• When Should I Use Modifier 59? Image

    articleJul 28, 2017 | 7 min. read

    When Should I Use Modifier 59?

    In a PT’s paradise, the billing process wouldn’t exist. Therapists would simply provide treatment and receive payment accordingly, no explanation—or coding—required. In the real world, though, claims—and the codes and modifiers you submit with those claims—are your ticket to getting paid. And in many situations, one little modifier could have a big impact on your bottom line. Such is the case with modifier 59. Not sure of the rules governing proper use of this much talked-about modifier? …

  • The 8-Minute Rule: What it is and How it Works in WebPT Image

    articleJul 28, 2017 | 8 min. read

    The 8-Minute Rule: What it is and How it Works in WebPT

    With most buyer-seller transactions, calculating the cost of a product or service is fairly simple. There are no complicated formulas for determining the monetary value of a pizza or a movie ticket; you simply pay the business’s advertised price. When it comes to Medicare’s payment for rehab therapy services, however, things aren’t always so simple. Yes, I’m talking about the dreaded 8-Minute Rule (a.k.a. the Rule of Eights). The Basics The 8-Minute Rule governs the process by …

  • 7 Lessons Learned from Opening a PT Private Practice Image

    articleJul 25, 2017 | 9 min. read

    7 Lessons Learned from Opening a PT Private Practice

    A little over a year ago, Kaci Monroe was punching the clock as a staff physical therapist in a small outpatient clinic in northwestern Montana. And while there were a lot of great things about the job—the location was incredible, the patients were awesome, and the practice was growing—Kaci couldn’t shake the feeling that she was destined for something more. “As a new graduate, getting my first job, I remember during the interview telling them someday my …

  • Common Questions from our State of Rehab Therapy Webinar Image

    articleJul 17, 2017 | 16 min. read

    Common Questions from our State of Rehab Therapy Webinar

    WebPT recently conducted an industry survey of thousands of rehab therapy professionals across a wide variety of settings, specialties, and geographic regions. Our goal: To capture an accurate snapshot of the demographics, trends, frustrations, and motivations that shape our businesses, our future outlook, and our potential for success in this environment of change. In last week’s webinar , WebPT President and Co-Founder Dr. Heidi Jannenga, PT, DPT, ATC/L, and WebPT CEO Nancy Ham shared the results of …

  • Denial Management FAQ Image

    articleMay 26, 2017 | 22 min. read

    Denial Management FAQ

    During our denial management webinar , we discussed the difference between rejections and denials, explained how to handle both, and provided a five-step plan for stopping them in their tracks. The webinar concluded with an exhaustive Q&A, and we’ve amassed the most common questions here. Insurance Issues Claim Quandaries Compliance Qualms Documentation Dilemmas Front-Office Frustrations Insurance Issues We’ve had issues with auto insurances denying 97112 (neuromuscular re-education) for non-neuro diagnoses, even in cases when the patient’s medical …

  • Insurance Coverage Confusion: Why Uninformed Patients Lead to Unpaid Balances Image

    articleApr 17, 2017 | 5 min. read

    Insurance Coverage Confusion: Why Uninformed Patients Lead to Unpaid Balances

    People buy lots of products without truly understanding how they work. But unlike that automatic wine corker you impulse-bought from Brookstone last month, not every purchase comes with a 20-page instruction manual—or ends up working the way we imagined it would. For many consumers, that frustration definitely applies to the health insurance selection process. And that’s especially true for those who are new to the insurance market —for example, the millions of Americans who recently gained access …

  • WebPT Staff Spotlight on Kevin Tye Image

    articleApr 14, 2017 | 5 min. read

    WebPT Staff Spotlight on Kevin Tye

    He’s a level 27 Pokémon Goer, a former child movie actor, and an old-school hip-hop karaoke star—but if you ask Kevin Tye to describe himself, he’ll just smile sheepishly and say, “Aww, I’m really not that interesting." Of course, when new friends inevitably discover that Kevin has his own IMDb page —which prominently lists his sole claim to silver-screen fame, the role of “nerdy kid” in the 1998 family feature film, “No More Baths”—they almost always ask …

  • Four Things You Need to Know About PT Salary Image

    articleApr 1, 2017 | 4 min. read

    Four Things You Need to Know About PT Salary

    You probably didn’t get into the therapy business to become rich. You did it because you enjoy helping and healing people—and that’s the way it should be. But even if money isn’t your main motivation, it should still be somewhere on your radar. So, here are a few things to keep in mind as you contemplate compensation. 1. Experience matters. As with most professions, salaries for physical therapists vary widely based on a therapist’s number of years …

  • Common Questions from Our Patient Sticker Shock Webinar Image

    articleMar 31, 2017 | 33 min. read

    Common Questions from Our Patient Sticker Shock Webinar

    From copays and deductibles to payer contracts and benefits verification, understanding all the nuances of third-party insurances is tough enough for healthcare providers—let alone their patients. In WebPT’s most recent webinar— Suppressing Sticker Shock: How to Handle Your Patients’ High-Deductible Health Plans —co-hosts Heidi Jannenga, PT, DPT, ATC/L, the cofounder and president of WebPT, and WebPT CEO Nancy Ham provided a lot of great advice on how to have productive conversations about healthcare costs with your patients—without …

  • A Director of Rehab’s Take on the Future of Hospital-Based Therapy Image

    articleMar 30, 2017 | 7 min. read

    A Director of Rehab’s Take on the Future of Hospital-Based Therapy

    Thanks to a seemingly endless stream of healthcare reform initiatives, providers—especially large-scale providers like hospitals —are under greater pressure to reduce treatment costs while simultaneously improving patient outcomes. To do that, many hospital leaders are looking inward and re-evaluating the way they leverage the resources at their disposal—including traditionally overlooked care options like rehab therapy. In this interview-style post, Matt Kraemer—the director of acute and outpatient therapy services at Banner University Medical Center Phoenix —discusses how this …

  • St. Paddy's Day Quiz: What's Your Traditional Irish Medicine Technique? Image

    articleMar 13, 2017 | 1 min. read

    St. Paddy's Day Quiz: What's Your Traditional Irish Medicine Technique?

    Back in the Irish days of yore, there was no such thing as physical therapy. Heck, there were barely even doctors—at least as we know them today. In fact, before the advent of modern medicine, the healing community prescribed some pretty strange remedies to common ailments like headaches and joint pain. So, if you had practiced medicine back in old-timey Ireland, what would have been your go-to treatment? Take this quick 10-question quiz to find out.   …

  • WebPT Member Q&A: Why PTs Absolutely Must Track Outcomes Image

    articleFeb 27, 2017 | 7 min. read

    WebPT Member Q&A: Why PTs Absolutely Must Track Outcomes

    Brian Rodriguez, PT, DPT, OCS, is the owner of Utah Physical Therapy Specialists in West Jordan, Utah. There, he treats a variety of orthopedic conditions, specializing in sports injuries, spine problems, headaches, auto accident cases, geriatric problems, and work injuries. A WebPT Member since 2012, Brian’s clinic was one of the first to put WebPT Outcomes to work. In this interview-style post, Brian provides his two-cents on the importance of outcomes tracking , explains how he built …

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