Bulletproof Physical Therapy Decisions
Decision making tools and techniques for physical therapists

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Private practice physical therapist Tim Richardson shows you how to quickly, easily and completely write your physical therapy notes and charts for...

Bulletproof Decisions

Tim built his private practice Medicare compliance program the hard way - bit by bit, day by day, going to seminars, webinars, reading dense, bureaucratic policy manuals and learning everything possible about Medicare minimum documentation requirements, Medicare audits, payment policy, coding and billing issues.

Tim's story begins in January 2006 when he became the managing partner in his private practice physical therapy clinic in Palmetto, Florida.

Tim quickly found out that the practice's 'Medicare Compliance Plan' was a dusty folder sitting on a shelf in the founder's office. The Plan had not been updated in years. The reference materials were hopelessly outdated, the written plan didn't even resemble the current office and clinical procedures that had 'evolved' over the years.

Tim began updating and modernizing the Medicare compliance plan.  One of Tim's first actions was to call and ask a Medicare auditor what Medicare looks for in a physical therapy chart?

The auditor's answer to Tim's question was simple.

Why are you treating this patient?

What are you doing?

How long will therapy take?

How much will therapy cost?

Tim realized that Medicare demanded (implicitly) a Physical Therapy Diagnosis and Prognosis in the Plan of Care.

That simple question and answer led Tim to begin writing Bulletproof Physical Therapy Decision-making with the Physical Therapy Diagnosis as the starting point.

Tim believes that excellent clinical care, properly recorded, will inevitably lead to a Bulletproof Physical Therapy Chart and Note.

Tim also designed Bulletproof PT Decisions to train other PTs and PTAs to quickly learn simple concepts of why we write what we write.

Tim had to train six other PTs and PTAs in his clinic so he understands the needs to the PT manager.

Tim's approach is different from most Medicare consultants who require you to read pages and pages of dense, bureaucratic jargon in order to learn 'compliance'.

Tim realizes most of us don't want to be Medicare experts.

We want to be Physical Therapists and Physical Therapist Assistants!

We just want to treat patients!

So, Tim created Bulletproof Physical Therapy Decision-making to help you do the following:

  • Learn the three simple things Medicare wants in every PT chart
  • Train your staff to write down their work
  • Get a daily 'audit engine' that analyzes your charts for you
  • Easily generate Medicare long term functional goals using free, public-domain outcome scales.
  • Get more free time
  • Focus your time on whatever you prefer: treating patients, administration, go fishing, whatever!

Tim's concept is that Medicare compliance (as Medicare has stated that it should be) is less about memorizing complex regulations and more about good clinical physical therapy.

Tim began by assembling every commonly used test and measure for outpatient orthopedics he could find.  He categorized the existing evidence base into four measurement domains avialable for physical therapist decidion-making:

  • Self Report measures
  • Impairment-level measure
  • Performance measures
  • Classification measures

These evidence-based measures form the basis for Bulletproof Physical Therapy Decision Making.

Compliance through clinical competence is Bulletproof physical therapy decision-making.

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