From the moment we set foot in a facility, we're on the move. We're expected to be productive throughout our day by billing patients for our services. We make it rain for the facility but aren't always recognized for it. When I see every other department in a healthcare setting, they usually take up space and use resources that cost the facility ...

I've spoken to patients from many countries and places around the globe. Sometimes it's like watching the movie Billy Elliot or trying to understand the lyrics of South African rap-rave crew Die Antwoord. I'm aghast, did they just curse? I wouldn't know because they speak so fast my mind can't keep up. It sounded like a curse word but there was an ...

Where is the objective data regarding gait distances in hospitals, rehab centers and SNFs? What I mean is, when we write down a patient used a FWW and walked 100 feet, where is the data to prove the distance was exactly 100 feet? Did someone measure the distance and quantify the data and calibrate the measuring device to ensure its accuracy? Maybe ...

We often see patients three to five days post-operatively in a SNF. The ortho docs, who send the patients to the facility, expect certain outcomes while the insurance companies have outcomes and agendas of their own. This creates some difficulty in managing the patient from a therapy standpoint. Most surgeons are somewhat familiar with what we ...

The patient I was supposed to see was in a RUG level that paid very well. He had some complications that prevented him from participating to get the full minutes for several days. On the patient's assessment day, I spoke to the nurse in charge of his care and she advised me not to see him that day due to a change in status, with a decline in ...

I've read about social security running out of money, reduced reimbursement rates, a decrease in the number of qualified providers, quicker discharges and supposedly better recovery after surgery. Where does this leave everyone? Social security has to be there to provide care for the blind and disabled; a reduction in reimbursements will always ...

We're all aware of the patient's bill of rights regarding treatment in a healthcare setting. They have the absolute right to refuse treatment and I think we should encourage them to invoke that right but with some consequences attached. First, we should provide a menu-type selection of which RUG level they'd like in regard to therapy. They could ...

According to Medicare, I'm able to work under the direction of an MD. Imagine what that could do to the outpatient market in some areas. As a PTA, I could set up a clinic, hire an MD and begin to provide care based on the MD's plan of treatment. Of course the state rules would try to prevent this but I'm pretty sure federal law trumps state law ...

We were treating a patient for several weeks and making some progress toward her discharge. There was a family conference and it was decided, with the patient's input, that she'd go back to her apartment. For the next couple of days, she seemed not to care where she went to live despite our encouragement. When a family member cornered me, we ...

As I was perusing the various state board websites, I noticed several states offered licenses to PTs but required the PTA to have a certificate to practice and provide therapy care. I've been awarded certificates in achievement, performance and even have one as a geriatric wellness specialist. My children come home from school with certificates in ...