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Re: documentation island

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What is a tech? (at our facility):

An extra pair of hands to help walk that patient that a therapist or PTA

can't manage alone, and there is no CNA to assist.

Someone who calls up our active orders every day and has things ready to go

when the PT and PTA are ready to start seeing patients in the morning.

Someone to get the equipment, patient, or area prepared for treatment by the

PT

Someone to fill in when the secretary is gone, to answer phones, file charts,

enter therapist directed information into the computer to update treatment

lists, etc.

If they are also a CNA, they float to the nursing units, if we don't need

them.

They also help with 1 to 1 supervision on nsg floors for those patients who

might otherwise require restraint usage.

Someone who helps transport patients and keep the dept. clean.

Pretty expensive work if you have a PT or PTA do some of the above tasks.

We are going to pilot a trial of having the tech in our busiest division work

4 10 hr days, unloading a lot of the busywork activities that PT's and PTA's

get tied down with, to see if we can free up more direct patient care time

for them.

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What is a tech? (at our facility):

An extra pair of hands to help walk that patient that a therapist or PTA

can't manage alone, and there is no CNA to assist.

Someone who calls up our active orders every day and has things ready to go

when the PT and PTA are ready to start seeing patients in the morning.

Someone to get the equipment, patient, or area prepared for treatment by the

PT

Someone to fill in when the secretary is gone, to answer phones, file charts,

enter therapist directed information into the computer to update treatment

lists, etc.

If they are also a CNA, they float to the nursing units, if we don't need

them.

They also help with 1 to 1 supervision on nsg floors for those patients who

might otherwise require restraint usage.

Someone who helps transport patients and keep the dept. clean.

Pretty expensive work if you have a PT or PTA do some of the above tasks.

We are going to pilot a trial of having the tech in our busiest division work

4 10 hr days, unloading a lot of the busywork activities that PT's and PTA's

get tied down with, to see if we can free up more direct patient care time

for them.

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I think the answer is to GET RID OF THE " TECHS " . If " techs " are performing

treatments, then your facility is not perforning PT. As previously

mentioned, this is both unethical, and potentially jeapardizing to the PTs

licenses. What is the job desciption of a " tech " at your facility?

Herb Silver, PT

At 11:33 AM 6/9/00 -0400, you wrote:

> One more motivational factor for those PTs who are not supervising their

>techs... [not that this group hasn't come up with plenty already]

> So they are also putting their personal assets on the line.

>

> At 08:19 AM 06/09/2000 -0700, you wrote:

> Ann,

>

> You could also inform the PTs that they are putting their license at risk

> Also, if they are documenting and

> billing Medicare for a directly supervised treatment -- and they are not in

> With

> as I understand them, are $10,000 per incident -- with

> Thus, for fraudulently billing for just three treatments

> the fine would only be $90,000.

>

> Perhaps, having the corporate attorney or compliance officer speak with the

> If they were all

> active APTA members they would probably already be aware of these issues.

>

> See you all in Indy!

>

> H.

>

> PS: Could you identify yourself more fully in your email

>

> ****************

> Hansen, PhD, PT

> Fircrest Physical Therapy

> Fircrest, WA

> FircrestPT@...

>

> At 10:57 AM 6/9/2000 -0400, you wrote:

>>I am having problems in our facility with our PTs disappearing into the

staff

>> I have spoken

>>to them on several occasions, went into the staff office and told them to

get

>> They are

>> Our

>>tech supervisor is ready to scream and the techs are also very frustrated

- a

>>mutiny in the making!

>>So, my idea is to build a documentation island/counter in the gym and do

away

>> I would be able to create one desk for professional

>> The

>>island that has been designed will allow for patient confidentiality and

>>their is plenty of room in the treatment area.

>> I would appreciate the

>> " " to the PTs.

>>

>>Ann

>>

>>

>>

>>Coming September 22,2000 - Helene Fearon on Coding and Reimbursement -

>>Rochester Michigan. Register at today.

>>

>>Coming Soon - Rehab Pro - The New Way...A better Way to Rehab Success!

>>

>>LAMP Summit 2000. July 23-25, 2000 Register at .

>>

>>Visit our EStore at www.RehabBusiness.com

>

>

>

>

>

> Coming September 22,2000 - Helene Fearon on Coding and Reimbursement -

>Rochester Michigan. Register at today.

>

> Coming Soon - Rehab Pro - The New Way...A better Way to Rehab Success!

>

> LAMP Summit 2000. July 23-25, 2000 Register at .

>

> Visit our EStore at www.RehabBusiness.com

>

>

>

>

> *********************************************** Janice Kuperstein, PT,

>MSEd Assistant Professor University of Kentucky College of Allied Health

>Professions 121 Washington Avenue 40536-0003 606 - 323-1100 ext 261

>606 - 257-1816

> Coming September 22,2000 - Helene Fearon on Coding and Reimbursement -

>Rochester Michigan. Register at today.

>

> Coming Soon - Rehab Pro - The New Way...A better Way to Rehab Success!

>

> LAMP Summit 2000. July 23-25, 2000 Register at .

>

> Visit our EStore at www.RehabBusiness.com

>

>

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