#solvePT Tweetchat on Direct Access from 4/24/12 | Modern Manual Therapy Blog

#solvePT Tweetchat on Direct Access from 4/24/12

Here are some of the top tweets from last night's tweetchat #solvePT on direct access.

Edit: trying to re-post with almost everything from the 9:00 to 10:00 EST tweetchat scheduled times. You can search twitter for #solvePT to see the latest.

Be sure to check out a great post by Dr. Kyle Ridgeway on PT Think Tank on #SolvePT.

traboccantApr 24, 10:02pm via TweetDeck
@PhysicalTherapy Not enough educators to support higher enrollment numbers #solvePT
SnippetPhysTherApr 24, 10:01pm via TweetDeck
I'm off... I know we didn't solve issue, but nice insight into what's happening out there! #solvePT
SturdyApr 24, 10:01pm via txt
RT @PhysicalTherapy: Why is their 2x as many PT programs with half # of grads as med schools? #solvept
chinzeDPTApr 24, 10:01pm via Tweetbot for iOS
@GuidryPT same problem here in MI. Eval only is not enough or direct access, need to be able to provide skilled intervention #SolvePT
traboccantApr 24, 10:01pm via TweetDeck
Thanks! RT @ptbise: @SnippetPhysTher You sound like Tony Delitto... #solvePT
SturdyApr 24, 9:59pm via txt
RT @PhysicalTherapy: Must get profession away from stopwatch & overdocumentation #solvept
VegasAthletesPTApr 24, 9:59pm via web
@chinzeDPT @SnippetPhysTher already on it! Just would be faster if we didnt have to wait for them as repeat pts, but its working! #solvept
GuidryPTApr 24, 9:59pm via web
@chinzeDPT In a state with DA for eval only Not all MD's are receptive to PT doing eval then sending patient to them for referral #solvept
SnippetPhysTherApr 24, 9:59pm via TweetDeck
@ptbise Wish I knew him better. He's quite smart! I don't think I'm at his caliber. ;) Thank you though. #solvePT
SnippetPhysTherApr 24, 9:58pm via TweetDeck
via @Sturdy We are a referral source. . #solvePT <- Definitely. If physicians could see it that way...
ptbiseApr 24, 9:57pm via TweetDeck
@SnippetPhysTher You sound like Tony Delitto... #solvePT
SnippetPhysTherApr 24, 9:57pm via TweetDeck
@GuidryPT MI is same way. Most MD's prefer to refer & don't prefer to sign recerts or plan of care w/o seeing pt#solvept
GuidryPTApr 24, 9:57pm via web
I am in a state where I have DA for eval only.Not all MD's ae receptive to PT doing eval then sending patient to them for referral. #solvept
SnippetPhysTherApr 24, 9:56pm via TweetDeck
@ptbise Better marketing slogan: Do you want to DO something or do you want to "wait and see?" lol #solvept
ptfromouApr 24, 9:56pm via Twitter for iPhone
@SnippetPhysTher and to reduce # of un necessary MRIs. Still value In PT #solvept
traboccantApr 24, 9:56pm via TweetDeck
@ptbise Do you have link for intermountain? Would love to take a look. #solvePT
chinzeDPTApr 24, 9:56pm via TweetDeck
RT @ptbise: @chinzeDPT marketing slogan: Do you want your PT to practice like a doctor or take orders from one?#solvept
ptbiseApr 24, 9:56pm via TweetDeck
@chinzeDPT marketing slogan: Do you want your PT to practice like a doctor or take orders from one? #solvept
ptfromouApr 24, 9:55pm via Twitter for iPhone
@SnippetPhysTher @VegasAthletesPT OH saw it as one fight at a time. Don't want the docs and insurance on same side against you. #solvept
SnippetPhysTherApr 24, 9:55pm via TweetDeck
@VegasAthletesPT Yes, we need to change consumer mindset - completely agree #solvept
SturdyApr 24, 9:55pm via Twitter for iPhone
@ptbise ppl still access MDs first. Big co's see MD relationships as lvg points for mktg. WE must educate the public. #solvept
VegasAthletesPTApr 24, 9:55pm via web
@SnippetPhysTher...are offended at the thought of having to pay for PT and not use their ins. Its the mindset we need to change #solvept
SnippetPhysTherApr 24, 9:54pm via TweetDeck
via @ptbise Intermountain in Utah has done soem interesting research as well #solvePT <- LOVE their work!
VegasAthletesPTApr 24, 9:54pm via web
@SnippetPhysTher yes, payers are 1, and patients are 2. So many think nothing of paying out of pocket for chiro, but... #solvept
PTThinkTankApr 24, 9:54pm via Tweetbot for iOS
Passion into action! Ideas into change!! @physiocarept@Kintegrate You made some great points! Now, its implementing those ideas #solvePT
ptbiseApr 24, 9:54pm via TweetDeck
@traboccant @SnippetPhysTher @LisajmuellerIntermountain in Utah has done soem interesting research as well. #solvept
ptfromouApr 24, 9:53pm via Twitter for iPhone
@SnippetPhysTher but that pt will come back to us no go to their POPTS #solvept
chinzeDPTApr 24, 9:53pm via Tweetbot for iOS
@SnippetPhysTher @VegasAthletesPT or like MI where laws were changed to enable ins to NOT pay in advance of DA even passing #SolvePT
PTThinkTankApr 24, 9:53pm via Tweetbot for iOS
Worth the read! Excellent response by @Kintegrate I put a response to some thoughts I have on #solvePT@PTThinkTank ow.ly/auJM5
KendraPedPTApr 24, 9:53pm via Twitter for iPad
Just started lurking. No DA in KS or MO (where I work & live). Interesting hearing from those who have it. #solvept
SnippetPhysTherApr 24, 9:52pm via TweetDeck
@ptfromou Yeah, but that's to cut their cost of an MRI... that isn't true DA #solvept
traboccantApr 24, 9:52pm via TweetDeck
Exactly! RT @SnippetPhysTher: @VegasAthletesPT State regs weren't changed to require ins to pay for DA #solvept
ptfromouApr 24, 9:52pm via Twitter for iPhone
@SnippetPhysTher @anthem Some recog value blue cross in OH requires 8-12 visit of PT Before MRI approved#solvept
APTACOApr 24, 9:52pm via Tweetbot for iOS
Nice! RT @Jerry_DurhamPT @AAOMPT @APTAtweets@APTAadvocacy #solvePT Get involved to express your ideas & create change & growth!! < IM IN DC
SturdyApr 24, 9:52pm via TweetDeck
RT @SnippetPhysTher: @ptfromou Ortho should be the least threatened. We don't do surgery; they don't want to "manage" #solvept
SnippetPhysTherApr 24, 9:52pm via TweetDeck
@VegasAthletesPT It's sounding to me that one huge obstacle are payers. State regs weren't changed to require ins to pay for DA #solvept
physiocareptApr 24, 9:51pm via TweetDeck
@SnippetPhysTher Let PCPs do what they are great at and let PTs do what they are great at. Win/win. #solvePT
APTACOApr 24, 9:51pm via Twitter for iPhone
RT @Jerry_DurhamPT: “@APTACO: @AAOMPT@APTAtweets @APTAadvocacy #solvePT Get involved to express your ideas & create change & growth!!” <<--- IM IN DC!!
chinzeDPTApr 24, 9:51pm via Tweetbot for iOS
@ptbise again, maybe afraid of losing referrals by marketing directly. Must see greater value in nurturing referral relationships. #SolvePT
chinzeDPTApr 24, 9:51pm via Tweetbot for iOS
@ptbise again, maybe afraid of losing referrals by marketing directly. Must see greater value in nurturing referral relationships. #SolvePT
SnippetPhysTherApr 24, 9:50pm via TweetDeck
@ptfromou Ortho should be the least threatened. We don't do surgery; they don't want to "manage" #solvept
VegasAthletesPTApr 24, 9:50pm via web
So do you use a sliding scale for DA, or are we just catering to those who have $$ and again missing those who dont? #solvept
traboccantApr 24, 9:50pm via TweetDeck
@SnippetPhysTher: @Lisajmueller: Why aren't there more cases like Virginia Mason Medical. #solvePT
ptbiseApr 24, 9:50pm via TweetDeck
RT @SnippetPhysTher: RT @physiocarept: Promote PTs to fill the gap in PCP shortage as MSK experts. #solvePT<-excellent!
ptfromouApr 24, 9:50pm via Twitter for iPhone
@SnippetPhysTher and they don't feel threatened. It's the ortho docs that a Seem threatened by DA #solvept
physiocareptApr 24, 9:48pm via TweetDeck
@SnippetPhysTher Our state association does a good job of edu. community. We educate our pts to spread word.#solvePT
SnippetPhysTherApr 24, 9:48pm via TweetDeck
@Lisajmueller: There IS excellent data now. Look Virginia Mason Medical. Why no change in employers/insurances demanding PT 1st? #solvePT
traboccantApr 24, 9:48pm via TweetDeck
@physiocarept I would include neuro and CVP in that, not just MSK. #solvePT
ptbiseApr 24, 9:47pm via web
@SnippetPhysTher Have no idea, was a legit question that I was looking for answer #solvePT
SnippetPhysTherApr 24, 9:47pm via TweetDeck
RT @physiocarept: Promote PTs to fill the gap in PCP shortage as MSK experts. #solvePT <-excellent!
SnippetPhysTherApr 24, 9:46pm via TweetDeck
@ptfromou It's going to be more and more of a problem too with PCP shortage in future #solvept
physiocareptApr 24, 9:46pm via TweetDeck
@SnippetPhysTher Promote PTs to fill the gap in PCP shortage as MSK experts. #solvePT
SnippetPhysTherApr 24, 9:46pm via TweetDeck
@Jerry_DurhamPT I'd think MCR 1st... creates change in other states/ins plans... increases competition for POPTS & POPTS dies #solvePT
ptfromouApr 24, 9:45pm via Twitter for iPhone
@SnippetPhysTher in our sm community most docs not takin new pts cause too busy. DA helps relieve this bourdon for more new pts #solvept
SnippetPhysTherApr 24, 9:45pm via TweetDeck
@ptbise What? Are politics or something involved for larger companies to not take advantage of DA? #solvept
LisajmuellerApr 24, 9:45pm via Twitter for iPad
As more info/data supports early intervention, MDs and insurance will be more supportive for DA. #solvePT
VegasAthletesPTApr 24, 9:45pm via web
pts need to view us as an option for all of their wellness needs, thats one thing chiro gets credit for - they sell the public well #solvept
ptbiseApr 24, 9:44pm via TweetDeck
#solvept ? 4 all... I see ATI aggressively market DA but not NovaCare or Physio. Why aren't the larger companies on board with DA
SnippetPhysTherApr 24, 9:44pm via TweetDeck
@physiocarept In order to increase % of DA, community has to be educated too. #solvePT
SnippetPhysTherApr 24, 9:43pm via TweetDeck
via @physiocarept Can you be more specific? Educat pts or community in general? #solvePT
chinzeDPTApr 24, 9:43pm via Tweetbot for iOS
Or 2) change the sense of entitlement in US where consumers feel every HC cost should be covered by ins#solvePT
The_OMPTApr 24, 9:43pm via Twitter for Android
@SnippetPhysTher #solvept also wonder what % of business is DA vs referral for specialist?
SnippetPhysTherApr 24, 9:42pm via TweetDeck
Insurance companies SHOULD be fully on board with PT 1st. Increases THEIR profits! #solvePT
chinzeDPTApr 24, 9:42pm via Tweetbot for iOS
For direct access to be successful, 1 of 2 things must happen: 1)Unrestricted federal direct access with other ins following suit #solvePT
SnippetPhysTherApr 24, 9:42pm via TweetDeck
Anyone have ideas on how to be viewed as less threatening to physicians as we try to educate consumers? #solvePT
ptbiseApr 24, 9:41pm via TweetDeck
@chinzeDPT negative mindset change needs to start with educational leadership, students see professors subserv to MD's they model #solvept
LisajmuellerApr 24, 9:41pm via Twitter for iPad
@SnippetPhysTher that's the problem I see. I know clinics that are ok with DA but it gets denied by insurance companies. #solvept
ptfromouApr 24, 9:40pm via Twitter for iPhone
Ohio didn't tie DA to insurance so pt can pay cash for service too #solvept
chinzeDPTApr 24, 9:40pm via Tweetbot for iOS
@traboccant I think both are factors, but probably afraid to lose referrals is main reason, especially in pri practice#solvePT
VegasAthletesPTApr 24, 9:39pm via web
@The_OMPT @SnippetPhysTher In NV, DA is unrestricted but no one knows about it. I would like to change that this year! #solvept
traboccantApr 24, 9:39pm via TweetDeck
@SnippetPhysTher With @chinzeDPT: Federal direct access, no exceptions Ins should cover. #solvePT
ptfromouApr 24, 9:38pm via Twitter for iPhone
@SnippetPhysTher biggest regs are Medicare Medicaid from what I've seen #solvept
ptfromouApr 24, 9:38pm via Twitter for iPhone
@SnippetPhysTher I think more pts still think need to see doc #solvept
SnippetPhysTherApr 24, 9:38pm via TweetDeck
@physiocarept @The_OMPT So how do you educate your lil communities? #solvept
physiocareptApr 24, 9:37pm via TweetDeck
@SnippetPhysTher Many pts dont realize they have DA, so they become self referred as a return pt. #solvePT
The_OMPTApr 24, 9:37pm via HootSuite
@SnippetPhysTher #solvept I don't turn away the referrals from docs. Still market to each pt for return visits they don't need referral
ptfromouApr 24, 9:37pm via Twitter for iPhone
@SnippetPhysTher basically walkin clinic for all athletes. Have seen 5th graders thru seniors. get some when break frm college #solvept
traboccantApr 24, 9:36pm via TweetDeck
@chinzeDPT Many still let MD decide on Rx interventions. Afraid to rock the boat: lose referrals or just not independent enough? #solvePT
SnippetPhysTherApr 24, 9:36pm via TweetDeck
Is the low # of DA patients related to insurance regulations? #solvePT
SnippetPhysTherApr 24, 9:36pm via TweetDeck
@PhysicalTherapy So what do u think? Which would u choose? DA in MCR might spin to other insurance changing leading to less POPTS #solvept
physiocareptApr 24, 9:35pm via TweetDeck
@SnippetPhysTher Without #s right in front of me, I would guess 30%. #solvePT
SnippetPhysTherApr 24, 9:34pm via TweetDeck
RT @chinzeDPT: many in profession still stuck in subservient role. Afraid to go against the norm and target consumer directly #solvePT
chinzeDPTApr 24, 9:34pm via Tweetbot for iOS
many in profession still stuck in subservient role. Afraid to go against the norm and target consumer directly#solvePT
ptfromouApr 24, 9:34pm via Twitter for iPhone
@SnippetPhysTher we only do game coverage. Also do mandatory sports meeting w players/parents. No appt needed #solvept
SnippetPhysTherApr 24, 9:33pm via TweetDeck
@physiocarept What percentage of your patients DA?#solvePT
physiocareptApr 24, 9:32pm via TweetDeck
@SnippetPhysTher yes, we do. Biggest employer in area has DA. Pts often seek PT 1st. #solvePT
SnippetPhysTherApr 24, 9:32pm via TweetDeck
@The_OMPT mentions 10-20% patients via DA. We fight for it, get it then... nothing changes? Why not higher % DA?#solvept
ptfromouApr 24, 9:31pm via Twitter for iPhone
@SnippetPhysTher my company contracts the ATC for local schools. We PTs go to each head coach and introduce self and service DA #solvept
chinzeDPTApr 24, 9:30pm via Tweetbot for iOS
Federal direct access should be professions man main goal in terms of DA #solvePT
SnippetPhysTherApr 24, 9:29pm via TweetDeck
@ptfromou Yep, that would be a good idea too. But... referred by AT or PT with sports cert on sideline? #solvept
ptfromouApr 24, 9:27pm via Twitter for iPhone
Also works great for our HS Athletes. Immed assessment eval and treatment. #solvept
SnippetPhysTherApr 24, 9:27pm via TweetDeck
@PhysicalTherapy Main reason... other insurance plans tend to follow Medicare. #solvept
SnippetPhysTherApr 24, 9:27pm via TweetDeck
@PhysicalTherapy Depends... if Medicare made it TRUE direct access, I'd think THAT might be better option#solvept
SnippetPhysTherApr 24, 9:25pm via TweetDeck
@PhysicalTherapy Is that how Fit for Work is so successful? More proactive PT 1st? #solvept
ptfromouApr 24, 9:24pm via Twitter for iPhone
@SnippetPhysTher @PhysicalTherapy they Fam pract/ int med not threatened w feeling of losing that pt. #solvept
traboccantApr 24, 9:24pm via TweetDeck
@ptbise PT friend works for Boeing on the line and intervenes before injury ever nears chronic. Often never sees MD. Huge savings. #solvePT
ptfromouApr 24, 9:23pm via Twitter for iPhone
@SnippetPhysTher @PhysicalTherapy our fam pract docs like it less of their time for what they are going to send to PT anyway #solvept
PhysicalTherapyApr 24, 9:23pm via ÜberSocial for BlackBerry
? for group: DA in MCR or POPTS eliminated? You make the call #solvept
ptbiseApr 24, 9:21pm via TweetDeck
@SnippetPhysTher @PhysicalTherapy different world if WC to PT before doc. Many WC injuries musculoskeletal in nature #solvept
PhysicalTherapyApr 24, 9:21pm via ÜberSocial for BlackBerry
@SnippetPhysTher in capitated models yes but otherwise we take $ from their kids trust funds #solvept
The_OMPTApr 24, 9:21pm via HootSuite
#solvept Not too many, as I still get a ton of specialist referrals for TMD, I'd say about 10-20% are direct access
SnippetPhysTherApr 24, 9:20pm via TweetDeck
@PhysicalTherapy I never thought of DA being huge asset for WC. Bet there WOULD be savings #solvept
SnippetPhysTherApr 24, 9:19pm via TweetDeck
@PhysicalTherapy Can't go national. No consistency in state regs :( #solvept
traboccantApr 24, 9:18pm via TweetDeck
@SnippetPhysTher I think its an oppty 2 B inclusive w/ MD. On = ground & communication shld B + 4 MD instead marketing call #solvePT
PhysicalTherapyApr 24, 9:18pm via ÜberSocial for BlackBerry
DA would benefit by national effort in marketing/branding. Too risky & $ for small practices #solvept
SnippetPhysTherApr 24, 9:18pm via TweetDeck
@PhysicalTherapy Plus... orthos should LOVE the idea of PT 1st. Ortho would get appropriate patients that DID require surgery #solvept
SnippetPhysTherApr 24, 9:17pm via TweetDeck
@PhysicalTherapy seriously though... PCP are going to be swamped! They should LOVE having PT take musculoskeletal #solvept
SnippetPhysTherApr 24, 9:17pm via TweetDeck
@PhysicalTherapy How could it be done in a way to not threaten MD? #solvept
PhysicalTherapyApr 24, 9:16pm via txt
True DA=direct marketing ready to take that on? Risk MD turnoff referrals? #solvept
ptbiseApr 24, 9:16pm via TweetDeck
@PhysicalTherapy don't see many personal trainers completing medical screening on patients either... curious about mortality,,, #solvept
chinzeDPTApr 24, 9:15pm via Tweetbot for iOS
@traboccant @SnippetPhysTher for me biggest change would be in marketing, targeting consumer directly instead of referral sources #solvePT
SnippetPhysTherApr 24, 9:14pm via TweetDeck
With DA there are quite a few states with it. Anyone seeing patients proactively choosing PT 1st? #solvePT
MattOElliottApr 24, 9:14pm via txt
RT @PhysicalTherapy: Direct access gr8t 4 personal trainers & chiros-that should tell us something #solvept
traboccantApr 24, 9:14pm via TweetDeck
@chinzeDPT Agreed, but I'm not sure it is consistent, I hope it is. #solvePT
SnippetPhysTherApr 24, 9:14pm via TweetDeck
@chinzeDPT Yes, we all should. I just think I might be even more diligent #solvePT
chinzeDPTApr 24, 9:13pm via Tweetbot for iOS
@SnippetPhysTher @traboccant shouldn't we be doing all this already, even without DA? #solvePT
traboccantApr 24, 9:12pm via TweetDeck
@SnippetPhysTher Indeed, not 2 mention full physical screens. They teach that hree in Au, generalist exam then address PT needs.#solvePT
SnippetPhysTherApr 24, 9:12pm via TweetDeck
@PhysicalTherapy Also for massage therapists... some with little training with huger risks of being unsafe compared to PT #solvept
SnippetPhysTherApr 24, 9:11pm via TweetDeck
@traboccant I also think I'd have to really quickly determine appropriate patients (is a candidate or not a candidate) for services #solvePT
chinzeDPTApr 24, 9:11pm via Tweetbot for iOS
@traboccant @SnippetPhysTher working (slowly and ineffectively) at getting it here in MI. #solvePT
PhysicalTherapyApr 24, 9:11pm via txt
Direct access gr8t 4 personal trainers & chiros-that should tell us something #solvept
SnippetPhysTherApr 24, 9:10pm via TweetDeck
@traboccant I think I'd have to be even a more proactive advocate in drug interactions #solvePT
SnippetPhysTherApr 24, 9:10pm via TweetDeck
@traboccant For me personally, I think it would reduce costs; I'd have to be really on my toes with screening#solvePT
traboccantApr 24, 9:09pm via TweetDeck
@SnippetPhysTher So you don't have it? How do think getting it would change practice? #solvePT
SnippetPhysTherApr 24, 9:09pm via TweetDeck
via @ptbise Very few barriers. There's the occasional auth but that's nothing new, we did that with MD's #solvept
ptbiseApr 24, 9:09pm via TweetDeck
RT @ptbise: @SnippetPhysTher Very few barriers. There's the occasional auth but that's nothing new, we did that with MD's #solvept
SnippetPhysTherApr 24, 9:09pm via TweetDeck
@PhysicalTherapy And... with WC, do companies seek out PT first & skip occ doc? #solvept
chinzeDPTApr 24, 9:08pm via Tweetbot for iOS
“@ptbise seems like these pts would have sought PT services anyway. Have you used Direct Access to try to capture new clients?” #solvePT
PhysicalTherapyApr 24, 9:08pm via ÜberSocial for BlackBerry
Direct access on practical level has been most effective on work comp & consumer/friend basis #solvept
traboccantApr 24, 9:07pm via TweetDeck
@ptbise At the time I left NM only BC and I think Aetna would reimburse without a MD referral, that was a year ago. #solvePT.
SnippetPhysTherApr 24, 9:07pm via TweetDeck
@ptbise In PA once you have your certificate of auth, no major limitations. From what you are saying, positive = cost saving to pt #solvept
ptbiseApr 24, 9:06pm via TweetDeck
@traboccant are you saying that BCBS is the only insurer paying for direct access services? #solvept
traboccantApr 24, 9:05pm via TweetDeck
@SnippetPhysTher Exactly. Each state has a slightly difft take on DA so it does make it difficult 2 compare. Do all states have DA? #solvePT
ptbiseApr 24, 9:04pm via TweetDeck
#solvept biggest change was repeat customers seek care on own and refer friends and family. No middle man (MD) needed.
SnippetPhysTherApr 24, 9:04pm via TweetDeck
RT @chinzeDPT @The_OMPT curious what % of your pts come to you via Direct access? #solvePT
SnippetPhysTherApr 24, 9:02pm via TweetDeck
@traboccant So in other words, the lack of standardization of true direct access creates difficulty with this topic#solvePT
chinzeDPTApr 24, 9:02pm via Tweetbot for iOS
@The_OMPT curious what % of your pts come to you via Direct access? #solvePT
The_OMPTApr 24, 9:00pm via HootSuite
#solvept I'm in NY btw. It helped the most also for returning pts to avoid having to see PCP or previous referring specialist.
The_OMPTApr 24, 8:59pm via HootSuite
#solvept Direct access affected my practice with pts who wanted to waive their insurance or refer their friends and family.



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