Productivity benchmarks

[Guest guest]

This topic comes up monthly. Thought I & #39;d share something that I found.

Please reply if you find the claims to be reasonable. This is packed with info.

Note, the PT clinics were owned by " orthopedic groups " --presumably MDs--for what

its worth.

http://www6.aaos.org/news/PDFopen/PDFopen.cfm?page_url=http://www.aaos.org/news/\

aaosnow/jul11/managing3.asp

Alan Petrazzi, MPT, MPM

Rehabilitation Director

Veterans Affairs Pittsburgh Healthcare System

[Guest guest]

From the article:

The provider is unnecessarily applying the relatively restrictive Medicare

billing rules commonly known as the " one-on-one rule " and " 8-minute roll-up

rule " to non-Medicare patients.

I read the information and was surprised to see that the author thought the

" one on one " rule was merely for Medicare. As I understand it, although

Medicare uses that requirement in areas such as Therapeutic Exercise that is

the CPT copyrighted definition of what is allowed to bill for codes such as

Therapeutic Exercise (and some other codes, i.e. Neuromuscular Re-education)

and If you bill using CPT codes you can not change the copyrighted

definitions of the code and therefore the one on one rule stands for all

patients that are billed using CPT codes that require it. Am I missing

something?

Sandi Pomeroy, PT

Pomeroy Therapeutics,

Dayton,Ohio

_____

From: PTManager [mailto:PTManager ] On Behalf

Of Alan Petrazzi

Sent: Friday, February 17, 2012 11:09 PM

To: ptmanager ; hpa-list

Subject: Productivity benchmarks

This topic comes up monthly. Thought I & #39;d share something that I found.

Please reply if you find the claims to be reasonable. This is packed with

info. Note, the PT clinics were owned by " orthopedic groups " --presumably

MDs--for what its worth.

http://www6.aaos.org/news/PDFopen/PDFopen.cfm?page_url=http://www.aaos.org/n

ews/aaosnow/jul11/managing3.asp

Alan Petrazzi, MPT, MPM

Rehabilitation Director

Veterans Affairs Pittsburgh Healthcare System

[Guest guest]

The author suggests, among his reasons for " low " productivity, that " The

provider is unnecessarily applying the relatively restrictive Medicare billing

rules commonly known as the 'one-on-one rule' and '8-minute roll-up rule' to

non-Medicare patients. "

He expects one sort of billing protocol for Medicare, and another for private

insurances. It seems to me that that ought to ring alarm bells. If you are

billing CPT codes, then you are representing that you are following the

definition of those codes, which are clearly described according to time and

attendance (special contractual arrangements aside).

Damon Whitfield recently asked a related question under the thread " Billing

times and units for varying insurances " and did not get any responses. Maybe

this is a good time to discuss this?

Dave Milano, PT

Rehabilitation Director

Laurel Health System

________________________________

From: PTManager [mailto:PTManager ] On Behalf Of

Steve Passmore

Sent: Monday, February 20, 2012 12:18 PM

To: PTManager

Subject: RE: Productivity benchmarks

Is it my imagination but does that seem like a lot of procedures per

hour/day. (4 timed procedures+1 modality per visit @ 9 visits per day (45

units billed per day if I read this correctly). Article was written by Cary

B Edgar who is a lawyer and former CEO for an unknown outpatient rehab

company.

Also, I see they are establishing benchmarks for physicians in a group

practice also which I could partially see thru search terms. I could not

tell if they were as rigorous as the PT ones.

PT must be a business with expectations but I am surprised that they would

actually want these standards published for any public review.

Steve Passmore PT, MS

Healthy Recruiting Tools

<mailto:spass@...<mailto:spass%40healthyrecruiting.com>>

spass@...<mailto:spass%40healthyrecruiting.com>

Phone:

Fax:

" What We Did For You Yesterday Is History. What Can We Do For You Today "

Recruiting Tools: Cold Calls ~ List Enhancement ~ Direct Mailers ~ Card

Design ~ Recruiting Software

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

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

Of Alan Petrazzi

Sent: Friday, February 17, 2012 10:09 PM

To: ptmanager <mailto:ptmanager%40yahoogroups.com>;

hpa-list <mailto:hpa-list%40yahoogroups.com>

Subject: Productivity benchmarks

This topic comes up monthly. Thought I & #39;d share something that I found.

Please reply if you find the claims to be reasonable. This is packed with

info. Note, the PT clinics were owned by " orthopedic groups " --presumably

MDs--for what its worth.

http://www6.aaos.org/news/PDFopen/PDFopen.cfm?page_url=http://www.aaos.org/n

ews/aaosnow/jul11/managing3.asp

Alan Petrazzi, MPT, MPM

Rehabilitation Director

Veterans Affairs Pittsburgh Healthcare System

[Guest guest]

Thanks Alan,

This is a very helpful article and as you stated is packed with a lot of info.

I appreciate your input and will be able to use this info as we develop our

monitoring system.

Maddox, PT, MPH

Director of Rehabilitation

Ukiah Valley Medical Center

Ukiah, CA 95482

maddoxrg@...

>>> Alan Petrazzi 2/17/2012 8:09 PM >>>

This topic comes up monthly. Thought I & #39;d share something that I found.

Please reply if you find the claims to be reasonable. This is packed with info.

Note, the PT clinics were owned by " orthopedic groups " --presumably MDs--for what

its worth.

http://www6.aaos.org/news/PDFopen/PDFopen.cfm?page_url=http://www.aaos.org/news/\

aaosnow/jul11/managing3.asp

Alan Petrazzi, MPT, MPM

Rehabilitation Director

Veterans Affairs Pittsburgh Healthcare System

[Guest guest]

I will admit they had some good suggestions for problems with the practice.

Missed visits, understaffed, etc. all basic and so easy to overlook. If

you add the correct staff with the right conditions . they will come.

Steve Passmore PT, MS

Healthy Recruiting Tools

spass@...

Phone:

Fax:

" What We Did For You Yesterday Is History. What Can We Do For You Today "

Recruiting Tools: Cold Calls ~ List Enhancement ~ Direct Mailers ~ Card

Design ~ Recruiting Software

From: PTManager [mailto:PTManager ] On Behalf

Of Milano, Dave

Sent: Monday, February 20, 2012 12:31 PM

To: 'PTManager '

Subject: RE: Productivity benchmarks

The author suggests, among his reasons for " low " productivity, that " The

provider is unnecessarily applying the relatively restrictive Medicare

billing rules commonly known as the 'one-on-one rule' and '8-minute roll-up

rule' to non-Medicare patients. "

He expects one sort of billing protocol for Medicare, and another for

private insurances. It seems to me that that ought to ring alarm bells. If

you are billing CPT codes, then you are representing that you are following

the definition of those codes, which are clearly described according to time

and attendance (special contractual arrangements aside).

Damon Whitfield recently asked a related question under the thread " Billing

times and units for varying insurances " and did not get any responses. Maybe

this is a good time to discuss this?

Dave Milano, PT

Rehabilitation Director

Laurel Health System

________________________________

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

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

Behalf Of Steve Passmore

Sent: Monday, February 20, 2012 12:18 PM

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

Subject: RE: Productivity benchmarks

Is it my imagination but does that seem like a lot of procedures per

hour/day. (4 timed procedures+1 modality per visit @ 9 visits per day (45

units billed per day if I read this correctly). Article was written by Cary

B Edgar who is a lawyer and former CEO for an unknown outpatient rehab

company.

Also, I see they are establishing benchmarks for physicians in a group

practice also which I could partially see thru search terms. I could not

tell if they were as rigorous as the PT ones.

PT must be a business with expectations but I am surprised that they would

actually want these standards published for any public review.

Steve Passmore PT, MS

Healthy Recruiting Tools

<mailto:spass@... <mailto:spass%40healthyrecruiting.com>

<mailto:spass%40healthyrecruiting.com>> spass@...

<mailto:spass%40healthyrecruiting.com>

<mailto:spass%40healthyrecruiting.com>

Phone:

Fax:

" What We Did For You Yesterday Is History. What Can We Do For You Today "

Recruiting Tools: Cold Calls ~ List Enhancement ~ Direct Mailers ~ Card

Design ~ Recruiting Software

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

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

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

On Behalf

Of Alan Petrazzi

Sent: Friday, February 17, 2012 10:09 PM

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

<mailto:ptmanager%40yahoogroups.com>; hpa-list

<mailto:hpa-list%40yahoogroups.com> <mailto:hpa-list%40yahoogroups.com>

Subject: Productivity benchmarks

This topic comes up monthly. Thought I & #39;d share something that I found.

Please reply if you find the claims to be reasonable. This is packed with

info. Note, the PT clinics were owned by " orthopedic groups " --presumably

MDs--for what its worth.

http://www6.aaos.org/news/PDFopen/PDFopen.cfm?page_url=http://www.aaos.org/n

ews/aaosnow/jul11/managing3.asp

Alan Petrazzi, MPT, MPM

Rehabilitation Director

Veterans Affairs Pittsburgh Healthcare System

[Guest guest]

I will admit they had some good suggestions for problems with the practice.

Missed visits, understaffed, etc. all basic and so easy to overlook. If

you add the correct staff with the right conditions . they will come.

Steve Passmore PT, MS

Healthy Recruiting Tools

spass@...

Phone:

Fax:

" What We Did For You Yesterday Is History. What Can We Do For You Today "

Recruiting Tools: Cold Calls ~ List Enhancement ~ Direct Mailers ~ Card

Design ~ Recruiting Software

From: PTManager [mailto:PTManager ] On Behalf

Of Milano, Dave

Sent: Monday, February 20, 2012 12:31 PM

To: 'PTManager '

Subject: RE: Productivity benchmarks

The author suggests, among his reasons for " low " productivity, that " The

provider is unnecessarily applying the relatively restrictive Medicare

billing rules commonly known as the 'one-on-one rule' and '8-minute roll-up

rule' to non-Medicare patients. "

He expects one sort of billing protocol for Medicare, and another for

private insurances. It seems to me that that ought to ring alarm bells. If

you are billing CPT codes, then you are representing that you are following

the definition of those codes, which are clearly described according to time

and attendance (special contractual arrangements aside).

Damon Whitfield recently asked a related question under the thread " Billing

times and units for varying insurances " and did not get any responses. Maybe

this is a good time to discuss this?

Dave Milano, PT

Rehabilitation Director

Laurel Health System

________________________________

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

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

Behalf Of Steve Passmore

Sent: Monday, February 20, 2012 12:18 PM

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

Subject: RE: Productivity benchmarks

Is it my imagination but does that seem like a lot of procedures per

hour/day. (4 timed procedures+1 modality per visit @ 9 visits per day (45

units billed per day if I read this correctly). Article was written by Cary

B Edgar who is a lawyer and former CEO for an unknown outpatient rehab

company.

Also, I see they are establishing benchmarks for physicians in a group

practice also which I could partially see thru search terms. I could not

tell if they were as rigorous as the PT ones.

PT must be a business with expectations but I am surprised that they would

actually want these standards published for any public review.

Steve Passmore PT, MS

Healthy Recruiting Tools

<mailto:spass@... <mailto:spass%40healthyrecruiting.com>

<mailto:spass%40healthyrecruiting.com>> spass@...

<mailto:spass%40healthyrecruiting.com>

<mailto:spass%40healthyrecruiting.com>

Phone:

Fax:

" What We Did For You Yesterday Is History. What Can We Do For You Today "

Recruiting Tools: Cold Calls ~ List Enhancement ~ Direct Mailers ~ Card

Design ~ Recruiting Software

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

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

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

On Behalf

Of Alan Petrazzi

Sent: Friday, February 17, 2012 10:09 PM

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

<mailto:ptmanager%40yahoogroups.com>; hpa-list

<mailto:hpa-list%40yahoogroups.com> <mailto:hpa-list%40yahoogroups.com>

Subject: Productivity benchmarks

This topic comes up monthly. Thought I & #39;d share something that I found.

Please reply if you find the claims to be reasonable. This is packed with

info. Note, the PT clinics were owned by " orthopedic groups " --presumably

MDs--for what its worth.

http://www6.aaos.org/news/PDFopen/PDFopen.cfm?page_url=http://www.aaos.org/n

ews/aaosnow/jul11/managing3.asp

Alan Petrazzi, MPT, MPM

Rehabilitation Director

Veterans Affairs Pittsburgh Healthcare System