{"id":4813,"date":"2017-02-16T16:19:43","date_gmt":"2017-02-16T21:19:43","guid":{"rendered":"https:\/\/systems4pt.com\/staging\/?p=4813"},"modified":"2017-02-16T16:22:06","modified_gmt":"2017-02-16T21:22:06","slug":"catch-22-new-2017-eval-codes","status":"publish","type":"post","link":"https:\/\/systems4pt.com\/staging\/catch-22-new-2017-eval-codes\/","title":{"rendered":"The \u201cCatch 22\u201d of the New 2017 Eval Codes"},"content":{"rendered":"

The \u201cCatch 22\u201d of the New 2017 Eval Codes<\/strong><\/h2>\n

Most therapists are submitting the new 2017 eval codes and thinking, \u201cWhat\u2019s the big deal?\u00a0 I know how to recognize complexity.\u201d<\/p>\n

The Long Answer:<\/strong>\u00a0 Follow this APTA link to review over 100 pages of instructions on how to comply with 2017 eval code reporting\u00a0 http:\/\/www.apta.org\/EvalCodes\/<\/a><\/p>\n

The Short Answer:<\/strong>\u00a0 The CMS specifies that the individual factors that impact complexity need to be categorized and scored.\u00a0 The process for this is outlined below:<\/p>\n

\"\"<\/p>\n

After categorizing and scoring, you must document each factor that impacts complexity. Although these topics have already been documented in your eval, the CMS rules require the<\/span> therapists to document them a second time, defending the eval code selection with 100-200 words. Here\u2019s an example:<\/p>\n

The patient’s diagnosis is highly complex. Complexities related to the patient’s history that impact the plan of care include: The patient is 82 years old, which is expected to increase recovery duration. The diagnosis is a relapse of a prior episode in 2001. The patient’s home has stairs. The patient lives alone. The patient does not regularly exercise and demonstrates low muscle tone, strength, and endurance. The patient’s symptoms are aggravated by their daily routine and\/or profession. Prior hip joint replacement. Significant communication challenges because English is not the patient’s primary language.\u00a0 During the examination, the following complexities, which impact the plan of care, were discovered: Unstable gait\/balance\/mobility, as noted in objective findings. Limited ROM, as noted in objective findings. Limited strength, as noted in objective findings. BMI score of 32.23. The patient’s clinical presentation is high\/unpredictable.\u00a0 Surgery date 8\/1\/16. The patient is a falls risk.\u00a0 Evolving pain, fluctuating between 5\/10 – 8\/10 today vs 6\/10 at onset. The patient’s condition is degenerative.\u00a0 The therapist is unable to eliminate worsening of symptoms or predict timing. Optimal index disability index score: 77.\u00a0 Therapist decision making is highly complex<\/p>\n

Additionally, payors will soon pay more for higher levels of complexity.\u00a0 CMS warns, if you don\u2019t defend your reported eval code complexity, you are subject to takebacks.<\/p>\n

The \u201cCatch 22\u201d<\/strong><\/h3>\n

Typing 200 additional words does not help your patient progress. Remember, in 22 months you will be \u201cpaid for progression;\u201d however, you are required to spend more time documenting (which lessens available treatment time), while being paid for progression.\u00a0 But the ONLY thing that improves patient progression is your hands-on treatment time.\u00a0 <\/em>Crazy making, isn\u2019t it?<\/p>\n

There is a Solution:<\/strong><\/h3>\n

Systems4PT\u2019s one-of-a-kind EMR uses a patent-pending process to:<\/p>\n

    \n
  • Scours <\/span>your eval for topics that impact complexity<\/li>\n
  • Categorize those topics for you<\/li>\n
  • Score those topics for you, and<\/li>\n
  • Recommend the defensible eval code<\/li>\n<\/ul>\n

    The above happens in a nanosecond, and you will then apply your clinical judgement (a 30-second process).<\/p>\n

    Systems4PT\u2019s patent-pending advanced technology, in another nanosecond and based on your clinical judgement:<\/p>\n

      \n
    • Adds the defensible eval code, and then<\/li>\n
    • Adds the 100 \u2013 200 words of defensive documentation to the evaluation (example below)<\/li>\n<\/ul>\n

      The Benefit of Our Solution:<\/strong><\/h3>\n

      And after spending 30 seconds (and two nanoseconds) on eval codes, the therapist spends their<\/span> you will spend your time treating instead of typing.\u00a0 We give you the ability to spend as much hands-on time with your patients, which will drive progression, while you are properly and compliantly reimbursed for the great work you do \u2013 without the catch 22.<\/p>\n

      A Systems4PT evaluation takes half the time of your current EMR and we can prove that.<\/p>\n

      Systems4PT.\u00a0 Treat More, Type Less <\/strong>TM<\/sup><\/strong><\/h3>\n","protected":false},"excerpt":{"rendered":"

      The \u201cCatch 22\u201d of the New 2017 Eval Codes …<\/p>\n","protected":false},"author":1,"featured_media":4814,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[56],"tags":[],"class_list":["post-4813","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"\nThe \u201cCatch 22\u201d of the New 2017 Eval Codes - Systems4PT<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The \u201cCatch 22\u201d of the New 2017 Eval Codes\" \/>\n<meta property=\"og:description\" content=\"The \u201cCatch 22\u201d of the New 2017 Eval Codes ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/systems4pt.com\/staging\/catch-22-new-2017-eval-codes\/\" \/>\n<meta property=\"og:site_name\" content=\"Systems4PT\" \/>\n<meta property=\"article:published_time\" content=\"2017-02-16T21:19:43+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-02-16T21:22:06+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/systems4pt.com\/staging\/wp-content\/uploads\/2017\/02\/S4PTSocialRock.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"628\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Systems4PT\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Systems4PT\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/systems4pt.com\/staging\/catch-22-new-2017-eval-codes\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/systems4pt.com\/staging\/catch-22-new-2017-eval-codes\/\"},\"author\":{\"name\":\"Systems4PT\",\"@id\":\"https:\/\/systems4pt.com\/staging\/#\/schema\/person\/cbd6a79a0c6efcdf4bf949f37beca785\"},\"headline\":\"The \u201cCatch 22\u201d of the New 2017 Eval Codes\",\"datePublished\":\"2017-02-16T21:19:43+00:00\",\"dateModified\":\"2017-02-16T21:22:06+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/systems4pt.com\/staging\/catch-22-new-2017-eval-codes\/\"},\"wordCount\":575,\"publisher\":{\"@id\":\"https:\/\/systems4pt.com\/staging\/#organization\"},\"image\":{\"@id\":\"https:\/\/systems4pt.com\/staging\/catch-22-new-2017-eval-codes\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/systems4pt.com\/staging\/wp-content\/uploads\/2017\/02\/S4PTSocialRock.jpg\",\"articleSection\":[\"General\"],\"inLanguage\":\"en\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/systems4pt.com\/staging\/catch-22-new-2017-eval-codes\/\",\"url\":\"https:\/\/systems4pt.com\/staging\/catch-22-new-2017-eval-codes\/\",\"name\":\"The \u201cCatch 22\u201d of the New 2017 Eval Codes - 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