|
|
Whats the going rate for what we do?
|
Logged in as: Guest
|
|
Users viewing this topic:
none
|
|
Login  | |
|
Whats the going rate for what we do? - May 4, 2003 10:17:00 AM
|
|
|
travisrobbins22
Posts: 11
Joined: April 9, 2003
From: Allentown, PA
Status: offline
|
Therapists,
I just started my own practice in Allentown, PA and need some help. Well, I need a lot of help, but lets start with some basics. I do not know what I should charge for what I do. What is the going rate for an Initial evaluation? E-stim? Ultrasound? Therapeutic exercise and Activity? Re-eval? Does it change from insurance company to insurance company? I have a general idea from what we have charged for out services in past jobs, but I don’t want to under or over sell my self to insurance companies. If anyone can give me a good strategy, respond to this message, thanks.
Here is what I was thinking of charging…
Initial eval: $110
Re-eval: $40
Manual muscle test and ROM: $30 each
Adl – Work related: $30
Home ex pgm: $25
Group Therapy: $30
Therapeutic Exercise: $35
Therapeutic activity (functional): $40
Manual therapy: $35
Massage: $30
Neuromuscular Re-education: $30
Paraffin bath: $25
ESU: $25
US: $25
Also, What should I charge insurance companies for supplies like Thera-band and Physisioballs? Here is another list of what I was planning to charge…
Theraband - $2 per foot
Physioball - $30
Shoulder pullies - $25
Electrodes - $10
|
|
|
|
|
Re: Whats the going rate for what we do? - May 4, 2003 7:15:00 PM
|
|
|
coloradojulie
Posts: 413
Joined: November 10, 2002
From: colorado usa
Status: offline
|
Hey Travis...
You kind of have to be careful about asking PTs as a group to help you establish pricing as it might be considered "price fixing". Meaning loosely, that as a profession we are unable to sit down with each other and establish rates.
Are you doing your own billing and contracting? If so you can look at the contracts you have with different PPOs etc and look at their history of payment or their contractual payment to you in the past. This will give you a general idea. Set rates for each CPT code that fit slightly above your average collection amount. For example MVA/Auto insurance usually pays the highest amount, often whatever you charge within reason...but if you set your code values at these rates most patients will become quickly suspect of you overcharging their insurance companies. Also you may have some lower end reimbursers such as HMOs or workers compensation, you will most likely bill more to them with your set rates, and have larger contractual allowances that you will write off. If your average major medical is consistently paying you full pop for each code, you are not charging enough, on the other hand if you are never getting paid even close to what you are billing you are charging too much.
Negotiate your insurance contracts and get copies of their Relative Value amounts. It is a value system they use that they multiply by another figure which represents the value of each code...go to the billing specialists on this site for more detailed information.
As far as equipment goes, we have limited success billing for supplies or equipment. Instead we have the patient pay up front and give them reciepts to have them submit to their insurers on their own.
You need to also set "pre-payment amounts" that are for cash patients. These should be slightly lower than the insurer amounts as you are saving several steps to collection. Perhaps someone else knows more about how legally to do this, as technically you have to charge all clients the same amounts...
|
|
|
|
 New Messages |
 No New Messages |
 Hot Topic w/ New Messages |
 Hot Topic w/o New Messages |
 Locked w/ New Messages |
 Locked w/o New Messages |
|
 Post New Thread
 Reply to Message
Post New Poll
Submit Vote
Delete My Own Post
Delete My Own Thread
Rate Posts |
|
0.063
|
Printable Version
All Forums >> [RehabEdge Forum] >> Open Forum >> Whats the going rate for what we do? 
