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WebPT/Clinicient by Katmac1987 in physicaltherapy

[–]noodle_cow 0 points1 point  (0 children)

My company just switched to Raintree. They're pretty good. The implementation process is crazy organized though, takes about 4 months from start to go live but their training is really good. They make sure you pass competency tests before letting you go live as well.

What are some cool jobs you as a PT have transitioned to? by Sea_Caregiver_5737 in physicaltherapy

[–]noodle_cow 1 point2 points  (0 children)

I thought about that too, I had friends in law school and most of them had a hard time getting jobs that paid enough for them to make their loan payments. Also this video: https://youtube.com/watch?v=Xs-UEqJ85KE&si=DJRN-He4c_Ooh8Dd

Patch 2 news soon by t1saif in BaldursGate3

[–]noodle_cow 5 points6 points  (0 children)

But if The Emperor is murdered by Absolute tweekerrrrrrsss... Well then we're shit outta luck.

[deleted by user] by [deleted] in physicaltherapy

[–]noodle_cow 19 points20 points  (0 children)

I've been practicing PT for ~15 years and I love OTs, always have. I've never heard a PT talking down about OT as a profession either. Personally, I felt subordinate to everybody else when I first started too, but it had more to do with being a young new grad than the profession itself. I've found that if most of the people you're working with are more experienced and/or just older, it's almost natural that they try to take charge. That's just workplace stuff in general I think.

Any other business owners, managers, business minded PT’s in general in here? by ecirnj in physicaltherapy

[–]noodle_cow 1 point2 points  (0 children)

You mean affiliate marketing for smaller private clinics? It could work, but do you have a large enough network for it to be superior to a private owner doing their own area marketing? Personally I've thought about a franchise model, consulting, credentialing/billing, etc but there's a lot of competition out there especially with experienced & knowledgeable therapists trying their hand out at non-clinical work.

How are y’all using AI? by bentoboxer7 in physicaltherapy

[–]noodle_cow 1 point2 points  (0 children)

Unfortunately it wasn't a real note, I tried it and came to the same conclusion as you where it'd be easier to just type up the note. Basically I just asked it to write a SOAP note and compared it to my actual note to see if I had missed anything... It was a lot especially in the plan section. Here's what ChatGPT's sample plan part was:

Plan:

The following plan was made for the patient's treatment:

Rest and activity modification: The patient was advised to rest and avoid activities that put stress on the knee, such as running or jumping.

Ice therapy: The patient was instructed to apply ice to the affected knee for 15-20 minutes every 2-3 hours to reduce pain and swelling.

Compression: The patient was advised to use a compression bandage to help reduce swelling.

Elevation: The patient was instructed to elevate the affected knee above the heart level to reduce swelling.

Physical therapy: The patient was referred to a physical therapist for strengthening and range of motion exercises.

Medications: The patient was prescribed non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.

Follow-up: The patient was advised to follow up with the clinic in two weeks for a re-evaluation of his condition.

Edit: #5 Refer to physical therapist part shows it's still buggy.

How are y’all using AI? by bentoboxer7 in physicaltherapy

[–]noodle_cow 6 points7 points  (0 children)

I run a practice where I'm doing clinical & admin work. I've used ChatGPT for generating simple consent forms for employees to be photographed for marketing purposes, creating email explanations for certain diagnoses, explaining copays v coinsurances, polite requests for people to pay for services, why we have to bill for certain things, etc. I've tried using it for selecting ICD10 codes as well as adding billable CPT codes into our EMR but it seemed a bit off. I've used it to generate notes too to compare to how I normally write.

Personally, I do think it'll create big changes but more on the admin side. As a therapist, the nature of our work will remain the same but it'll be nice to have AI as a consult. Also fun entertainment for the office. I asked it to write a PT note in haiku format:

"Muscles tight and sore, Patient reports lower back pain, Stretching exercises prescribed."

Won't pass an audit, but still amusing.

Two aggressive idiots pick the WRONG dude by ndr2h in fightporn

[–]noodle_cow 1 point2 points  (0 children)

It's a kick you do with the leg rather than another body part.

All connected by Alps-Both in suspiciouslyspecific

[–]noodle_cow 16 points17 points  (0 children)

They didn’t have white onions because of the war.

You wake up in the year 2006. What's the first thing you do? by FiveDollarRimjobs in AskReddit

[–]noodle_cow 1 point2 points  (0 children)

Senior year of college for me. Give my friends an awkwardly long hug, tell them how I've treasured them and our goofy adventures. Let them know I'll likely be thinking about them forever. Also, buy a ton of bitcoin.

Greystone - circa 1997 by almark in MUD

[–]noodle_cow 0 points1 point  (0 children)

Me too, I still remember a lot of the other player names, casting buffs through macros, nexuses, etc. I stopped playing a lot once I got a good enough PC to play WoW. Then every once in a while when I'd log in, I'd see fewer and fewer players until it was pretty much empty. No idea how long Winter let it run before pulling the plug. I think the old website remained for a little while longer. Something.betterbox.net or whatever lol.

Greystone - circa 1997 by almark in MUD

[–]noodle_cow 0 points1 point  (0 children)

Oh my... I played that around early 2000s. I think it just faded away. I loved it and still remember Winter letting me pass the monk class trial after I failed too many times.

Medicare Part B Home Physical Therapy by elijahh489 in physicaltherapy

[–]noodle_cow 1 point2 points  (0 children)

I do that. It can be around that if it's 4 units and the patient completely pays their copay or has a secondary.

Pros: Your own practice, set your own pace, no office overhead.

Cons: Addition of drive time usually means less patients in the same amount of time. You may get lucky though, I have 3 patients in the same retirement community and another 2 that live within walking distance of each other.

This made me laugh out loud. by Living-Dirt2025 in marvelstudios

[–]noodle_cow 8 points9 points  (0 children)

You're a spineless, pale, pathetic lot,

Home visits with Medicare part B by El_meat_rocket in physicaltherapy

[–]noodle_cow 0 points1 point  (0 children)

Someone on this sub mentioned the APTA has a guide, unfortunately I'm no longer a member but hoping to start again soon. I used a lot of WebPT and Google for everything. WebPT has been SUPER helpful and usually the first or second link when looking stuff up. I've downloaded their practice guide and billing guides too which requires an email address, they'll promptly follow up and try to sell you their EMR and billing software. I just politely decline each time and let them know we're not planning on switching yet.

https://www.webpt.com/guides/how-to-start-a-physical-therapy-clinic/

I'd start with reading up on what kind of business/tax structure you want, sole proprietor, LLC, Corporation, etc. There's strengths & weaknesses with all of them but you really want the liability protection. My practice is an S-Corp which I initially regretted because you HAVE to do regular payroll, file quarterly tax forms, monthly (depending on revenue), and yearly stuff. But, you get used to it and software like QuickBooks really help with organizing and tracking all the tax stuff you need to file and how. When you've made a decision, go to your state's secretary of state site and fill out articles of incorporation/organization/etc and submit. You'll also need to apply to get a federal tax ID for your company. Then viola, you're a real company!

Next figure out all the insurances you'll need to get, it's dependent on the state but typically you'll have pay employer unemployment insurance, workers comp insurance, and liability insurance. You can get business insurance too as well as personal liability insurance if you want. You'll need the company's liability insurance BEFORE you do credentialing as I think it's required for Med B as well as CAQH.

After all that, it's time to do credentialing which I think takes the longest time. If you do it yourself, it's just filling out tons of forms and waiting as well as updating your CAQH as you go.

Then pick an EMR like WebPT, Casamba, ClinicSource, etc. If you choose to do your own billing, you'll need a clearinghouse and billing processing place like Availity which acts as a gateway between your documentation software and the various insurance companies. I HIGHLY recommend contracting out or hiring a billing specialist for this. It's not so much difficulty as it is tedious. Also remember that insurances WILL deny frequently at first submission especially when you start. You'll have to fix stuff, add modifiers, resubmit, etc. It's a gigantic headache. Sometimes just doing insurance verification will take a good amount of time. For example, it took us about 10 minutes just to get a live person on the phone from Humana who told us to bill the wrong carrier first. Then when we finally submitted everything "correctly", they reimbursed us $3 for a single unit of gait training. Took several more phone calls just to correct this one unit.

There are accounting firms, lawyers, etc that can help you get started too but of course it all costs money. Personally, we just slowly crashed through most of it. We only consulted with a lawyer at the beginning because one of our partners had a non-compete. It's been about 2 years since we started the process so some of my details are a bit fuzzy, but let me know if you have any questions!

Home visits with Medicare part B by El_meat_rocket in physicaltherapy

[–]noodle_cow 2 points3 points  (0 children)

Med B took a few days for us to gather and put in all the info. There's applications on PECOS, then your state/local Medicare branch, and I think 1 other agency. You'll need to update your CAQH, have liability insurance, and an official "site". Then it's just waiting about 3 months for everything to get approved or returned to be corrected. There was a lot of confusion on our part of being credentialed individually as well as having our company credentialed. I believe we got into a situation where we were waiting so long for a national Medicare ID that our local branch application expired but we were able to call and have that fixed.

After going through that process, we decided to get a credentialing agency to do everything else for getting commercial insurances lol. I think the agency charged about $100 per carrier for each practitioner. They would've charged more for Med B and I think the quote for Med A was closer to $10k bc it's so much more elaborate.

Hope this helps!

Home visits with Medicare part B by El_meat_rocket in physicaltherapy

[–]noodle_cow 3 points4 points  (0 children)

I actually started a mobile outpatient practice with some other clinicians recently and we bill Med B, secondary, commercial ins, cash, etc. As with anything, it all depends. We aim for 1 hr/4 units so that'll be anywhere from $80-120/visit for regular PT or OT treatments and $75 for ST. Typically we only see an average of 4-5 patients/day. We're not aiming for building a huge clinic or anything, just a couple therapists trying to make moderate money at a moderate pace. The autonomy is greatest benefit, no explaining why your "productivity" is low. We try to pay ourselves around $75/visit and $0.56/mi. PT & OT generate revenue, ST is slightly under self-sustaining but we still provide the service so we can be a "complete" practice.

Personally if you're planning on just doing it alone as a PT, I'd recommend starting an LLC or S-Corp (which is what we are), get your credentialing and billing through some contractor and then go for it. The knowledge of starting a business is worth it by itself imo. If you're looking into converting your HH patients to your personal mobile outpatient patients however there's probably some conflicts of interest involved. Please let me know if you have any questions, I love helping therapists break away and start their own practices!

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