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Hey guys, Tony Maritato here. So this was an interesting experience that I thought
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let me share it with the group so you guys know that we don't always have to do things the way
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things have always been done. So I'm sitting in the clinic, I've got my, you know, what is today
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Wednesday morning schedule. I had a little gap in the schedule and during that gap
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a patient came in to schedule. Now, normally what I do is I try to do the initial evaluation when
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the patient is here so that I don't send them away and then heaven forbid something happens and
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you know we don't initiate therapy. So the patient came in. I wasn't planning on doing an initial
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evaluation. He was asking if we received the referral and other documentation and I knew that
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we had. But what I did was I said, hey you know I've got 15 minutes. Let me ask you a bunch of
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questions. Let me get the initial interview started right now. And then we've got another opening
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later this afternoon at 3 30 why don't you come on back and we'll initiate therapy then
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so face to face we did the initial evaluation i did most of my interview i got past medical
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history we we got all of the information about what's going on what makes his condition better
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what makes his condition worse i put all of my information into the computer so now the same
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patient is going to come back this afternoon and we're going to carry out the remainder of
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day one treatment. And so if you look at the Medicare guidelines
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Medicare states that a treatment day might include multiple sessions So in other words the minutes that we did already will contribute to the minutes that we going to do later today I know that that not a practical
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solution for mobile therapists, but don't forget, we still have access to telehealth, to concurrent
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video and audio. So what if you started with a telehealth initial interview, HIPAA compliant
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platform video and audio concurrently then you transition that into an in-person on the same day
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or you did in person initially then you left and then you followed up later that evening with the
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telehealth you know a lot of times there there are things that i want to see the patient doing
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in the home maybe i do a mobile visit in the home for a new patient i set them up i make sure that
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they have the technology so that they can literally push a button and connect with me through a
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a telehealth platform, I do that before I leave. And then later that evening or that afternoon
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if I want to see how they're doing with the exercises that I prescribed earlier in the day
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I don't have to travel back out to their home. I can literally do it through the telehealth
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platform. It's still part of the same treatment day. So for the definition of a treatment day
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look at CMS chapter 15, section 220, look at the definitions, but understand that the more creative
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the more creatively you can learn to manage your time and your schedule the more effective you can
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be the better the patient care experience and the more profitably profitably you can run your
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practice guys if you have any questions let me know i'll catch you on the next video
