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COTA Thoughts

Money, Money, Money

Published December 11, 2007 2:24 PM by Tim Banish

In my November 20th post I touched on the topic of COTA salaries. If you've had a chance to read this blog and the replies to this post, you'll see that a former regional manager gave the actual reimbursement rates of several codes for Medicare B. Knowing the actual reimbursement rates made me pull out my calculator and total up some numbers. The results I got might be as scary to you as they were to me.

In my calculation I've assumed a COTA works an eight hour day with 90% productivity. This gives a total of 432 minutes of treatment per day. I took the reimbursement rate for all codes and came up with an average of $26.19 per unit, with each unit equal to 15 minutes. With four units per hour, in an eight hour day at 90%, it is possible to generate 28.8 units. (Note: Some codes pay higher, some codes pay a bit less, but there is less than $2 difference between all codes.) This means that every day a COTA provides treatment at a 90% productivity standard, the revenue they generate for the company they work for totals $754.27! Calculate this to a weekly number and this figure comes out to $3,771.36. On a yearly number (based on 52 weeks) that figure comes out to $196,110.72!

Calculating the high average COTA salary rate of $18 per hour and including the benefits cost of 30%, this comes out to $23.40 per hour. Based on a 40 hour work week (52 X 40 = 2080) the annual cost for employing a full time COTA would be $48,672. This leaves a yearly profit for the company totaling $147,438.72!

Now, there are many variables to my calculations. Use of the eight minute rule means less treatment time but the same reimbursement rate. Dovetailing and concurrent treatments can increase the productivity numbers. However, these are not the norm so my figures do show a true average profit range for the company. Even decreasing the productivity rate to 80% still shows a yearly profit of $125,648.64. So what happens to all this profit? A quote from the same reply, "It is standard practice for companies to offer all levels of management (facility based up through VP) financial incentives to exceed revenue expectations. Many formulas are based on % over target for % of one's annual salary. It is a method they usually refer to as a way to 'reward' efficiency."  

In other words, the more your supervisor pushes you for higher productivity, the bigger incentive bonus they are bound to receive. If you are part of the upper management team this may seem OK to you. However, the big question I ask is did you really earn this yearly bonus? My answer is a big NO. In my eyes, the people who generated this profit should be rewarded with the bonuses. Wouldn't it be nice to get even a 10% bonus on all the revenue you generate in a year?

All these calculations, however, bring me back to our basic ethical concerns. If COTAs are pushed to be so productive and generate all this revenue for a company, are our patients really getting all the therapy they need to rehabilitate properly? Again I stress that it is our patients that should be the biggest concern in therapy, not generating profits. Without our patients, there is no revenue.

Until next time, I hope all your thoughts are good,

Tim

posted by Tim Banish

8 comments

Jean-

I agree that a SNF needs to keep beds filled to stay in business. However, for every person that can be treated and returned to a productive life, there are two or three more waiting to fill that bed. However, many SNF's do not know how to properly market themself. If they could create a great therapy team, and retain them, that would be their best bet to stay ahead of the competition. Yes, there are way too many hands in the pot right now, greed seems to be the only motivation for many corporations and their stockholders though.

Tim Banish, COTA/L January 3, 2008 5:37 PM
Cincinnati OH

The one thing that most LTC facilities are interested in is keeping the beds filled.  They won't stay in business if everyone goes home.  For too long our system has rewarded productivity on how much revenue we generate not on our outcomes with the patients.  I have worked in LTC's that actually terrorize the patients with the attitude of hurry up and get them through the assembly line.  Our healthcare system needs to change from the bottom up.  We have too many special interest groups feeding on the system.  The insurance and pharmaceutical industries are creating situations that are raping everyone.  These changes must be made before we can see a difference in how we can treat our patients and fairness in wages.  These changes have to start with the law makers.  The money should go to the people responsible for the work and bonuses should be based on patient outcomes not on how many units you charged.

Jean, , OT/Owner Private Practice January 1, 2008 6:24 PM
WY

I think that all therapist need to wake up and get together to demand more money or go work for yourself like myself

david, cota January 1, 2008 9:31 AM
baton rouge LA

 As a clinician with over 27 years of practice I have found a very simple rule..............."do what is clinically in the best interests of your patients/clients". That being said , it takes a professional who has excellent assessment & treatment planning skills to maintain a valid argument with "supervisors" who have monetary concerns as their primary focus. This is particularly true in the long-term care arena where our education system has failed to give therapists  a good working knowledge of that venue of healthcare .

Michael Gagliano, Wellness & Rehab - Owner/Founder, Gagliano Wellness &rehabilitation Specialist P.A. December 15, 2007 5:38 PM
Greensboro NC

All I'm intending to show by these figures is the amount of revenue a FT COTA generates. Yes, there are a few companies that reward their staff with profit sharing or bonuses. However if you've read my other post regarding COTA salaries, I continue to question why some upper management personnel are awarded huge yearly bonuses that are often more than I earn in an entire year. I also realize that a company has overhead, but wonder why many of them build huge offices full of highly paid personnel that do nothing more than develop ways for us to generate more revenue. The true reason we all got into therapy is to treat people in a dignified manner, not shuffle them in and out of the clinic like an assembly line process.

Tim Banish, COTA/L December 14, 2007 8:12 AM
Cincinnati OH

Terry, the $147K you mention a company collects from your work is NOT profit.  It is earnings.  Profit is after the company pays all personnel, overhead, advertising, legal and whatever other expenses it take to run a business.  It will be nowhere near your number.

That said, have you tried to negoiate fees, alone or with a small group of other COTAs who hires a lawyer? Or have you just settled for what they offer? Have you requested a bonus at your sign up?  Your supervisor is hardly upper management.

What methods have you actually employed to enhance your earnings?  Both your successes and failure could help others.

Jane December 13, 2007 1:58 PM

I work for Valir in OK.  They pay those of us in rural LTC by the unit.  At times I may see 4 homes in one day.  We make GREAT money, but it is stressful and the money is inconsistant.   The company does have a bonus program for those that work for hourly wages.  These bonuses are based on units per pay period.    There are a FEW companies that are trying to treat their COTA's, PTA's and ST's well and Valir is one of them for the most part.

Darlene, LTC - COTA, Multi Nursing homes December 12, 2007 9:13 PM
OK

Tim,

For accuracy on per unit rates, you can refer to the physician fee schedule that is posted on the intermeidary's websites.

I think the link to the medicare fee schedule database is:

www.cms.hhs.gov/PhysicianFeeSched/pfsrvf/list.asp

Whatever reimbursement is, I think it is important for all clinicians to stay focused on providing the skilled intervention our clients need to meet their medical goals and improve their quality of life.  That is what we went to school for!  That is what we committed to as professionals when we took our national certification exam, and got our state licenses.

We, the therapists who are in the trenches, need to make the decisions regarding our client's care.  We are responsible and need to be accountable.  This is why we have a code of ethics, to help remind us along the way, in case we forget.

I agree with you that the people who help generate the profit should share in the reward.  I have heard skuttlebutt about a contract agency doing that, but cannot recall who/not sure of the details...

Lisa, private practice - OT December 12, 2007 12:28 AM
WI

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