Productivity question (Full Version)

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ysumpt2006 -> Productivity question (May 8, 2007 3:14:00 AM)

Question for all of you seasoned veterans.

At my job, we get monthly productivity reports (as everyone does I'm sure). Now our goal for the clinic is 95% for everyone.

I have a couple of co-workers who, over the course of a month, routinely are getting credit for 100-110% productivity (without supervising students). This seems pretty high to me.

My boss (non-PT) hasn't done a charge audit for "quite some time" as he puts it so he is just taking the charges at face value.

Is it ethically possible to charge 100%+ productivity in a given month? Aren't there guidelines regarding group charges, charges can't exceed total time in clinic, etc?

I just can't seem to figure out how my colleagues are charging 100+% productivity when it seems like I have less down time than they do and my productivity is hovering at 85-90%.



TC PT -> Re: Productivity question (May 8, 2007 5:23:00 AM)

It is possible to be at or above 100% with ethical charging. You can do it by seeing few or no Medicare patients and by having few or no cancel, no-shows. It also would probably require the use of modalities following one on one time with patients.Of course you could also work more than your paid hours to do it.

If your clinic sees a fair percentage of Medicare patients then your co-workers could find themselves in a world of hurt if a Medicare audit were to happen.



ysumpt2006 -> Re: Productivity question (May 8, 2007 5:45:00 AM)

Well, even with modalities, if someone was in the clinic for say 60 minutes, but had 45 minutes of exercise, 15 e-stim and 15 min of Game Ready for a total of 5 units, it is right to only bill for 4 units since this is the time actually spent in the clinic, correct?

What about doubling/tripling patients. WHen this is done in an hour time, a 4 unit charge for both is not "right" is it? I recall I was taught it wasn't and in that situation, a group charge is needed.



orthotherapist -> Re: Productivity question (May 8, 2007 10:19:00 AM)

Regarding the five units for 60 minutes keep in mind that medicare is the one that looks at total time and this is what limits total billable units. In other words a 10 minute US/10 minute ther ex/15 minutes manual can only be charged two units for medicare as the total time 35 minutes.

A non-Medicare patient could be charged 3 units for this as total time does not restrict you - you provided one unit of each and it took 35 minutes.

Not that this should be a consistnet thing but bill for (legally) what you do. I have run across many therapists in my time that bill for less than what they did because the "charges are too high", "the patient has a high co-insurance", etc. etc.

The boss should be performing random chart audits to ensure billing compliance. Info taken from the audit can be used as education and will prevent problems down the road. Taking the charges at face value now could cause trouble down the road.



RSBMPT -> Re: Productivity question (May 8, 2007 12:51:00 PM)

I agree with orthotherapist that commercial non-medicare patients can be billed more units as total time does not restrict you. However some indvidual insurances also do not pay for group therapy, and worker's comp patient's if double and tripled booked can be billed group therapy for the time they are not receiving one on one direct care. Where some may be able to bill "ghost" units is on insurances where you receive a case rate for the entire episode of care or a set amount per visit regardless of what treatment you provide. In those instances it is like monopoly money you are dealing with. As for 100-110% productivity, if they are only putting in 40 hours a week, then they would require zero no-shows and zero cancellations.



l_a -> Re: Productivity question (May 12, 2007 3:53:00 AM)

When you are talking about productivity, are you talking about units for 8hr per day/wk, or number of patients per day/wk?

It's hard to see how to get 110% productivity if your talking patients per day/wk. If units per day/wk, this is can be done pretty easily.

I work for rehabcare, and they're productivity expectation for units per day/wk is 150% or more!



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