"Physical therapy is not a subspecialty of the medical profession and physical therapists are not medical doctors; we are a separate profession that provides a unique service that physicians are unable and untrained to provide."

Letter to the AMA from the APTA, Dec 2009

Thursday, January 29, 2009

Should we privatize the PQRI program?

Here's a business model you should try: Government!

They want to monopolize health care but they have trouble introducing new products that people want.

Example: PQRI.

I just sat in on the Physician Quality Reporting Initiative (PQRI) in 2009: 2.0% Bonus Payment for Physical Therapy audio conference from the American Physical therapy Association (APTA).

You can buy the DVD of the seminar here.

Some past history

For 2007 only 16% of eligible professionals participated in Medicare's voluntary program with only one-half of those participants earning a bonus payment (56,722 providers).

Wow, if my results were that bad I'd be out of business!

Anyone ready to privatize the PQRI program?

Some future predictions

Here are some possible future uses of the data from PQRI:

– Contracting

– Tiering of providers ("I'm good, you're bad")

– Payment differentials ("I make more, you make less)"

– Network participation ("More dough based on who you know")

Should you participate in PQRI?

Full disclosure: I have yet to make a dime from PQRI and I've been doing this since July 2007.

But, I'm going to keep on.


Because 'Quality Measure Reporting' will soon be mandatory and if you don't participate you may see a 2% discount on your reimbursements.

Certain aspects of Medicare claims administration are already privatized: Recovery Audit Contractors are one successful example that still gives me sleepless nights.

Should government privatize the PQRI program?

Free Tutorial

Get free stuff at BulletproofPT.com

Tim Richardson, PT owns a private practice at Medical Arts Rehabilitation, Inc in Palmetto, Florida. The clinic website is at MedicalArtsRehab.com.

Bulletproof Expert Systems: Clinical Decision Support for Physical Therapists in the Outpatient Setting is a manager's workbook with stories, checklists, charts, graphs, tables, and templates describing how you can use paper-based or computerized tools to improve your clinic's Medicare compliance, process adherence and patient outcomes.

Tim has implemented a computerized Clinical Decision Support (CDS) system in his clinic since 2006 that serves as a Reminder, Alerting, Prompting and Predicting CDS using evidence-based tests and measures.

Tim can be reached at
TimRichPT@BulletproofPT.com .

"Make Decisions like Doctors"

Copyright 2007-2010 by Tim Richardson, PT.
No reproduction without authorization.

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Consistent with the American Physical Therapy Association Vision Statement for Physical Therapy 2020, the American Physical Therapy Association supports exclusive physical therapist ownership and operation of physical therapy services.