Insurances
The three colors a WC payer can be and their units per visit
Green, Orange & Yellow
Involves the patient in their care plan which leads to higher patient satisfaction and improved outcomes
What is RTM?
Program offered to help with HEP compliance and aids with outcomes
RTM
Target % for TA utilization and why
What is 25% and it is the most functional/skilled unit type?
The three sides of the delta
What is employee wellbeing, the company (CORA) and the patient?
The billing for a double booked medicare
what is 2 units (25 minutes), 1 group (10 minutes) and 1 unattended estim?
Patients that receive communication between visits are this percentage more likely to adhere to their HEP
What is 90-95%?
Program offerred to help our work comp patients return to work
What is work conditioning or work hardening?
Target copay collection for each clinic
What is 90%?
Schedule that looks efficient consists of what scheduling?
What is 3-2-1 after cancellations?
Specific insurances that require authorization to treat
What is wellcare, careplus, devoted, WC, humana medicaid?
DHS stands for
Digital Health Specialist
Place for patients to be able to get equipment for their HEP
What is therapy essentials?
Target length of stay for red dots & green dots
What is 6 visits and 12 visits?
A metric that is indicative of patient compliance and loyalty expressed in a percentage
What is cancellation rate?
A green dot patient that comes into therapy late and only gets 33 minutes of therapy can get how many billed units
What is 4 units (unit diversification)?
One "Live interaction" is able to be billed remotely when the patient
Activates in clinic, Logs in app, and answers phone when called by the DHS
Home health program CORA offers and their fees
What is House Calls?
What is $80 for eval and $65 for PT and $45 for PTA for follow up visits?
Mileage is included in the per visit rate unless it is significantly out of clinic and territory range and then we can discuss each case individually. This is completely separate from in clinic pay
Name the 4 things that affect revenue per visit
What is LOS, work comp, RTM and UMR?
Internal courses that come with certifications
What is graston, ASTYM, Manual, residency and mentorship?
The difference between a coinsurance and a copay
Coinsurance - applies after deductible is met then is paid at a percentage
Copay - flat rate paid at each visit until OOP is met
This percentage is the clinics goal for enabled and activated for RTM services
30-35%
List the different types of therapy CORA offers at different locations?
What is occupational, physical and it's diversifications?
Your capacity in your clinic is determined by
What is the number of full time employees and your clinic visits per full time employee?
Define our case management model and why
Treat all patients - offer to community - we have to make balanced decisions