Monthly Archives: June 2012

Getting Paid for What We Know

I sat in on an interesting twitter forum regarding the new proposed payment system for physical therapy services with the #SolvePT group. The conversation unearthed a lot of the typical frustrations we all experience in this profession: declining reimbursement, lack of clout, poor public understanding of the issues, and lack of public visibility as a profession.  Here is a transcript. Some background on how the present system evolved (flavored with my opinion): Not all that long ago, physical therapists were

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What are Outcomes in Physical Therapy? Part 2 of 3

In my prior post in this series, I discussed my long standing interest in outcomes in physical therapy.  In this article, I would like to discuss my perspective on what outcomes are and how they are collected and reported. In my mind, the term “outcomes” or “outcomes analysis” has become so fuzzy that it has lost meaning. For some it means subscribing to a commercially available outcomes system with national comparison data; others conscientiously collect scores from what I

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Physical Therapy EMR: Medicare Requirements and Defining Goals

I am often asked about how our system supports documentation of Long Term and Short Term Goals.  In those discussions, I have found that there are lots of misconceptions about Medicare requirements in this area, and that the terminology we use as a profession is all over the map.  A couple of points: There is no requirement for both short term and long term goals to be included in a Medicare Plan of Care, only long term goals.

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Meaningful Physical Therapy Outcomes – Part 1 of 3

Much like any of the children from Garrison Keillor’s mythical Lake Woebegone, I have never met a physical therapist who did not consider their practice to be above average. My private practice was no exception. In fact, in my opinion, it was exceptional.  But I was frustrated because I was not getting paid any more for my superior results than my merely “above average” colleagues.  In fact, I was probably getting paid less because we were getting patients better, faster,

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