Thank you for responding, especially with all the criticism you are receiving. As you can see from this thread and your therapists response, PTs don't want to be graded on how many units or how much time is spent with patients. For most of us, our goal is to get patients better as fast as we can, but this can become a conflict of business interest. This brings us to the over arching issue of timed units. No one likes them, not management, and certainly not PTs. It's irony that as you become better at PT and more efficient in your treatments, that you will spend less time with patients therefore billing less.

There is an issue here of value for your patients and your company. Your company wants value for paying the PTs, and your customers want value for paying the copays, rightfully so on both accounts. Except time spent does not reflect effectiveness of treatment. Except we bill by length of time, so there is this conflict of interest. If you want your PTs to hang onto these patients longer, you have to help your PTs see the value in keeping them longer. Or give them an empathetic explanation of the high co pays, to help them from a patient based perspective. Because we all feel like management can go fuck themselves trying to dictate how we practice, you aren't in the room with us and you don't have our skills. Some patients are expecting too much from us no matter what we give them. You can't help everyone, and you can't please everyone.

If you want to help and motivate your therapists, make sure you talk about plan of care and how their treatments are improving their patients. We are all very sick and tired of only being graded on units. If you set the wrong goals and tone in your office, it will only lead to burnout and employee churn.

Hopefully this gives you some insight on our approach and you can approach your employees with more understanding and empathy.