Guest guest Posted May 3, 2005 Report Share Posted May 3, 2005 Hi , here's the conversion of unit to minutes hopefuly it will help. 1 unit = 8-15 mins, 2 unit = 23-30 mins, 3 unit = 38-45 mins, 4 unit = 53-60 mins, 5 unit = 68-75 mins. or you can check the CMS website. wrote: Hello group! I manage several skilled nursing facilities and I have been working on our costper minute/unit. Is there a magic number out there that you can use as an average reimbursement for a unit? If not, what is the best way to figure out your average reimbursment per unit? thanks in Advance Zandex Healthcare Zanesville, OHio Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2005 Report Share Posted May 3, 2005 Hi , here's the conversion of unit to minutes hopefuly it will help. 1 unit = 8-15 mins, 2 unit = 23-30 mins, 3 unit = 38-45 mins, 4 unit = 53-60 mins, 5 unit = 68-75 mins. or you can check the CMS website. wrote: Hello group! I manage several skilled nursing facilities and I have been working on our costper minute/unit. Is there a magic number out there that you can use as an average reimbursement for a unit? If not, what is the best way to figure out your average reimbursment per unit? thanks in Advance Zandex Healthcare Zanesville, OHio Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2005 Report Share Posted May 4, 2005 This is interesting, because the units conversion I use is: 1 unit = 8 - 23 minutes 2 units = 23 - 38 minutes 3 units = 38 - 53 mintues 4 units = 53 - 68 minutes I got the above conversions from a CMS document, but I can't recall which one. Ron Carson ==================================== On Tue, 03 May 2005 22:55:44 -0400, Mr. Rommel Milliam wrote: > Hi , > here's the conversion of unit to minutes hopefuly it will help. > 1 unit = 8-15 mins, 2 unit = 23-30 mins, 3 unit = 38-45 mins, 4 unit = > 53-60 mins, 5 unit = 68-75 mins. or you can check the CMS website. > wrote: > Hello group! > > I manage several skilled nursing facilities and I have been working on > our costper minute/unit. Is there a magic number out there that you can > use as an average reimbursement for a unit? If not, what is the best way > to figure out your average reimbursment per unit? thanks in Advance > > > Zandex Healthcare > Zanesville, OHio > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2005 Report Share Posted May 4, 2005 This is interesting, because the units conversion I use is: 1 unit = 8 - 23 minutes 2 units = 23 - 38 minutes 3 units = 38 - 53 mintues 4 units = 53 - 68 minutes I got the above conversions from a CMS document, but I can't recall which one. Ron Carson ==================================== On Tue, 03 May 2005 22:55:44 -0400, Mr. Rommel Milliam wrote: > Hi , > here's the conversion of unit to minutes hopefuly it will help. > 1 unit = 8-15 mins, 2 unit = 23-30 mins, 3 unit = 38-45 mins, 4 unit = > 53-60 mins, 5 unit = 68-75 mins. or you can check the CMS website. > wrote: > Hello group! > > I manage several skilled nursing facilities and I have been working on > our costper minute/unit. Is there a magic number out there that you can > use as an average reimbursement for a unit? If not, what is the best way > to figure out your average reimbursment per unit? thanks in Advance > > > Zandex Healthcare > Zanesville, OHio > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2005 Report Share Posted May 4, 2005 The CMS units that we go by are: 1 unit= 8-22 min. 2 unit= 23-37 min. 3 unit= 38-52 min. 4 unit= 53 or more You cannot bill more than your total treatment time either. If you spend 50 min. with a patient it can only be 3 units. Re: cost ratio This is interesting, because the units conversion I use is: 1 unit = 8 - 23 minutes 2 units = 23 - 38 minutes 3 units = 38 - 53 mintues 4 units = 53 - 68 minutes I got the above conversions from a CMS document, but I can't recall which one. Ron Carson ==================================== On Tue, 03 May 2005 22:55:44 -0400, Mr. Rommel Milliam wrote: > Hi , > here's the conversion of unit to minutes hopefuly it will help. > 1 unit = 8-15 mins, 2 unit = 23-30 mins, 3 unit = 38-45 mins, 4 unit = > 53-60 mins, 5 unit = 68-75 mins. or you can check the CMS website. > wrote: > Hello group! > > I manage several skilled nursing facilities and I have been working on > our costper minute/unit. Is there a magic number out there that you can > use as an average reimbursement for a unit? If not, what is the best way > to figure out your average reimbursment per unit? thanks in Advance > > > Zandex Healthcare > Zanesville, OHio > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2005 Report Share Posted May 4, 2005 The CMS units that we go by are: 1 unit= 8-22 min. 2 unit= 23-37 min. 3 unit= 38-52 min. 4 unit= 53 or more You cannot bill more than your total treatment time either. If you spend 50 min. with a patient it can only be 3 units. Re: cost ratio This is interesting, because the units conversion I use is: 1 unit = 8 - 23 minutes 2 units = 23 - 38 minutes 3 units = 38 - 53 mintues 4 units = 53 - 68 minutes I got the above conversions from a CMS document, but I can't recall which one. Ron Carson ==================================== On Tue, 03 May 2005 22:55:44 -0400, Mr. Rommel Milliam wrote: > Hi , > here's the conversion of unit to minutes hopefuly it will help. > 1 unit = 8-15 mins, 2 unit = 23-30 mins, 3 unit = 38-45 mins, 4 unit = > 53-60 mins, 5 unit = 68-75 mins. or you can check the CMS website. > wrote: > Hello group! > > I manage several skilled nursing facilities and I have been working on > our costper minute/unit. Is there a magic number out there that you can > use as an average reimbursement for a unit? If not, what is the best way > to figure out your average reimbursment per unit? thanks in Advance > > > Zandex Healthcare > Zanesville, OHio > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2005 Report Share Posted May 4, 2005 The CMS units that we go by are: 1 unit= 8-22 min. 2 unit= 23-37 min. 3 unit= 38-52 min. 4 unit= 53 or more You cannot bill more than your total treatment time either. If you spend 50 min. with a patient it can only be 3 units. Re: cost ratio This is interesting, because the units conversion I use is: 1 unit = 8 - 23 minutes 2 units = 23 - 38 minutes 3 units = 38 - 53 mintues 4 units = 53 - 68 minutes I got the above conversions from a CMS document, but I can't recall which one. Ron Carson ==================================== On Tue, 03 May 2005 22:55:44 -0400, Mr. Rommel Milliam wrote: > Hi , > here's the conversion of unit to minutes hopefuly it will help. > 1 unit = 8-15 mins, 2 unit = 23-30 mins, 3 unit = 38-45 mins, 4 unit = > 53-60 mins, 5 unit = 68-75 mins. or you can check the CMS website. > wrote: > Hello group! > > I manage several skilled nursing facilities and I have been working on > our costper minute/unit. Is there a magic number out there that you can > use as an average reimbursement for a unit? If not, what is the best way > to figure out your average reimbursment per unit? thanks in Advance > > > Zandex Healthcare > Zanesville, OHio > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2005 Report Share Posted May 4, 2005 Hi Ron, your conversion is right which means if the treatment doesn't last for 8 mins you can't bill it for 1 unit, it has to reach at least 23 mins to bill for 2 units and so on, kindly double check the figure I gave to lisa for I guess its the same if you have more clarrification in these regards kindly contact me at my numbers given below or e-mail me at rommelmilliam@... Rommel Milliam,RPT,MLD-CDT Director of Rehab Services St. 's Nursing and Rehab Center Phone ext 268 & 269 President/CEO Hudson Valley Physical Therapy & Lymphedema Care Specialist Phone Ron Carson wrote: This is interesting, because the units conversion I use is: 1 unit = 8 - 23 minutes 2 units = 23 - 38 minutes 3 units = 38 - 53 mintues 4 units = 53 - 68 minutes I got the above conversions from a CMS document, but I can't recall which one. Ron Carson ==================================== On Tue, 03 May 2005 22:55:44 -0400, Mr. Rommel Milliam wrote: > Hi , > here's the conversion of unit to minutes hopefuly it will help. > 1 unit = 8-15 mins, 2 unit = 23-30 mins, 3 unit = 38-45 mins, 4 unit = > 53-60 mins, 5 unit = 68-75 mins. or you can check the CMS website. > wrote: > Hello group! > > I manage several skilled nursing facilities and I have been working on > our costper minute/unit. Is there a magic number out there that you can > use as an average reimbursement for a unit? If not, what is the best way > to figure out your average reimbursment per unit? thanks in Advance > > > Zandex Healthcare > Zanesville, OHio > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2005 Report Share Posted May 5, 2005 Hi, - The skilled nursing facility world is paid differently from the outpatient world. The outpatient world uses the " >8<22=15 " model. I believe that SNFs actually count individual minutes, and receive a " case rate " reimbursement. 1) There's a difference between your *cost* (the expense of operating your businesss) and your *charges* (the amount you charge for your services). Your cost is (all expenses / all minutes = cost per minute). If you manage the entire facility, then you're looking at a complete set of expenses, but if it's only the rehab component, then you only identify the expenses and minutes related to producing rehab services, and include administrative and general allocations. 2) Your *reimbursement* (what a payor such as Medicare actually pays you) is another thing entirely. It is derived from what your deal with the payor is. (One might charge $300 for an evaluation, but your Blue Cross Contract might only pay $40, and Medicare might pay $70.) That's the deal that you or your owners made with that specific payor in order to get any of their business at all. It's generally not negotiable, since they're powerful and you're not. Hope this helps. Dick Hillyer, PT, MBA, MSM Hillyer Associates Cape Coral, FL cost ratio Hello group! I manage several skilled nursing facilities and I have been working on our costper minute/unit. Is there a magic number out there that you can use as an average reimbursement for a unit? If not, what is the best way to figure out your average reimbursment per unit? thanks in Advance Zandex Healthcare Zanesville, OHio Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2005 Report Share Posted May 5, 2005 Hi, - The skilled nursing facility world is paid differently from the outpatient world. The outpatient world uses the " >8<22=15 " model. I believe that SNFs actually count individual minutes, and receive a " case rate " reimbursement. 1) There's a difference between your *cost* (the expense of operating your businesss) and your *charges* (the amount you charge for your services). Your cost is (all expenses / all minutes = cost per minute). If you manage the entire facility, then you're looking at a complete set of expenses, but if it's only the rehab component, then you only identify the expenses and minutes related to producing rehab services, and include administrative and general allocations. 2) Your *reimbursement* (what a payor such as Medicare actually pays you) is another thing entirely. It is derived from what your deal with the payor is. (One might charge $300 for an evaluation, but your Blue Cross Contract might only pay $40, and Medicare might pay $70.) That's the deal that you or your owners made with that specific payor in order to get any of their business at all. It's generally not negotiable, since they're powerful and you're not. Hope this helps. Dick Hillyer, PT, MBA, MSM Hillyer Associates Cape Coral, FL cost ratio Hello group! I manage several skilled nursing facilities and I have been working on our costper minute/unit. Is there a magic number out there that you can use as an average reimbursement for a unit? If not, what is the best way to figure out your average reimbursment per unit? thanks in Advance Zandex Healthcare Zanesville, OHio Quote Link to comment Share on other sites More sharing options...
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