What Is An Evaluation Worth To You?
We had a discussion at the end of the day regarding our billing with some staff who had floated over from another location. The conversation was this: For a 45-minute evaluation with a patient, how do you bill for your time? Assume 15 minutes is spent with the formal evaluation - testing and observation - and 30 minutes ambulating, providing exercises and reviewing goals.
Side One: 45 minutes is equivalent to three units, so you should bill one evaluation (two units) and one unit of gait training.
Side Two: Since you spent 30 minutes performing gait training and ther-ex, you should bill one unit each for a total of one evaluation, one gait training and one ther-ex; this would total four units.
In either case, 45 minutes is being used, but one is more productive compared to the other. So, I'm looking for some comments here - what do you normally do? Does your employer have a policy for this? If so, what is expected for your billing with evaluations?
(Another part of this debate included questioning if an evaluation must be billed first, before gait training or ther-ex are billed. If you provide 10 minutes of crutch training to a patient, is that really a PT evaluation or is it more appropriate for one unit of gait training? But, that's another topic for a later date.)