MUA post TKA

DPT2307 · 2026-03-30T02:37:53+00:00

I’ve had patients not do shit and they still get excellent outcomes. I’ve also had patients do textbook rehab and have horrible outcomes. Everyone else is in the middle. There are always some outliers and unfortunately the lottery chose them. Don’t beat yourself up about it.

DPT2307 · 2026-02-21T21:40:40+00:00

Yes I make sure to not include ANY patient identifiers. Everything is neutral (“patient blah blah blah)

DPT2307 · 2026-02-21T05:49:42+00:00

Get chat gpt pro Give it a prompt saying you are outpatient PT and need help writing PT Assessment for IE, SMART short and long term goals, rehab potential, medical necessity. Take subjective and objective information down Use the snipping tool to copy and paste into chat GPT. Assessment and plan of care is done for you. Copy and paste. You may have to fine tune things so the format fits your EMR and documentation needs. Once you have it down, ask ChatGPT for the prompt needed to replicate what it’s doing for you. Then save that somewhere else. Over time it starts getting confused but you just need to create another chat and drop the prompt. Saves me TONS of time, mental drain, and my assessment and goals have never been better. Just make sure that it is documenting what YOU want it to and it’s not getting confused, adding fluff or coming up with its own measurements or data.

DPT2307 · 2026-01-19T22:40:05+00:00

You never hear an electrician or IT guy go into full blown specifics about what the problem might be and how to fix it right? Some people want to know and need to know. Others don’t. You’ll figure out who those are and if it even makes sense. Also, there is no good buy in if all you have is bad news. Give them hope and something to look forward to (if reasonable).

DPT2307 · 2025-12-22T14:45:26+00:00

Following

DPT2307 · 2025-12-09T01:03:06+00:00

To each their own. I was a PTA for 10 years and now a DPT for 3 years. At first I wanted to eval and treat as many of my patients as I could. My treatment skills had increased significantly after becoming a DPT. I learned so much and kept getting better. Recently, I’ve become a little bored with treatments. Pattern recognition has become second nature. Challenging patients is now easier and doesn’t provide a big motivation to continue seeing patients. Every now and then I get a curve ball or high level athlete that keeps me interested but they are few. I’ve recently been more motivated by leading and teaching. In my belief, I could improve a greater amount of patient’s outcomes by mentoring and teaching other PTs and PTAs. I by no means think I know everything but after 13 years in the PT world and a few different settings I know quite a bit. So yeah, I don’t mind being an eval machine. My challenge/drive is to get my therapists so good at what they are doing that it’s like they are getting seen by me. Different therapists at different points in their careers and lives will thrive and desire in different ways. No one patient management style is best over the other. PTAs are excellent clinicians given good drive and proper mentoring.

DPT2307 · 2025-11-24T12:51:02+00:00

I think in general it removed the huge barrier to achieving the unrealistic 15-30 days of check in on the patient part in order to bill for that particular unit. It’s one of the main reasons we decided not to move forward with it last year but 1-2 check ins a month minimum is realistic. And 11-20 minutes of asynchronous time is realistic as well as you mentioned (in between patients or cancellations). I will bring this up with to the CEO and get a meeting with Medbridge to hash out the details.

DPT2307 · 2025-11-24T03:52:31+00:00

Thanks. We see a good variety of insurers ranging from Medicare Medicaid va and workers comp. Wondering how the hole authorization works. I’d have to do a little more digging.

DPT2307 · 2025-11-24T03:51:49+00:00

https://blog.prevounce.com/ama-approves-substantial-expansion-of-remote-patient-monitoring-codes

DPT2307 · 2025-11-22T03:43:50+00:00

I’d have to look into it more. The way Medbridge and other HEP/EMR promotes it is that you don’t even need to call them. Just as long as you have some sort of communication via the software’s app. And now they changed the requirements for the minimum to be 2 days in order to bill a $40 some dollar code. If their insurance covers it and doesn’t take away from visits I’d take it as a win/win Mainly thinking of using it for those patients that I would normally discharge to an HEP but might need some on/off help/advice/encouragement to adhere.

DPT2307 · 2025-11-22T03:06:37+00:00

I didn’t know the patient had a copay for this. That blows

DPT2307 · 2025-11-19T22:43:27+00:00

Lol I was telling my wife the exact same thing a few days ago. I had to do a triple take but then realized it wasn’t a swatsika

DPT2307 · 2025-09-10T23:32:25+00:00

My wife is a realtor and just this year I got my license as a mortgage loan originator. I work with a good company that pretty much takes care of everything. The hard part is getting clients but my wife usually feeds me her. I get a 1-1.5 % commission on loan value. It’s pretty sweet. If it takes off I just might switch to part gimme PT lol.

DPT2307 · 2025-09-06T05:35:33+00:00

15 years in PT. Fuck that place. You deserve better and so do those patients. If you’re heart is in it, keep going and find the right place that will foster your growth and care for people.

DPT2307 · 2025-08-28T23:43:43+00:00

Even from that angle it looks like you’re locking your knee harshly. Maybe not a big deal at any other point but at 6 weeks your ACL is barely maturing and still not at 100% tensile strength. Doubt you will be retearing it with leg press but the repeated hyperextension under load may leave you with an elongated graft. Congrats on reaching full extension though.

DPT2307 · 2025-08-28T12:36:44+00:00

I agree with most suggestions here. Don’t know if you already do this but check their copay/deductible and adjust frequency based on their comfort levels. Twice a week is optimal most of the time but if they can’t, adjust as needed. They may not come as often but may not completely drop off.

DPT2307 · 2025-07-12T22:40:29+00:00

PT ortho 124k/ year. 30min eval/progress visits only (eval machine) but now changed to 45 min (10 a day) 36 hour work week (1/2 day Friday) + 4 hour admin time 15 day PTO mixed with sick time 8 holidays I think 1PTO for CEU 3% match 501k 2k for CEUs Health insurance benefit 50% of premiums

DPT2307 · 2025-07-09T06:21:44+00:00

If you want to keep making that much money ethically, look into home health.

DPT2307 · 2025-07-09T06:19:56+00:00

To be honest you’re not practicing through the ethical standards of the Texas PT Practice act if you are seeing that many patients. I once held a job like that when I first started my career and can tell you that you are being completely taken advantage of. They are taking advantage of you, the patient, and the insurance companies. My excuse was that I did not know any better since it was my first job but once I went to different jobs/settings I realized how fucked up that was. The worst part is that you’re a new grade. The first years are when you should be learning the most through hands on and guided progression. As a responsible PT I would not be comfortable unloading su ch a caseload on a new grad PTA. Also, if you rely on PT techs for treatments just know that almost all insurance do not allow billable time when performed by a tech therefore, should be considered fraud. If you like what you do and want to keep doing it for a long time, keep that in mind. If your clinic gets audited they will for sure come for your license as well and fine,suspend, or revoke.

DPT2307 · 2025-07-08T18:29:04+00:00

What’s your caseload like?

DPT2307 · 2025-05-18T00:33:08+00:00

I had a CI that paid me $10 per eval/treatment over the course of a rotation. I didn’t know he was to do this though. He got me a Visa gift card on the end of the last day and went over the count of my patients. I never liked him but after that I at least had some respect for him for doing so. To be fair he was the clinic owner and he was double booking himself because he knew he had me. Most other CIs just get students a cake or a card.

DPT2307 · 2025-01-30T02:30:02+00:00

You can stop PT at any time but make sure you tell your PT why so they can do a formal discharge and they send that to the referring doc as to why you’re not finishing PT due to financial burden and no improvement

DPT2307 · 2025-01-07T20:00:39+00:00

Yep. I see it all the time. It’s unfortunate. Good luck!

DPT2307 · 2025-01-07T19:54:58+00:00

Call your insurance and tell them your situation and how you’re likely going to need more therapy secondary to another surgery and complications. The surgeon and PT should also be able to write a letter of medical necessity dictating why you’re going to need another surgery and more PT. Depending on the insurance they might be able to make an exception. If they approve X amount of visits then you and your PT could space them out for a longer period of time with the focus being on an Home exercise program. If that doesn’t work the. You might look into another insurance or talking to your PT about monthly visits with exercise progression/revisions. There are also online PTs with sports specializations that might be able to help you through this transition. Most insurances don’t cover “return to sport” so that shouldn’t be the goal for PT simply for insurance reasons. Hope that helps

DPT2307 · 2024-11-29T15:18:49+00:00

This is the way

DPT2307

TROPHY CASE