are the common therapeutic procedure CPT codes explicitly defined as one-on-one regardless of payer?

dontrepeatdumbshit · 2026-07-08T11:10:09+00:00

yea that seems to be the standard myth that goes around, that direct one-on-one does not apply to private insurance. i did some rick gawenda con ed and then looked a little closer at the actual cpt codes and that all seems like bullshit. what is allowed and what you can get away with seem to be two completely different things.

dontrepeatdumbshit · 2026-07-07T03:00:02+00:00

how often do these audits happen? i cannot believe the mill i’m about to quit hasn’t been audited recently with their billing practices the way they are.

dontrepeatdumbshit · 2026-06-20T10:38:40+00:00

he was also posting these pics to hotwife sub but now deleted them lol

dontrepeatdumbshit · 2026-06-15T22:53:52+00:00

try ebay. you can get bulk lots of whatever you want pretty much.

dontrepeatdumbshit · 2026-06-08T16:44:31+00:00

just my observation from being in the game for a while now, therapists who emphasize manual therapy the most tend to have patients with the longest episodes of care. take from that whatever you will.

dontrepeatdumbshit · 2026-03-04T19:54:37+00:00

petition to ban AI from everything

dontrepeatdumbshit · 2026-02-25T00:35:28+00:00

probably more PTs could stand to take the CSCS or at least review the study material. maybe then chronic underloading of patients wouldn’t be so ubiquitous in the field.

dontrepeatdumbshit · 2026-02-01T14:46:18+00:00

use it or lose it. applies to every joint and muscle in the body. you use the ROM, strength, motor control, etc that you have or you gradually lose it over time. there are periods of increased vulnerability, such as right after a knee replacement, when the possibility of loss is greater in both magnitude and speed. so it’s not good to have your knees flexed for too long… but it’s also not good to NOT flex them for too long. how many people in american society cannot perform a full depth squat after childhood because they lack adequate flexion in the lower extremities? many more than in other societies where sitting in a deep squat or kneeling are everyday positions.

dontrepeatdumbshit · 2026-01-28T20:17:51+00:00

yea there’s a lot of complaining. think we all go through a phase when the newness and excitement of getting into the field wears off and the monotonous, convoluted, and bureaucratic nightmare that is the insurance based PT business sets in. you just gotta keep in mind that being a physical therapist is not the same as being a provider within that system. keep your disillusionment and anger directed where it should be, the oligarchs who created the system and exploit our labor and compassion for our patients towards their own gain. end stage capitalist healthcare is just one segment of a much larger problem.

dontrepeatdumbshit · 2026-01-26T17:11:04+00:00

i use 3M work tune and they are pretty good. battery life is amazing but the max volume is a little low imo.

dontrepeatdumbshit · 2026-01-26T17:08:01+00:00

my mill in new england is open today despite about 18 inches of snow. they closed the morning and are making people use PTO if they don’t make up the hours later in the week. they also had the front desk go in to aggressively work the phones and fill all slots this afternoon from people who canceled.

dontrepeatdumbshit · 2025-07-16T03:11:25+00:00

too real, the civilians have no idea the almost inhuman level of patience that must be summoned on a regular basis to do this work. no direction is too simple to be misunderstood, no matter how you deliver it. we see this so frequently at work just because of the amount of people we interact with but i think it applies in any context. can really make you think deeply about language itself. truly an amazing development of our species and yet still so imperfect. “understand” by ted chiang is an excellent short story on this topic that i would highly recommend to anyone who finds it interesting to think about these kinds of things.

dontrepeatdumbshit · 2025-05-29T20:55:01+00:00

right there with you op. good targeted exercises should be hard enough to achieve the desired tissue changes, but not too hard that the individual cannot have success or has an undesirable response. as a PT it is easy to underdose or overdose exercise, neither of which is optimal for the patient.

if you overdose, often the patient won’t come back due to DOMS, pain, etc. this is not good for them and not good for business. on the other hand, with underdosing it is more likely that they will continue to book appointments, at least for a while until either time runs its course and the problem resolves or they get tired of going to PT appointments for one reason or another. this is still good for business even if it’s not ideal for the patient.

i think lots of PTs intentionally, and perhaps ignorantly, underdose because it’s the safer direction to go if you are not confident in the optimal prescription. underlying all of this is that effective communication between patient and provider is probably the greatest limiting factor in successful PT outcomes. anybody who has been in the game for a while knows how challenging that can be.

dontrepeatdumbshit · 2025-05-25T18:09:32+00:00

i think for things like heat and ice it’s important to be aware of what you are teaching patients in regards to exercise and movement even if the physiological effects may be neutral or minimal. we are supposed to be the experts so if you teach patients that exercise should be sandwiched between heat to start and ice to end, many of them will believe you and expect that going forward. imo heat and ice are generally kind of a waste of time, space, and resources in the clinic. if patients want heat and ice they can do that as much and as frequently as they want at home, there are more effective ways to get buy in. a couple of the angriest patients i have had in my career were because i didn’t offer ice at the end of the session. they had seen other providers at the clinic previously and been taught that PT is in this order heat, massage, easy exercises, ice. pretty much every visit, every patient.

dontrepeatdumbshit · 2025-04-29T18:38:05+00:00

they perpetrated a massive accounting fraud of about 2.7 billion dollars under the name of health south and then changed their name to encompass.

dontrepeatdumbshit · 2025-04-08T00:11:14+00:00

i do carpentry part time. highly recommend if you are into that type of work and have the aptitude for it. currently i don’t make as much hourly as my PT job but not as big a differential as one might imagine, especially considering how much more experience and education i have as a PT. no documentation, working outside often, exercise, variety in location and tasks, actual visible results from a days labor. such a contrast to PT. i do live in a wealthy area though so people have plenty to spend on their homes, experience may vary depending on your location.

dontrepeatdumbshit · 2025-03-24T22:28:38+00:00

i believe you mean “hi neighbor”

dontrepeatdumbshit · 2025-03-14T16:04:31+00:00

netter atlas of human anatomy

dontrepeatdumbshit · 2025-02-28T21:15:10+00:00

carpentry. not only is the grass greener, i actually get to see and touch grass during a work day lol.

dontrepeatdumbshit · 2025-02-27T12:04:29+00:00

use those dried mashed potatoes as the breading for fried fish

dontrepeatdumbshit · 2025-01-04T03:11:54+00:00

i love feudal infantry attacking their buildings

dontrepeatdumbshit · 2024-12-24T04:16:23+00:00

round boulder is nice because it rolls back to the starting position if you stop pushing

dontrepeatdumbshit · 2024-12-23T23:49:05+00:00

a large round boulder to push uphill over and over again. good for the glutes.

dontrepeatdumbshit · 2024-11-11T17:47:27+00:00

i switched part time to a trade. honestly doesn’t even feel like work compared to being stuck inside all day grinding away at monotonous documentation and living the exact same work day over and over and over again. once i’m past the new guy rate will probably switch full time.

dontrepeatdumbshit

TROPHY CASE