I recently took a job with a large corporate owed PT practice. In my area not very many small private practices left. We see a patient every half hour and get only half hour for evaluation. I’ve never been one to give patients a ton of exercises just to meet numbers. I educate patient and come up with what I feel is the best plan for them. As a company they run reports and I was told I bill the least amount as a therapist. I went back to look at my treatment plans and compared them to some other therapists plans on similar diagnosis. What I saw was a lot of exercises that to me were being done still 4 weeks into a plan that I don’t consider skilled. Heel slides or quad sets on a post op meniscus that has good ROM and is doing higher end exercises. I would have discharged those from the plan. I can get a good treatment done in 40- 45 smincludes the patients exercises, manual therapy and education. My patients aren’t in the clinic for an hour and a half. To me more isn’t always a sign of quality care. They feel if I don’t give an hour or a little more then I must not be giving quality care. Just wanted to see what others in out patient practices are billing. I know it’s a busine amd you have to keep the lights on but just adding exercises on to increase units to me is not correct. I can justify all my plans amd do in my notes.
I always tell patients about an hour to hour and 15 minutes. Sometimes patients can be there an hour and a half if it’s an unusual rehab like an ACL repair or a high level athlete getting ready to go back into competition. You don’t want to short patients their treatment time because it really decreases your value as a therapist and cause them to quit therapy. However, if the treatments are too long then it can also become a deterrent because patients don’t want to spend too much time of their day in therapy.
< Message edited by CardioFlex Therapy -- June 6, 2018 11:28:37 PM >
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