Ron,
I have never heard of this type of payment system but it doesn't surprise
me. I have heard of, in an adult day care setting (CORF), a therapist
being paid a percentage of each billable unit depending upon how
many treatment units (and of course, some types of treatment are
reimbursed at a higher rate than others) as a contract therapist. The
contract therapist is also responsible for filing state and federal taxes
independently.
I do see the ethical dilemma, but health care is money driven. What
are the first words asked of all of us when we seek medical help......."Do you
have insurance?"
I work in a SNF/subacute rehab/LTC setting in which therapists are expected
to be at a 75% productivy level and COTA's/PTA's at 80%. Is this
realistic under PPS? Not in the facility where I am
working. Carol
>From: Ron Carson <[EMAIL PROTECTED]>
>Reply-To: [EMAIL PROTECTED]
>To: [EMAIL PROTECTED]
>Subject: Therapist pay based on billable charges
>Date: Wed, 5 Jun 2002 06:57:43 -0400
>
>Hey:
>
>I talked with a former student who said she was offered a peds
position in
>south Florida were her salary was based on the number of
clients she
>treated. She said that her salary would be 50% of her billable
charges.
>
>Has anyone heard of this type of salary system? It certainly
seems to raise
>questions of potential ethical concerns. It's like the
therapist is working
>on commission.
>
>Thanks,
>
>Ron
>
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