Guest guest Posted October 14, 2011 Report Share Posted October 14, 2011 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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2011 Report Share Posted October 14, 2011 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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2011 Report Share Posted October 14, 2011 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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2011 Report Share Posted October 14, 2011 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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2011 Report Share Posted October 14, 2011 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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2011 Report Share Posted October 14, 2011 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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2011 Report Share Posted October 16, 2011 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 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2011 Report Share Posted October 17, 2011 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 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2011 Report Share Posted October 17, 2011 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 > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2011 Report Share Posted October 17, 2011 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 > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2011 Report Share Posted October 18, 2011 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 > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2011 Report Share Posted October 21, 2011 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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2011 Report Share Posted October 21, 2011 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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2011 Report Share Posted October 21, 2011 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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2011 Report Share Posted October 21, 2011 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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2011 Report Share Posted October 30, 2011 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 > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2011 Report Share Posted October 31, 2011 Interesting analogy Sasha! Binkley CPW Rehab Administrator 3130 Central Park West Dr., Ste. A Toledo, Ohio 43617 P: /F: E-mail: cbinkley@... www.cpwrehab.com " The future will depend on what we do in the present. " ~ Mahatma Ghandi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2011 Report Share Posted October 31, 2011 Interesting analogy Sasha! Binkley CPW Rehab Administrator 3130 Central Park West Dr., Ste. A Toledo, Ohio 43617 P: /F: E-mail: cbinkley@... www.cpwrehab.com " The future will depend on what we do in the present. " ~ Mahatma Ghandi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2011 Report Share Posted October 31, 2011 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 > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2011 Report Share Posted October 31, 2011 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 > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2011 Report Share Posted October 31, 2011 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 > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2011 Report Share Posted October 31, 2011 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 > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2011 Report Share Posted October 31, 2011 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 > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2011 Report Share Posted November 1, 2011 , 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. ) 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 > > > > > > > Quote Link to comment Share on other sites More sharing options...
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