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Re: Productivity and CPT

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In a message dated 05/26/2000 12:01:45 PM Eastern Daylight Time,

phokama@... writes:

<< Of these 15 to 25 patients per day per therapist, how many evals does this

include? >>

Of these 15 patients (approx 2 per hour for an eight hour day) to 25 (approx

3 per hour for and 8 hour day) how many CPT procedure codes do you bill each

patient.

Steve Marcum PT,CSCS

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Can somebody give me any ideas on how to deal with productivity in

Acute/SNF/Inpatient Rehab as well.

Thanks

Leonor

>>> PacRock@... 05/26/00 11:45AM >>>

In a message dated 05/26/2000 12:01:45 PM Eastern Daylight Time,

phokama@... writes:

<< Of these 15 to 25 patients per day per therapist, how many evals

does this

include? >>

Of these 15 patients (approx 2 per hour for an eight hour day) to 25

(approx

3 per hour for and 8 hour day) how many CPT procedure codes do you bill

each

patient.

Steve Marcum PT,CSCS

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

Rochester Michigan. Register at today.

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

Visit our EStore at www.RehabBusiness.com

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Minutes of treatment divided by time on premise is the typical formula used

by most contract rehab companies for SNF.

The minutes of treatment are derived from PPS (some include the eval minutes

for statistics and some do not - but caution to not let therapist take too

long of this unbillable time). The minutes of Part B can be counted as

assigning a value to each CPT code that would relate back to the charge

amount or simply work in 15 min implements)

Most rehab companies want 75% effic. When PPS started, some were pushing

for 100+% but that is not realistic for smaller departments.

Re: Productivity and CPT

> Can somebody give me any ideas on how to deal with productivity in

> Acute/SNF/Inpatient Rehab as well.

>

> Thanks

> Leonor

>

> >>> PacRock@... 05/26/00 11:45AM >>>

> In a message dated 05/26/2000 12:01:45 PM Eastern Daylight Time,

> phokama@... writes:

>

> << Of these 15 to 25 patients per day per therapist, how many evals

> does this

> include? >>

>

> Of these 15 patients (approx 2 per hour for an eight hour day) to 25

> (approx

> 3 per hour for and 8 hour day) how many CPT procedure codes do you bill

> each

> patient.

>

> Steve Marcum PT,CSCS

>

>

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

> Rochester Michigan. Register at today.

>

> 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.

>

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

>

> Visit our EStore at www.RehabBusiness.com

>

>

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To All:

Let's just assume for a moment that I am an investigator for the Office of

the Inspector General (which by the way, I could very well be). Remember

that these listserves are very public. If someone suggested to me that

facilities or therapists are striving for " 100+% " productivity, that would

imply to me that they are billing for more time than they are actually

present. As an OIG investigator, I would find this to very enlightening

information.

We should all be aware at this point of the existence of the " Six State

Review of Outpatient Rehabilitation Facilities " (A-04-99-01193). The

message that we should take form this is " They " are looking.

We should also be aware of Transmittal AB-00-14, which deals with " Questions

and Answers Regarding the Prospective Payment System (PPS) for Outpatient

Rehabilitation Services and Physical Medicine Current Procedural Terminology

(CPT) Coding Guidance " . In this document is stated the following: " Q8.

What resources are available for providers who have specific questions about

coding? " " A. Specific coding questions should be addressed to the AMA or to

a therapy association " .

The message here is: if you are speaking to each other, to find out how

others are coding, you are not reaching the appropriate source. The

unfortunate reality is, if we undertake to be reimbursed by the Medicare

program without fully understanding it's regulations and policies, we are

playing a dangerous game.

Listen to what the government is telling you and reach out to your " therapy

association " . Just realize that you are ultimately responsible for the

services you provide, including how they are coded, billed, and collected.

___________________

Ken Mailly, PT

Mailly/Inglett Consulting

Wayne, NJ

Re: Productivity and CPT

>

>

> > Can somebody give me any ideas on how to deal with productivity in

> > Acute/SNF/Inpatient Rehab as well.

> >

> > Thanks

> > Leonor

> >

> > >>> PacRock@... 05/26/00 11:45AM >>>

> > In a message dated 05/26/2000 12:01:45 PM Eastern Daylight Time,

> > phokama@... writes:

> >

> > << Of these 15 to 25 patients per day per therapist, how many evals

> > does this

> > include? >>

> >

> > Of these 15 patients (approx 2 per hour for an eight hour day) to 25

> > (approx

> > 3 per hour for and 8 hour day) how many CPT procedure codes do you bill

> > each

> > patient.

> >

> > Steve Marcum PT,CSCS

> >

> >

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

> > Rochester Michigan. Register at today.

> >

> > 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.

> >

> > 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.

>

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

>

> Visit our EStore at www.RehabBusiness.com

>

>

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Guest guest

yes that would be a problem if efficiency related to time spent with

patients. but the formula relates to billable time. usage of group codes

......not a regular day.. .but allowed within the system.. do not confuse

efficiency methodology with billable time..

Re: Productivity and CPT

> >

> >

> > > Can somebody give me any ideas on how to deal with productivity in

> > > Acute/SNF/Inpatient Rehab as well.

> > >

> > > Thanks

> > > Leonor

> > >

> > > >>> PacRock@... 05/26/00 11:45AM >>>

> > > In a message dated 05/26/2000 12:01:45 PM Eastern Daylight Time,

> > > phokama@... writes:

> > >

> > > << Of these 15 to 25 patients per day per therapist, how many evals

> > > does this

> > > include? >>

> > >

> > > Of these 15 patients (approx 2 per hour for an eight hour day) to 25

> > > (approx

> > > 3 per hour for and 8 hour day) how many CPT procedure codes do you

bill

> > > each

> > > patient.

> > >

> > > Steve Marcum PT,CSCS

> > >

> > >

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

> > > Rochester Michigan. Register at today.

> > >

> > > 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.

> > >

> > > 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.

> >

> > 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.

>

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

>

> Visit our EStore at www.RehabBusiness.com

>

>

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Guest guest

Usually 3/patient.

PacRock@... wrote:

> In a message dated 05/26/2000 12:01:45 PM Eastern Daylight Time,

> phokama@... writes:

>

> << Of these 15 to 25 patients per day per therapist, how many evals does this

> include? >>

>

> Of these 15 patients (approx 2 per hour for an eight hour day) to 25 (approx

> 3 per hour for and 8 hour day) how many CPT procedure codes do you bill each

> patient.

>

> Steve Marcum PT,CSCS

>

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

Rochester Michigan. Register at today.

>

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

>

> Visit our EStore at www.RehabBusiness.com

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