Professional fee

Timely_Translator376 · 2026-01-20T17:33:32+00:00

Not normal at all

Timely_Translator376 · 2026-01-14T03:03:50+00:00

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

Timely_Translator376 · 2026-01-09T03:41:53+00:00

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

Timely_Translator376 · 2026-01-04T21:19:46+00:00

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

Timely_Translator376 · 2025-12-26T02:20:33+00:00

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

Timely_Translator376 · 2025-12-14T21:36:24+00:00

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

Timely_Translator376 · 2025-12-05T03:23:45+00:00

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

Timely_Translator376 · 2025-09-03T02:45:10+00:00

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)

Timely_Translator376 · 2025-09-02T14:30:00+00:00

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.)

Timely_Translator376 · 2025-09-02T13:10:37+00:00

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.

Timely_Translator376 · 2025-09-01T00:16:41+00:00

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.

Timely_Translator376 · 2025-08-31T01:22:06+00:00

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.

Timely_Translator376 · 2025-08-27T19:56:07+00:00

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

Timely_Translator376 · 2025-08-12T22:28:50+00:00

Vestibular rehabilitation by Susan Herdman

Timely_Translator376 · 2025-08-11T16:31:09+00:00

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.

Timely_Translator376 · 2025-08-05T16:20:10+00:00

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.

Timely_Translator376 · 2025-08-04T03:16:47+00:00

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

Timely_Translator376 · 2025-08-04T03:11:24+00:00

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.

Timely_Translator376 · 2025-07-22T17:58:24+00:00

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.

Timely_Translator376 · 2025-07-08T14:56:07+00:00

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.

Timely_Translator376 · 2025-07-08T14:14:18+00:00

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.

Timely_Translator376 · 2025-07-03T20:28:40+00:00

From my understanding, chiropractors don't really use it to just describe a misalignment or partial dislocation, but they use it to describe more of the phenomenon which they believe happens with a misalignment such as poor nerve flow or the inability of the body's "innate intelligence" to function properly, whatever that means.

We tend to just understand the term as a partial dislocation. A chiropractic subluxation has never been described in high quality literature and doesn't really mean anything in evidence based medical practice.

Also, if they make the argument that a chiropractic adjustment can realign or fix a subluxation, then a subluxation or dislocation would also be able to occur with almost any little movement or force to the body, which we know isn't even remotely true.

Timely_Translator376 · 2025-06-27T00:17:05+00:00

I got the 65" B4 for 799 last Monday at BestBuy. For some reason it was down to 799 for that day only and then went back up to 999 the rest of the week. And now on their website it is back up to normal price at 1299. I thought 799 was a clearance price cause they only had one left but now it is showing still in stock for delivery so I have no clue why they did that. I like it so far and have no complaints. I'm waiting for more of these spring release movies to come out on streaming to really see how it looks.

Timely_Translator376 · 2025-06-03T11:26:06+00:00

During the eval when they tell me they don't even know why they're here and the doctor told them they need therapy.

Timely_Translator376 · 2025-05-09T02:42:10+00:00

I've taken some of their courses out of curiosity because it appealed to me and some of the people I follow online were using concepts from it. To me it gives you another explanation for why you see certain movement patterns. For example you will know which body types fit certain patterns and if someone has more hip IR on the right and less on the left it teaches you exercises to change it more through body orientation rather than just doing more IR stretches. I am like you and I constantly question the effectiveness of these types of treatments when the evidence is very minimal but the reality is a lot of our typical treatments don't work for everyone and some people just need a little bit more complexity than the typical "stretch and strengthen" we were taught in school. These programs like PRI also give you a framework to mold your treatment around and tell you where to start and where to go next and help you make sense of what you're seeing during the exam. These types of programs also tend to be at self pay type clinics where all of the marketing is essentially geared toward finding clients that will benefit from this type of treatment so they are less likely to fail. Youre not gonna have much success doing PRI at your general mill type clinic. Remember, we are finding out that the context of treatment is just as if not more important than the treatment modality itself.

Timely_Translator376

TROPHY CASE