treat them one-on-one

> (please correct me if I'm wrong), but concurrent with other Medicare A's is

> discouraged . For other insurance, we can see them concurrently as needed

> and if appropriate, and bill accordingly. Please feel free to correct me,

> as we are trying to make necessary adjustments to meet new Medicare ruling.

> >

> > Jezille ez, PT

> > OHRC, Philadelphia, PA

> > Sent via BlackBerry from T-Mobile

> >

> > Re: Medicare billing

> > >

> > > Hi,

> > >

> > > You can double Medicare patients but you do have to charge

> differently. Additionally, I thought that they could be treated in a group

> setting as long as the group did not exceed 4 patients. From my

> understanding for both Medicare patients and those with other insurance

> benefits you cannot charge for unsupervised treatment time where you are

> not in direct contact and are with another patient. Is this true as well?

> > >

> > > Thanks,

> > > Dail, MSPT

> > > Atlanta, GA

> > >

> > >

> > > >

> > > > Hi all,

> > > > I would like to know how other facilities manage their patient load?

> Medicare patients can only be seen one at a time. Is it legal to have one

> patient on modality while treating another medicare patient for a

> one-on-one treatment session? It only makes sense that by the time, PT

> session is over with one medicare patient, the next patient is ready for

> PT, prepped with modalities.

> > > > My second question is: How can a PT survive if they schedule one

> patient at a time. What if you have a no-show- who pays the PT? And what if

> you are self-employed? Physician offices double, triple, or quadruple book

> patients all the time.How do they bill their patients.

> > > > I think we need a better system of billing.

> > > > I am looking forward to your input.

> > > > Thanks,

> > > > Aradhana S.,P.T.

> > > > Manager

> > > > MAX HEALTH CLINIC

> > > >

> > >

> > >

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Share on other sites

I have referred all our Medicare patients to the APTA website to contact their

respective senators. I made clear that if the pay cut becomes reality, we will

no longer be able to see any Medicare patients. Many patients did talk to us

about the letter I gave them and confirmed that they would take action. It is

not even about making a profit. Currently, typical medicare payments are below

costs, which means we are already giving it away.

Jan Dommerholt

Bethesda, MD

> Sasha,

>

> AMEN!!! I could not have said it any better.

>

> Do realize that every other management/billing seminar, class or lecture

> these days is about what not to do, and how not to bill, and God forbid you

> should make a profit. Why are we as a profession allowing this to happen?

> The MD's and the chiros are all about business and profit, and that's OK,

> if it's done ethically. It just seems that these day there is this

> expectation that we need to provide this " Platinum Service " as you put it,

> and get paid even LESS for it.....Sorry you hit a nerve, I'm just venting...

>

> Mike

> Trinity, NJ

>

> On Tue, Oct 18, 2011 at 1:51 PM, SASHA DIGGES wrote:

>

> > **

> >

> >

> > Just a thought...

> >

> > Why are we being dictated to the amount we are going to be paid as well as

> > the type of service we will provide? Should that not be our call?! The

> > saying you get what you pay for definitely applies here. If you want to pay

> > less...then don't expect the platinum treatment! We (field of physical

> > therapy) have been " giving away " our services far too long. The APTA needs

> > to " inform " Medicare that if you are going to slash re-imbursement... then

> > treatment methodology will be changed as well. We don't go to a fast food

> > place paying the dollar menu price and get mad when we don't receive a 5

> > course surf & turf meal....do we?

> >

> > I know this will ruffle some feathers but " we " need to be the ones who

> > direct treatment...not the insurance system!

> >

> > Ciao,

> >

> > Sasha

> >

> > Sasha Digges, Jr. PT, ATC, CSCS

> > Founder & President

> >

> > PEAK Physical Therapy

> > & Sports Rehabilitation

> >

> > 344 McLaws Circle

> > burg, VA. 23185

> > Phone:

> > Fax:

> >

> > Confidential Statement

> > NOTICE: This communication and the information attached included with this

> > transmission is for the use of the named individual to which it is directed

> > and DOES contain information that is privileged AND confidential. It is NOT

> > to be transmitted to or received by anyone other than the named addressee

> > (or a person authorized to deliver it to the named addressee). It is NOT to

> > be copied or forwarded to any unauthorized persons. If you have received

> > this electronics mail transmission in error, delete it from your system

> > without copying or forwarding it, and notify the sender of the error by

> > replying via email or by calling , so that our address

> > record can be corrected.

> >

> >

> >

> > > I'm sorry, I was probably misunderstood. With the new Medicare rules,

> > we're trying to work on a schedule that will work for everybody especially

> > the patients. What I know is we're supposed to treat them one-on-one

> > (please correct me if I'm wrong), but concurrent with other Medicare A's is

> > discouraged . For other insurance, we can see them concurrently as needed

> > and if appropriate, and bill accordingly. Please feel free to correct me,

> > as we are trying to make necessary adjustments to meet new Medicare ruling.

> > >

> > > Jezille ez, PT

> > > OHRC, Philadelphia, PA

> > > Sent via BlackBerry from T-Mobile

> > >

> > > Re: Medicare billing

> > > >

> > > > Hi,

> > > >

> > > > You can double Medicare patients but you do have to charge

> > differently. Additionally, I thought that they could be treated in a group

> > setting as long as the group did not exceed 4 patients. From my

> > understanding for both Medicare patients and those with other insurance

> > benefits you cannot charge for unsupervised treatment time where you are

> > not in direct contact and are with another patient. Is this true as well?

> > > >

> > > > Thanks,

> > > > Dail, MSPT

> > > > Atlanta, GA

> > > >

> > > >

> > > > >

> > > > > Hi all,

> > > > > I would like to know how other facilities manage their patient load?

> > Medicare patients can only be seen one at a time. Is it legal to have one

> > patient on modality while treating another medicare patient for a

> > one-on-one treatment session? It only makes sense that by the time, PT

> > session is over with one medicare patient, the next patient is ready for

> > PT, prepped with modalities.

> > > > > My second question is: How can a PT survive if they schedule one

> > patient at a time. What if you have a no-show- who pays the PT? And what if

> > you are self-employed? Physician offices double, triple, or quadruple book

> > patients all the time.How do they bill their patients.

> > > > > I think we need a better system of billing.

> > > > > I am looking forward to your input.

> > > > > Thanks,

> > > > > Aradhana S.,P.T.

> > > > > Manager

> > > > > MAX HEALTH CLINIC

> > > > >

> > > >

> > > >

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Share on other sites

I have referred all our Medicare patients to the APTA website to contact their

respective senators. I made clear that if the pay cut becomes reality, we will

no longer be able to see any Medicare patients. Many patients did talk to us

about the letter I gave them and confirmed that they would take action. It is

not even about making a profit. Currently, typical medicare payments are below

costs, which means we are already giving it away.

Jan Dommerholt

Bethesda, MD

> Sasha,

>

> AMEN!!! I could not have said it any better.

>

> Do realize that every other management/billing seminar, class or lecture

> these days is about what not to do, and how not to bill, and God forbid you

> should make a profit. Why are we as a profession allowing this to happen?

> The MD's and the chiros are all about business and profit, and that's OK,

> if it's done ethically. It just seems that these day there is this

> expectation that we need to provide this " Platinum Service " as you put it,

> and get paid even LESS for it.....Sorry you hit a nerve, I'm just venting...

>

> Mike

> Trinity, NJ

>

> On Tue, Oct 18, 2011 at 1:51 PM, SASHA DIGGES wrote:

>

> > **

> >

> >

> > Just a thought...

> >

> > Why are we being dictated to the amount we are going to be paid as well as

> > the type of service we will provide? Should that not be our call?! The

> > saying you get what you pay for definitely applies here. If you want to pay

> > less...then don't expect the platinum treatment! We (field of physical

> > therapy) have been " giving away " our services far too long. The APTA needs

> > to " inform " Medicare that if you are going to slash re-imbursement... then

> > treatment methodology will be changed as well. We don't go to a fast food

> > place paying the dollar menu price and get mad when we don't receive a 5

> > course surf & turf meal....do we?

> >

> > I know this will ruffle some feathers but " we " need to be the ones who

> > direct treatment...not the insurance system!

> >

> > Ciao,

> >

> > Sasha

> >

> > Sasha Digges, Jr. PT, ATC, CSCS

> > Founder & President

> >

> > PEAK Physical Therapy

> > & Sports Rehabilitation

> >

> > 344 McLaws Circle

> > burg, VA. 23185

> > Phone:

> > Fax:

> >

> > Confidential Statement

> > NOTICE: This communication and the information attached included with this

> > transmission is for the use of the named individual to which it is directed

> > and DOES contain information that is privileged AND confidential. It is NOT

> > to be transmitted to or received by anyone other than the named addressee

> > (or a person authorized to deliver it to the named addressee). It is NOT to

> > be copied or forwarded to any unauthorized persons. If you have received

> > this electronics mail transmission in error, delete it from your system

> > without copying or forwarding it, and notify the sender of the error by

> > replying via email or by calling , so that our address

> > record can be corrected.

> >

> >

> >

> > > I'm sorry, I was probably misunderstood. With the new Medicare rules,

> > we're trying to work on a schedule that will work for everybody especially

> > the patients. What I know is we're supposed to treat them one-on-one

> > (please correct me if I'm wrong), but concurrent with other Medicare A's is

> > discouraged . For other insurance, we can see them concurrently as needed

> > and if appropriate, and bill accordingly. Please feel free to correct me,

> > as we are trying to make necessary adjustments to meet new Medicare ruling.

> > >

> > > Jezille ez, PT

> > > OHRC, Philadelphia, PA

> > > Sent via BlackBerry from T-Mobile

> > >

> > > Re: Medicare billing

> > > >

> > > > Hi,

> > > >

> > > > You can double Medicare patients but you do have to charge

> > differently. Additionally, I thought that they could be treated in a group

> > setting as long as the group did not exceed 4 patients. From my

> > understanding for both Medicare patients and those with other insurance

> > benefits you cannot charge for unsupervised treatment time where you are

> > not in direct contact and are with another patient. Is this true as well?

> > > >

> > > > Thanks,

> > > > Dail, MSPT

> > > > Atlanta, GA

> > > >

> > > >

> > > > >

> > > > > Hi all,

> > > > > I would like to know how other facilities manage their patient load?

> > Medicare patients can only be seen one at a time. Is it legal to have one

> > patient on modality while treating another medicare patient for a

> > one-on-one treatment session? It only makes sense that by the time, PT

> > session is over with one medicare patient, the next patient is ready for

> > PT, prepped with modalities.

> > > > > My second question is: How can a PT survive if they schedule one

> > patient at a time. What if you have a no-show- who pays the PT? And what if

> > you are self-employed? Physician offices double, triple, or quadruple book

> > patients all the time.How do they bill their patients.

> > > > > I think we need a better system of billing.

> > > > > I am looking forward to your input.

> > > > > Thanks,

> > > > > Aradhana S.,P.T.

> > > > > Manager

> > > > > MAX HEALTH CLINIC

> > > > >

> > > >

> > > >

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Share on other sites

To: Sasha and Mike-Everyone in private practise and I am assuming any PT

who has a bit of financial sense feels the same. A friend who works in the

capitol bldg in Sacramento, CA suggested that PTs should join a Union and

that will give more political shield to us as a group. Any thoughts?

Hiten Dave' PT

On Sun, Oct 30, 2011 at 7:45 PM, Rizkalla wrote:

> **

>

>

> Sasha,

>

> AMEN!!! I could not have said it any better.

>

> Do realize that every other management/billing seminar, class or lecture

> these days is about what not to do, and how not to bill, and God forbid you

> should make a profit. Why are we as a profession allowing this to happen?

> The MD's and the chiros are all about business and profit, and that's OK,

> if it's done ethically. It just seems that these day there is this

> expectation that we need to provide this " Platinum Service " as you put it,

> and get paid even LESS for it.....Sorry you hit a nerve, I'm just

> venting...

>

> Mike

> Trinity, NJ

>

> On Tue, Oct 18, 2011 at 1:51 PM, SASHA DIGGES <sasha.peakpt@...

> >wrote:

>

> > **

>

> >

> >

> > Just a thought...

> >

> > Why are we being dictated to the amount we are going to be paid as well

> as

> > the type of service we will provide? Should that not be our call?! The

> > saying you get what you pay for definitely applies here. If you want to

> pay

> > less...then don't expect the platinum treatment! We (field of physical

> > therapy) have been " giving away " our services far too long. The APTA

> needs

> > to " inform " Medicare that if you are going to slash re-imbursement...

> then

> > treatment methodology will be changed as well. We don't go to a fast food

> > place paying the dollar menu price and get mad when we don't receive a 5

> > course surf & turf meal....do we?

> >

> > I know this will ruffle some feathers but " we " need to be the ones who

> > direct treatment...not the insurance system!

> >

> > Ciao,

> >

> > Sasha

> >

> > Sasha Digges, Jr. PT, ATC, CSCS

> > Founder & President

> >

> > PEAK Physical Therapy

> > & Sports Rehabilitation

> >

> > 344 McLaws Circle

> > burg, VA. 23185

> > Phone:

> > Fax:

> >

> > Confidential Statement

> > NOTICE: This communication and the information attached included with

> this

> > transmission is for the use of the named individual to which it is

> directed

> > and DOES contain information that is privileged AND confidential. It is

> NOT

> > to be transmitted to or received by anyone other than the named addressee

> > (or a person authorized to deliver it to the named addressee). It is NOT

> to

> > be copied or forwarded to any unauthorized persons. If you have received

> > this electronics mail transmission in error, delete it from your system

> > without copying or forwarding it, and notify the sender of the error by

> > replying via email or by calling , so that our address

> > record can be corrected.

> >

> >

> >

> > > I'm sorry, I was probably misunderstood. With the new Medicare rules,

> > we're trying to work on a schedule that will work for everybody

> especially

> > the patients. What I know is we're supposed to treat them one-on-one

> > (please correct me if I'm wrong), but concurrent with other Medicare A's

> is

> > discouraged . For other insurance, we can see them concurrently as needed

> > and if appropriate, and bill accordingly. Please feel free to correct me,

> > as we are trying to make necessary adjustments to meet new Medicare

> ruling.

> > >

> > > Jezille ez, PT

> > > OHRC, Philadelphia, PA

> > > Sent via BlackBerry from T-Mobile

> > >

> > > Re: Medicare billing

> > > >

> > > > Hi,

> > > >

> > > > You can double Medicare patients but you do have to charge

> > differently. Additionally, I thought that they could be treated in a

> group

> > setting as long as the group did not exceed 4 patients. From my

> > understanding for both Medicare patients and those with other insurance

> > benefits you cannot charge for unsupervised treatment time where you are

> > not in direct contact and are with another patient. Is this true as well?

> > > >

> > > > Thanks,

> > > > Dail, MSPT

> > > > Atlanta, GA

> > > >

> > > >

> > > > >

> > > > > Hi all,

> > > > > I would like to know how other facilities manage their patient

> load?

> > Medicare patients can only be seen one at a time. Is it legal to have one

> > patient on modality while treating another medicare patient for a

> > one-on-one treatment session? It only makes sense that by the time, PT

> > session is over with one medicare patient, the next patient is ready for

> > PT, prepped with modalities.

> > > > > My second question is: How can a PT survive if they schedule one

> > patient at a time. What if you have a no-show- who pays the PT? And what

> if

> > you are self-employed? Physician offices double, triple, or quadruple

> book

> > patients all the time.How do they bill their patients.

> > > > > I think we need a better system of billing.

> > > > > I am looking forward to your input.

> > > > > Thanks,

> > > > > Aradhana S.,P.T.

> > > > > Manager

> > > > > MAX HEALTH CLINIC

> > > > >

> > > >

> > > >

Link to comment
Share on other sites

To: Sasha and Mike-Everyone in private practise and I am assuming any PT

who has a bit of financial sense feels the same. A friend who works in the

capitol bldg in Sacramento, CA suggested that PTs should join a Union and

that will give more political shield to us as a group. Any thoughts?

Hiten Dave' PT

On Sun, Oct 30, 2011 at 7:45 PM, Rizkalla wrote:

> **

>

>

> Sasha,

>

> AMEN!!! I could not have said it any better.

>

> Do realize that every other management/billing seminar, class or lecture

> these days is about what not to do, and how not to bill, and God forbid you

> should make a profit. Why are we as a profession allowing this to happen?

> The MD's and the chiros are all about business and profit, and that's OK,

> if it's done ethically. It just seems that these day there is this

> expectation that we need to provide this " Platinum Service " as you put it,

> and get paid even LESS for it.....Sorry you hit a nerve, I'm just

> venting...

>

> Mike

> Trinity, NJ

>

> On Tue, Oct 18, 2011 at 1:51 PM, SASHA DIGGES <sasha.peakpt@...

> >wrote:

>

> > **

>

> >

> >

> > Just a thought...

> >

> > Why are we being dictated to the amount we are going to be paid as well

> as

> > the type of service we will provide? Should that not be our call?! The

> > saying you get what you pay for definitely applies here. If you want to

> pay

> > less...then don't expect the platinum treatment! We (field of physical

> > therapy) have been " giving away " our services far too long. The APTA

> needs

> > to " inform " Medicare that if you are going to slash re-imbursement...

> then

> > treatment methodology will be changed as well. We don't go to a fast food

> > place paying the dollar menu price and get mad when we don't receive a 5

> > course surf & turf meal....do we?

> >

> > I know this will ruffle some feathers but " we " need to be the ones who

> > direct treatment...not the insurance system!

> >

> > Ciao,

> >

> > Sasha

> >

> > Sasha Digges, Jr. PT, ATC, CSCS

> > Founder & President

> >

> > PEAK Physical Therapy

> > & Sports Rehabilitation

> >

> > 344 McLaws Circle

> > burg, VA. 23185

> > Phone:

> > Fax:

> >

> > Confidential Statement

> > NOTICE: This communication and the information attached included with

> this

> > transmission is for the use of the named individual to which it is

> directed

> > and DOES contain information that is privileged AND confidential. It is

> NOT

> > to be transmitted to or received by anyone other than the named addressee

> > (or a person authorized to deliver it to the named addressee). It is NOT

> to

> > be copied or forwarded to any unauthorized persons. If you have received

> > this electronics mail transmission in error, delete it from your system

> > without copying or forwarding it, and notify the sender of the error by

> > replying via email or by calling , so that our address

> > record can be corrected.

> >

> >

> >

> > > I'm sorry, I was probably misunderstood. With the new Medicare rules,

> > we're trying to work on a schedule that will work for everybody

> especially

> > the patients. What I know is we're supposed to treat them one-on-one

> > (please correct me if I'm wrong), but concurrent with other Medicare A's

> is

> > discouraged . For other insurance, we can see them concurrently as needed

> > and if appropriate, and bill accordingly. Please feel free to correct me,

> > as we are trying to make necessary adjustments to meet new Medicare

> ruling.

> > >

> > > Jezille ez, PT

> > > OHRC, Philadelphia, PA

> > > Sent via BlackBerry from T-Mobile

> > >

> > > Re: Medicare billing

> > > >

> > > > Hi,

> > > >

> > > > You can double Medicare patients but you do have to charge

> > differently. Additionally, I thought that they could be treated in a

> group

> > setting as long as the group did not exceed 4 patients. From my

> > understanding for both Medicare patients and those with other insurance

> > benefits you cannot charge for unsupervised treatment time where you are

> > not in direct contact and are with another patient. Is this true as well?

> > > >

> > > > Thanks,

> > > > Dail, MSPT

> > > > Atlanta, GA

> > > >

> > > >

> > > > >

> > > > > Hi all,

> > > > > I would like to know how other facilities manage their patient

> load?

> > Medicare patients can only be seen one at a time. Is it legal to have one

> > patient on modality while treating another medicare patient for a

> > one-on-one treatment session? It only makes sense that by the time, PT

> > session is over with one medicare patient, the next patient is ready for

> > PT, prepped with modalities.

> > > > > My second question is: How can a PT survive if they schedule one

> > patient at a time. What if you have a no-show- who pays the PT? And what

> if

> > you are self-employed? Physician offices double, triple, or quadruple

> book

> > patients all the time.How do they bill their patients.

> > > > > I think we need a better system of billing.

> > > > > I am looking forward to your input.

> > > > > Thanks,

> > > > > Aradhana S.,P.T.

> > > > > Manager

> > > > > MAX HEALTH CLINIC

> > > > >

> > > >

> > > >

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Sasha,

There's a rule you're probably familiar with called the golden rule ... he who

has the gold, makes the rules. Compared to physicians, we don't have the gold

and compared to chiros, we mostly don't part with the little gold we have.

Compared to insurance companies and their legislative prostitutes, uh, I mean

lobbyists and congressmen, we definitely don't have the gold. And compared to

the U.S. government and their ability to print endless quantities of money, we

absolutely don't have the gold. As a result, we have little power and it is

they who dictate to us, not us to them. And guess what? It's going to get

worse, much worse ... unless radical steps are taken. That's why OWS movements

are popping up all over the globe. They are an expression of frustration and

outrage at the inequities and inequalities in the system. They may be

disorganized and lack focus but they are a start. It remains to be seen if they

will be co-opted by the left like the Tea Party was by the right. And thank

goodness, Americans are finally beginning to wake up and realize that the

left-right axis is simply part of the Hegelian dialectic to divide-and-conquer

and create never ending conflict. The important axis that we've ignored for all

too long is the up-down axis. Furthermore, if we don't establish a sovereign

non-debt based monetary system by ending the Federal Reserve and if we don't

re-establish the rule of law for the elite by aggressively prosecuting the all

too pervasive fraud and corruption at the highest levels of the banking,

financial, and insurance system and also by returning to the Constitutional

principles upon which this country was founded, we will be circling the drain

ever faster. This is much, MUCH bigger than just PT vs. reimbursement system.

, PT, OCS

Marquette, MI

Re: Medicare billing

> >

> > Hi,

> >

> > You can double Medicare patients but you do have to charge differently.

Additionally, I thought that they could be treated in a group setting as long as

the group did not exceed 4 patients. From my understanding for both Medicare

patients and those with other insurance benefits you cannot charge for

unsupervised treatment time where you are not in direct contact and are with

another patient. Is this true as well?

> >

> > Thanks,

> > Dail, MSPT

> > Atlanta, GA

> >

> >

> > >

> > > Hi all,

> > > I would like to know how other facilities manage their patient load?

Medicare patients can only be seen one at a time. Is it legal to have one

patient on modality while treating another medicare patient for a one-on-one

treatment session? It only makes sense that by the time, PT session is over with

one medicare patient, the next patient is ready for PT, prepped with modalities.

> > > My second question is: How can a PT survive if they schedule one patient

at a time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> > > I think we need a better system of billing.

> > > I am looking forward to your input.

> > > Thanks,

> > > Aradhana S.,P.T.

> > > Manager

> > > MAX HEALTH CLINIC

> > >

> >

> >

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,

I thought I was the only PT since 2007 who saw this coming.

It is about time I have heard economic/political facts from another PT in this

very narrow field of view we PT's have.

Facts:

US and Europe is in a deflationary and financial deleveraging environment

reversing a 30-year trend.

Federal Reserve is NOT federal at all. It is a private central bank that prints

and LENDS to the US treasury and to all other banks.

Its mandate is to prevent DEFLATION.

Deflation = death of banks (zombie banks as economists put it). They wont lend.

Deflation = increased consumer power. 55 " LCD is now only $999; was $2999 3

years ago. But also means real estate continues to fall.

One thing is certain.......Our system is designed to eventually fail: the DEBT

ball must be larger than the principal, FOREVER..... Learn about Fractional

Reserve Banking. http://en.wikipedia.org/wiki/Fractional_reserve_banking. Money

is lent into the system; it is not given to the consumer directly.

Increased Gov't Regulation is emerging in all aspects of American Life. This

will lead to decreased innovation and consumer sentiment.

Protectionism has emerged (anti made in china movements) which will cause

Currency Wars (race to the bottom of who can export it cheaper).

Angry political wars are emerging (left blaming right; right blaming left) but

the real issue is totalitarian-anarchist (up-down) continuum.

The velvet glove of Socialism is to inflict and exploit Fear...... " we need more

government " .

Trans-national Corporations (Apple, Coca-cola, Goldman Sachs, etc) tell

Washington what to do and how to do it. We are hostage to them.

Crony capitalism has gone way too far (behind the scenes arrangements, FED

interferes with Treasury auction take-downs, JPM manipulates Gold market,

Solyndra and Obama, etc...)

We will see this on an unknown timeline:

Confirmation Bias

Herd Instinct

Optimistic data (higher than expected)

Saliency Bias

Changing scenery of elected officials

Eventual Constitutional change from Republic to Direct Democracy.

Possible break up of US into regions.

Constitution doesn't mean anything anymore. Each president has increasingly

taught us that.

Your declining reimbursement is a symptom of the root cause. :o)

Any questions, let me know.

Meli, PT, DPT

Bayside, NY

Re: Re: Medicare Billing

Sasha,

There's a rule you're probably familiar with called the golden rule ... he who

has the gold, makes the rules. Compared to physicians, we don't have the gold

and compared to chiros, we mostly don't part with the little gold we have.

Compared to insurance companies and their legislative prostitutes, uh, I mean

lobbyists and congressmen, we definitely don't have the gold. And compared to

the U.S. government and their ability to print endless quantities of money, we

absolutely don't have the gold. As a result, we have little power and it is they

who dictate to us, not us to them. And guess what? It's going to get worse, much

worse ... unless radical steps are taken. That's why OWS movements are popping

up all over the globe. They are an expression of frustration and outrage at the

inequities and inequalities in the system. They may be disorganized and lack

focus but they are a start. It remains to be seen if they will be co-opted by

the left like the Tea Party was by th e right. And thank goodness, Americans are

finally beginning to wake up and realize that the left-right axis is simply part

of the Hegelian dialectic to divide-and-conquer and create never ending

conflict. The important axis that we've ignored for all too long is the up-down

axis. Furthermore, if we don't establish a sovereign non-debt based monetary

system by ending the Federal Reserve and if we don't re-establish the rule of

law for the elite by aggressively prosecuting the all too pervasive fraud and

corruption at the highest levels of the banking, financial, and insurance system

and also by returning to the Constitutional principles upon which this country

was founded, we will be circling the drain ever faster. This is much, MUCH

bigger than just PT vs. reimbursement system.

, PT, OCS

Marquette, MI

Re: Medicare billing

> >

> > Hi,

> >

> > You can double Medicare patients but you do have to charge differently.

Additionally, I thought that they could be treated in a group setting as long as

the group did not exceed 4 patients. From my understanding for both Medicare

patients and those with other insurance benefits you cannot charge for

unsupervised treatment time where you are not in direct contact and are with

another patient. Is this true as well?

> >

> > Thanks,

> > Dail, MSPT

> > Atlanta, GA

> >

> >

> > >

> > > Hi all,

> > > I would like to know how other facilities manage their patient load?

Medicare patients can only be seen one at a time. Is it legal to have one

patient on modality while treating another medicare patient for a one-on-one

treatment session? It only makes sense that by the time, PT session is over with

one medicare patient, the next patient is ready for PT, prepped with modalities.

> > > My second question is: How can a PT survive if they schedule one patient

at a time. What if you have a no-show- who pays the PT? And what if you are

self-employed? Physician offices double, triple, or quadruple book patients all

the time.How do they bill their patients.

> > > I think we need a better system of billing.

> > > I am looking forward to your input.

> > > Thanks,

> > > Aradhana S.,P.T.

> > > Manager

> > > MAX HEALTH CLINIC

> > >

> >

> >

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