Worker's Compensation (Full Version)

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Augustine5I -> Worker's Compensation (July 24, 2005 1:40:00 PM)

I have found the average reimbursement from patients injured/hurt from work to be the best. I am sure you would all agree. Same goes for no fault/MVA.

Any ideas on how a clinic can attract a greater number of these "types" of clients?

All things being equal.....I would rather have two worker's compensation clients rather than four clients with an insurance yielding poor reimbursement.

This is working smarter, not harder. I mean, you could be just as profitable in your clinic seeing 7 clients with worker's compensation as you could 14 clients with insurance xyz.

Any thoughts?


Tom



FLAOrthoPT -> Re: Worker's Compensation (July 24, 2005 4:30:00 PM)

market to the worker's comp case managers...tell them that you'd send weekly progress notes, etc..also for example if you have an airline near you, find out who handles their w.c claims and who the doc is and then get in good with the doc and the case manager. Find the big business in the area, don't worry a bout who is doing wc claim for the 10 person business, go for the 400 person business..the auto is tough usually pretty closed within an attorney and their ER friend and their PT buddy, hard to break into that ring..



Nicole Matoushek PT MPH CSHE CEES -> Re: Worker's Compensation (July 25, 2005 6:40:00 AM)

I agree, the work comp sector can be one of the most challenging and financially rewarding sectors of therapy practice. I have numerous resources available for anyone interested in developing, expanding and/or specializing in this area or just interested in how to target marketing efforts to capture a higher ROI and revenue share!!


Feel free to email me directly, nicole.matoushek@ergorehabinc.com


Nicole Matoushek, MPH, PT, CEES, CSHE
[URL=http://www.ergorehabinc.com]www.ergorehabinc.com[/URL]



goodlooks58 -> Re: Worker's Compensation (July 25, 2005 6:46:00 PM)

Not so in "Kaliphornia"...the land of the Terminator! We now have 24 allowed visits for the life time of a claim. Even before you see a WC pt. the Utilization review nurse takes anywhere from 5-10 working days to approve the initial visit. After you the pt for the initial visit you send a typed report to the nurse which can take another 5-10 days for further approval. By that time the pt. is living with pain, living on OTC meds and working as living in CA, he has to make his mortgagae payments!. These 24 visits are for the lifetime of the claim which includes PT after his injury and PT after the surgery!!! We hardly get 6-12 visits and after that we get an instant denial of treatment. This is because the adjuster is rationing the pt's visits i.e. looking after the pt's welfare (ha!)Our WC visits have declined almost 50% compared to 2003-2004 and this is a common story of many of my PT friends. As you see WC is not a good thing in CA, maybe I'll open shop in NJ/NY....Should I? Or maybe go into home health! All these problems happened because slick Chiros, spineless politicians and sad but honest..gut less PTs!!!
If the PTs in general, continue with the attitude that I have a job in the hospital so what do I care what happens in the real world when private practitioners have to swim with the alligators!



Nicole Matoushek PT MPH CSHE CEES -> Re: Worker's Compensation (July 26, 2005 5:40:00 AM)

California is a mess for sure, the AOTA recently published similar findings for OTs: that the OTs were experiencing an increase in denied treatments, greater lengths of time for auth and lower reimbursement.

For those in other areas, here are some things that may be useful in expanding your WC practice:


*Providing high quality, cost effective care that is directed at the common goal of safe and appropriate return to work and injury prevention.

* Identifying key referral sources: physicians, OHNs, case manager, TPAs, insurance carriers, other employers, knowing how to identify the target referral sources (like for example employers size, injury rates and medical management program criteria) can help maximize your marketing dollar.

*Providing the full spectrum of worker rehab services: from injury prevention (pre-employment and work injury screens, Job analysis to skilled therapy, onsite and then injury management with ergonomic analysis, return to work programs, work integration and work injury containment programs).

*Properly identifying the needs of the employer or client in order to provide the best services suited for them, some employers are more interested in injury prevention, I had to work thru work injury screening programs and employee education/training in order to get their onsite and ergo evals, while other employers were solely interested in skilled therapy, onsite and work integration programs and I had to work for awhile with those in order to develop the relationship to get on their onsite ergonomic program and get their injury prevention....but by offering the full spectrum you always have a solution to their problems!!!

*Always provide a solution to the clients needs: cost containment, injury reduction etc.

*Price services properly.

*Promote programs by offering voluntary time on onsite ergo team (HUGE SUCCESS by the way!!!) you can get in the door, and build your work injury screening, employee education and ergonomic analysis programs by volunteering for their ergo program (or leading one if one does not already exist)

*Promote programs: (very successful means of opening the door to new business) offer CEU on ergonomics for local case managers and adjusters, disability professionals in your facility, provide lunch and CEU course for free.

*My biggest success story is providing cost-benefit ratios or calculations for the ROI!!! SURE WAY TO CLOSE THE DEAL!!!!!


Good luck!

Nicole Matoushek, MPH, PT
[URL=http://www.ergorehabinc.com]www.ergorehabinc.com[/URL]



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