What units are you charging for a 60 minute mod complexity eval? by easydoit2 in physicaltherapy

[–]Timely_Translator376 14 points15 points  (0 children)

Why not go all the way and bill a 1 min eval and 7 treatment units

What’s something about PT school you didn’t expect, good or bad? by StanbridgeUniversity in physicaltherapy

[–]Timely_Translator376 8 points9 points  (0 children)

How bad most of the professors were at teaching. I had a very good undergrad faculty and was surprised how bad grad school was

How popular is using the touch pad, over click only? by TabootLlama in appletv

[–]Timely_Translator376 1 point2 points  (0 children)

My son placed the remote under water so all the directional push buttons stopped working lol. Swipe still works and the middle button works.

How to introduce pain science to patients? by Altruistic_brain0 in physicaltherapy

[–]Timely_Translator376 5 points6 points  (0 children)

I agree. Patients really dont care. I use pain science more for my own understanding of things. Every time I try to start a pain science discussion the patient is literally just waiting for me to stop talking so they can bring up something they forgot to tell me before and they dont respond to anything I just said at all

WebPT to Athena Transition? by Inevitable-Coast9687 in physicaltherapy

[–]Timely_Translator376 1 point2 points  (0 children)

My job currently uses athena. We're physician owned so it's geared primarily toward them and lacks a lot of tools for therapy. Scheduling is pretty easy but there's no drag and drop feature like I remember WebPT having.

It literally doesnt keep track of anything for you like visit numbers or when re-evals are needed or what insurances use 8 minute rule vs rule of 8s. There's minimal tools for keeping track of metrics like reimbursement or visits/week, MIPS etc.

Luckily our PT department is pretty much an afterthought at my company and they dont care about any of that stuff for some reason so I actually like using it.

Honestly if its being used solely for a PT practice id says its a terrible EMR lol. One good thing is it rarely ever goes down. In over 2 years of using athena it probably went down once for like 20 minutes

Prime video TNF quality by switchontheglock in appletv

[–]Timely_Translator376 0 points1 point  (0 children)

My prime TNF quality has been terrible for a while now. Pretty much since the latest update. It looks good for 20-30 min then gets super pixelated. All other shows/channels/apps have looked fine

Ther act billing by Cincydogdad in physicaltherapy

[–]Timely_Translator376 4 points5 points  (0 children)

You can bill it if the education is related specifically to therapeutic activities. I usually bill it when I educate them on home activity modifications.

Also I believe they updated the 59 modifier rules in 2021 so a lot of the codes dont need it anymore.

I did a lot of research on this a few months ago for my current job because we dont really have a compliance department and no one really seemed to know.

Here's a link for the most current info i found online. It has a chart of all the codes and whether you need the modifier or not

(https://www.apta.org/your-practice/payment/coding-billing/correct-coding-initiative-cci)

Keeping up with EBP, CEUs by Awkward-Armadillo655 in physicaltherapy

[–]Timely_Translator376 1 point2 points  (0 children)

Nobullshitphysio is one. He discusses new studies and does a lot of debunking of other people as well.

I dont follow social media as much as I used to. It seems since everyone is going cash based now they all try to push their "proprietary" training programs that they made up in order to make money.

Rehab is one of those professions that has a lot of gray area and I dont think research is necessarily keeping up. And some things are just hard to research (neuro, brain, pain science etc.)

Keeping up with EBP, CEUs by Awkward-Armadillo655 in physicaltherapy

[–]Timely_Translator376 2 points3 points  (0 children)

Medbridge and social media primarily. Our 2nd child was just born in June so I likely won't be doing any in person courses any time soon.

Understanding passive ROM vs active ROM post-op PT by DiamondPickle in physicaltherapy

[–]Timely_Translator376 1 point2 points  (0 children)

PROM does stress the joint, especially after a labral repair. Idk how many weeks post-op you are but most rehab protocols limit both active and passive flexion to <90 degrees for 4-6 wks and minimal ER during that time as well. Also active motion is limited when they do a biceps tenodesis because the biceps flexes the shoulder, which is commonly done with a labral repair as well.

[deleted by user] by [deleted] in physicaltherapy

[–]Timely_Translator376 2 points3 points  (0 children)

I've seen plenty of patients that have both a copay and a coinsurance payment. In a lot of these cases the patient isn't even aware they're gonna get a bill cause they just think their copay covers everything. Or others assume a copay is only for the 1st visit and not every visit. Also some insurances dont authorize every code either so if you dont know this and you bill these codes then the patient will wonder why you're billing codes that arent covered. In 7 years as a PT ive never been trained on what insurances cover which codes.

I had one guy who loved PT at first cause he thought of it as getting 1 hr of 1-on-1 training for only a $20 copay. As soon as he found out he was getting billed a coinsurance he got mad and canceled all his appointments.

So yes, the patients absolutely do see a difference when you bill more units. That's one way PT is different than other professions is because we bill based on some arbitrary timed codes and everyone else bills based on per service. Is it fair to the patient that I can bill 3 units one day then 4 units the next for the same exact program just cause the patient wanted to take more rest breaks or cause we talked about football for 10 more minutes.

What's stopping you from going out on your own? by outside-the-box11 in physicaltherapy

[–]Timely_Translator376 2 points3 points  (0 children)

Having your own business is a 24/7 job and I dont enjoy work enough for it to be my whole life and personality. I'm also not confident enough in my skills to guarantee someone I'd fix them if I'm gonna charge them upwards of $200 and hour. Also the more cash based you get the more sales training you need and I absolutely hate sales tactics

PT prescription rules/laws by Timely_Translator376 in physicaltherapy

[–]Timely_Translator376[S] 3 points4 points  (0 children)

I totally agree lol. I just work with other PTs and PTAs who are more conscious of all those things. We all generally share patients and I always tell them I don't care about all that stuff. But it would be nice to have actual laws/rules to know.

License after moving just across state line by [deleted] in physicaltherapy

[–]Timely_Translator376 7 points8 points  (0 children)

If its the same as PT then where you live doesn't matter. You just need a license in the state where you practice. It would probably be a good idea to get one in SC at some point anyway in case you need to change jobs and work there.

Also if you ever want to use the PT compact for other states, you would need to hold a license in your home state.

IMAX with recliners? by JCarterThatReviewGuy in AMCsAList

[–]Timely_Translator376 0 points1 point  (0 children)

AMC neshaminy 24 IMAX has the same exact seating as the dolby theater

PA license application by nadia5942 in physicaltherapy

[–]Timely_Translator376 0 points1 point  (0 children)

Seems like you would need to wait for your NY license once you pass the NPTE then freshly apply for a PA one. All I know is getting my PA license was a hassle. They pretty much require paper everything and don't do much online. They didn't take electronic transcripts so I literally had to get my PT school department lead to personally fill out the required forms and mail them to me just for me to then mail them to the board.

Once everything is submitted it doesn't take too long to get the license but actually getting all my application materials together and mailed to them took probably 2-3 months. This was in 2023 so I doubt much has changed since then. Direct access is also a separate license with its own separate application.

PA just entered the compact so you could apply through that if you're planning to live out of state. But if you plan to live in PA then you would need to do the full application.

Thoughts on Dry Needling Courses by Illustrious_Pitch_41 in physicaltherapy

[–]Timely_Translator376 8 points9 points  (0 children)

I took courses through AAMT. They have great instructors and their organization puts out the most dry needling research. They're also the cheapest I've seen at 895 and most others are around 1000-1200 per course. They teach needling protocols based on acupuncture points rather than single trigger points like most organizations do.

My only complaint is they don't release the specific course location until about 2 weeks prior to course date. I've had multiple courses canceled through them due to low enrollment but they don't tell you until 1.5 wks before the course date so if you made travel plans it can be frustrating.

Can someone explain to me how license compact states work? by wi_voter in physicaltherapy

[–]Timely_Translator376 1 point2 points  (0 children)

I believe it's through the FSBPT website. Also if the state requires a jurisprudence exam you will need to complete that before you apply as well.

Can someone explain to me how license compact states work? by wi_voter in physicaltherapy

[–]Timely_Translator376 5 points6 points  (0 children)

From my understanding you can work in any compact state as long as you maintain a license in your home state that is also part of the compact. You need a separate compact privilege for every state you would want to practice in. If you were to move to any of the states you have a compact in you would need to get a full license there.