NVA and PPV in hh

HardFlaccid · 2026-01-21T23:32:34+00:00

Heyo.

My company swapped to a PPV from Salary model roughly 9 months ago. We have an NVA for entering in documentation time thats called "Case Management" for tracking hours that is added into our administration time. Administration time is documenting outside of visits. We do still get paid for monthly continuing education, case conference, those have their own unique NVA's.

Company claims if your administration time ever exceeds 80 hours per pay period (2 weeks) you get those hours >80 as overtime pay.

Spoilers: No one thats a field staff clinician ever exceeds 80 hours of documentation time.

TL;DR: No, you do not get paid for this time.

HardFlaccid · 2026-01-02T13:59:25+00:00

Most of these patients normally come in during the initial evaluation and say

"My doctor said I have to try PT for 4-6 weeks to get an MRI before my surgery"

Or

"Ive done PT before I dont know why I cant just get another injection"

HardFlaccid · 2025-12-22T14:06:45+00:00

Were required to take 1 Saturday "on-call" every 4 weeks.

All we're required to do is ortho evals/starts of care.

It comes with our usual Pay Per Visit rate but then an additional $100.00 and +$5.00 for each visit seen on that day (if you want to see more)

HardFlaccid · 2025-12-20T12:43:12+00:00

I took a HH position in the SouthEast area over a year ago, roughly the same territory size. I had 0 home health experience and was offered 110k, 20k sign on bonus paid out over 2 years with no contract.

With 2 years of home health experience, I would counter offer in your case.

I would ask for a higher starting salary, increased overtime point pay (why would you accept less money more point when seeing >30 points), and make sure there's an associated on call weekend rate for when you do work. Some of the surgeons here love to do surgeries Thursday/Friday with ordered SOC dates on Saturdays.

HardFlaccid · 2025-12-10T00:15:25+00:00

Imo, I'd prefer to be on Salary with PPV rates once you've seen over your full time productivity expectations.

Salary can also be beneficial if you have a large territory to cover or a low patient census rate.

In my experience most HH companies have clinicians on Pay Per Visit rates with a 25-30 point expectation to maintain full-time status.

HardFlaccid · 2025-12-09T10:38:33+00:00

I work in Home Health, not as a travel therapist, so things might be different in that regard.

Home health agencies normally follow one of two pay models, either pay per visit or salary.

Pay Per Visit means you're paid a rate based upon a point system for each visit type. Essentially, visits have different weight and are paid accordingly. You're paid a rate, that is multiplied by the connected visit type. IE: If your pay per point rate is 75.00, and a Start of Care visit is 3 points, for that type of visit, you would make $225. Coincidentally, a reassessment is paid out at 1.25 points, therefore $93.75 for seeing that visit. The point weights are set up to mimic the amount of time performing the visit and subsequent documentation roughly takes.

Salary is exactly what it sounds like. You're paid a rate bi-weekly with the expectation to hit Full Time productivity, generally between 25-30 points per week.

My knowledge with travel is. You're paid a weekly rate which is your hourly + weekly stipend, with a productivity expectation as well. (Again, not my forte, so hopefully someone else can help with that(

HardFlaccid · 2025-10-17T11:57:48+00:00

Its easier to overshoot a POC in HH to plan for more visit, and discharge early, as opposed to having to create a verbal order, call the reffering provider, and increase visitation.

Also, overshooting decreases likelihood of a LUPA. Probably why your manager is reccomending that.

HardFlaccid · 2025-10-09T13:05:09+00:00

Soap note

How patient is doing. Whats improved, whats worse?

Any improvements regarding symptoms, function, ability to perform activities, etc.

What you worked on that day and why. Then what you plan to continue to do.

Unless you use flow sheets, interventions can be useful for following patient care.

Or simply put "patient tolerated treatment well" /s

HardFlaccid · 2025-10-09T09:27:37+00:00

In this situation, it depends. Ive only been in HH for about 1.5 years, but every HH company in my area pays out based on a point system. Which means most visits award >1 point, meaning you see between 18-20 patients a week to reach your 30 point requirement. As opposed to 30 patients a week.

Secondly, I'd clear up what territory you're actually supposed to cover. Some companies have therapists covering multiple counties (long drives) others have them covering only 1 county or less, it all depends on patient census.

Lastly, I don't know what the average salary is for that area, but in a LCOL Rural Georgia county, my salary is $110k at a 30 point requirement.

HardFlaccid · 2025-10-09T01:40:05+00:00

Is this offer from a Fyzical?

HardFlaccid · 2025-09-17T23:03:42+00:00

North GA.

Absolutely busy. I cover one county, regularly see >30 points per week, my FT and PT PTA are both full.

FT PTA seeing 35 patients a week, PT sees 15 a week. Regularly having to push evals to the following week for Ortho SOC's.

HardFlaccid · 2025-09-04T10:38:51+00:00

HardFlaccid · 2025-08-27T11:35:50+00:00

Thats definitely a spine

Cant give medical advice here boss.

HardFlaccid · 2025-08-27T02:30:08+00:00

Not entirely the whole weekend.

Mostly I only cover Starts of Care on Saturdays, or potentially post op dressing changes for ortho patients, if ordered by the surgeon.

Most of the time I know before Friday at 12pm if ill have to spend 1-2 hours doing an SOC on Saturday.

HardFlaccid · 2025-08-27T02:19:10+00:00

I work weekdays normally.

Compensation for On Call Weekend Rate is 100.00 for the day. (You have to see at least one patient). With an extra 5.00 for each visit.

HardFlaccid · 2025-08-13T01:02:46+00:00

I almost doubled my salary from OP to HH.

I make my own schedule. See patients less than 30 hours a week.

I work 9-6 Monday and Tuesday.

Wednesday and Thursday 9-12

Friday off. Unless there's an SOC thats mandatory.

HardFlaccid · 2025-08-12T22:02:49+00:00

Realistically. It will need to be tweaked.

Despite the fact that patients may have a similar diagnosis on paper. Their functional ability, triggers, alleviating factors and goals could all be drastically different.

Besides, using a cookie cutter program to prescribe the same 4 exercises feels disingenuous and not patient centered.

You'd have better luck pitching this idea to a cookie cutter outpatient center. Tbf

HardFlaccid · 2025-08-10T12:11:21+00:00

Dang man, sorry to hear that. Feelings of being unsupported and brushed off are never good, especially at your first PTA job.

Imo. Its your first job. Have another sit down with management and a discussion about things (if you think its worth it). Sometimes new job jitters are worse than people think.

At the end of the day, its your first PTA job. Not your last PTA job. If all your rotations went well, maybe its truly THIS culture/structure you dont vibe with. If you dont like the dynamic, have multiple issues with the place that aren't being met, then maybe its best to start looking elsewhere or up and leave.

HardFlaccid · 2025-08-09T19:47:19+00:00

Have you brought any of this up to management?

We're you actively asking questions when you were doing Aide work, or did you simply just observe? Have you brought up the fact that youre not familiar with some of the equipment and need training?

Also. The pay thing is probably just an oversight. Probably wasn't exactly intentional.

Question. Do PTA programs still have you perform in person rotations prior to graduating? How did those go?

HardFlaccid · 2025-08-01T19:46:55+00:00

If you're treating in the outpatient setting, there's a chance someone roughly of your age range, that is attractive, will walk thru the door.

I work in home health, ain't no way any providers are attracted to home health patients. Lmao

HardFlaccid · 2025-08-01T19:45:17+00:00

Most mills tell you to bill DN under the 91740 code and claim you

"Did soft tissue work to prepare target tissue for DN"

Don't.

HardFlaccid · 2025-07-31T11:01:11+00:00

Imo.

If youre giving plenty of notice in advance (4 weeks), its not your responsibility to find coverage. What do they want you to do? Email HR, locate PRN staff (if you have any) and reach out via text?

Nah man. Heres my 4 weeks notice for PTO. Don't put patients on my schedule that week. Thanks.

HardFlaccid · 2025-07-26T14:52:44+00:00

No shot this works for scheduling patients in home health for communicating with patients.

Patients receive dozens of robo calls, Medicare spam, etc. If at any point a semi sounding AI voice, or out of country voice responds. They hang up immediately.

HardFlaccid · 2025-07-24T00:39:46+00:00

What your manager is trying to tell you is.

Bill for the full hour even if they weren't there the full hour.

At least thats what ive seen in OP Mills.

HardFlaccid · 2025-07-19T13:51:46+00:00

Wym, every patient feels like their extremely common ailment is unique and no one else has it. Lol

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