SelenaHorner
64p266 comments posted · 4 followers · following 0
11 years ago @ Twitter Tools and Twit... - 10 Awesome Twitter Ana... · 0 replies · +1 points
11 years ago @ http://www.physicalthe... - Patients Win! Maintena... · 1 reply · +1 points
Once the cap is met, services are no longer a "benefit" and Medicare beneficiaries can choose to see whoever they want - par, non-par, opted out and even anyone who is cash based only (physical therapists do not have the opt out option). When the service is no longer a covered benefit, because of the therapy cap, the providers don't even have to follow Medicare rules and regulations because the relationship is now between the provider and the patient. The provider would follow state practice act.
11 years ago @ http://www.physicalthe... - Patients Win! Maintena... · 0 replies · +1 points
The "data" being collected starting in 2013 on function and "complexity/severity" won't be helpful at all. It isn't standardized, deemed valid or reliable, nor is it acceptable to analyze it as group data. CMS also hasn't figured out that value isn't necessarily limited to episodic care.
I am happy to see the feds lost in the case, yes, but it's too late or it was planned to be this way so beneficiaries couldn't take advantage of the ruling due to the cap.
12 years ago @ My Physical Therapy Space - Selling Physical Therapy · 0 replies · +1 points
12 years ago @ My Physical Therapy Space - Selling Physical Therapy · 0 replies · +1 points
You do have to remember, some of these ideas are new. The idea of a habit and how some decisions are made was new to me. I never thought about it that way.
Why do you do what you do, Jerry?
12 years ago @ My Physical Therapy Space - Selling Physical Therapy · 0 replies · +1 points
I will admit, I do have a difficult time selling myself in general outside of the 4 walls of the clinic. I think that is because via our local Chamber of Commerce, my skin crawls whenever I run into certain members: they are always, always focused on selling. We can't have that either. I mean, at the Christmas parade, I'll walk on the other side of the street to avoid the sales pitches.
I think my style would be more of enlightenment and education... how to know when a physical therapist is needed.
Excited to know you are delivering a message during PPS annual and helping others to learn the value of selling...
12 years ago @ My Physical Therapy Space - Medpac's View of ... · 0 replies · +1 points
medpac does need to think a bit about the regional variation statement. I believe CMS DOES have the data to analyze to truly determine the level of regional variation. CMS pays all claims. I'm of the belief beneficiaries could easily be categorized based on their level of medical spending (prescriptions included). I'd be willing to bet high spenders = those with greater frailty or severity. medpac isn't even trying to analyze what is available to them to actually look at regional variation. Categorize patients based on their overall spending high, average and low and THEN look at physical therapy costs. Who am I though?
medpac needs to be brought up to speed on procedural codes and ICD-0. I believe they would have a very difficult time defending their position of who physical therapists treat AND what physical therapists do. There is an old report that indicates the top 10 ICD-9 codes and also the top procedural codes utilized by physical therapists. That old report full of data definitely describes who physical therapists treat and how much more reliably.
They could take the data available to them and analyze the potential impact physical therapists do have with regard to downstream cost savings. Categorize patients as I mentioned earlier... then yank patients into 2 categories, physical therapy services utilized or not utilized... compare the costs.
I also agree with Jason... there are already quick and dirty Quality of Life tools that could be used with every Medicare beneficiary by every type of provider to assist with learning cost-effectiveness.
12 years ago @ My Physical Therapy Space - Infographic: PTs-the n... · 0 replies · +1 points
12 years ago @ My Physical Therapy Space - Does the Way Evidence ... · 0 replies · +1 points
12 years ago @ My Physical Therapy Space - Physical Therapy Busin... · 0 replies · +1 points
Meaning... for some Medicare beneficiaries, they may not achieve traditional "outcomes," BUT may have significantly less utilization of more costly services in the future.
In other words, a model also has to address a bigger picture than the "episode of care" and consider the downstream results...
That's a good point, Tim - a perspective that really drives home the value of a physical therapist. It'll be quite difficult to factor that component into a model.