• Common Questions from our Modifier Open Forum Image

    articleJul 7, 2014 | 10 min. read

    Common Questions from our Modifier Open Forum

    Should I have my patients sign an advance beneficiary notice of noncoverage (ABN) just in case Medicare doesn’t pay? No, by having your patient sign an ABN, you are acknowledging that you do not believe that the services you are providing are either medically necessary or covered by Medicare. If you have an ABN on file, you should include a GA or GX modifier on your claim so Medicare knows to deny the claim and assign financial …

  • WebPT Staff Spotlight on Ted Stokes Image

    articleJun 27, 2014 | 4 min. read

    WebPT Staff Spotlight on Ted Stokes

    With so many rules to follow, codes and modifiers to deal with, and hoops to jump through, the billing process isn’t exactly the most enjoyable part of a physical therapist’s job. But Ted Stokes, WebPT’s Director of Billing Services, relishes in it—especially when he has the opportunity to help therapists overcome the barriers that stand between them and their reimbursements. “I like removing problems for people so they can move forward, whether that’s for our Members or …

  • Negotiating Payer Contracts (Part 2): Taking Action Image

    articleJun 24, 2014 | 6 min. read

    Negotiating Payer Contracts (Part 2): Taking Action

    You’ve done all of your research and amassed a wealth of supporting data. Now you’re ready to make a super strong case for increasing your reimbursement rates with a particular private payer. (If you missed my post about preparing for payer contract negotiations, you can check it out here .) But this isn’t your average business negotiation; making a deal with a health plan representative is a little more complex than, say, haggling over the price of …

  • How to Negotiate Payer Contracts (Part 1): Making a Plan Image

    articleJun 23, 2014 | 7 min. read

    How to Negotiate Payer Contracts (Part 1): Making a Plan

    In today’s healthcare payment landscape, every dollar counts—especially in the physical therapy realm, where increasing regulations and decreasing reimbursements seem to be the name of the game. That’s why now, more than ever, it’s crucial that you get the most out of your private payer contracts—and to do that, you’ve got to negotiate. To help you make a case for the rates you deserve, I’ve put together a two-part guide to successfully negotiating payer contracts. Today, I’ll …

  • Choosing the Right Billing Method for Your Practice: In-House, Outsourced, or Offshore? Image

    articleJun 4, 2014 | 6 min. read

    Choosing the Right Billing Method for Your Practice: In-House, Outsourced, or Offshore?

    For many physical therapists, billing is kind of like weeding a garden. It’s a chore that—though tedious and generally unenjoyable—is absolutely necessary. Because just as your pansies and geraniums will suffer if you let weeds overrun them, your practice will suffer if you let outstanding balances and backed-up appeals overrun your billing department. However, while most people would find it fairly easy to hire someone to pull their dandelions, many practitioners are reluctant to turn over their …

  • Ten Ways Physical Therapists Can Maximize Billing Image

    articleJun 2, 2014 | 7 min. read

    Ten Ways Physical Therapists Can Maximize Billing

    In a perfect world, physical therapists wouldn’t have to deal with billing. They’d simply treat, heal, and magically receive payment for their services. But we don’t live in that fantasy world, and unfortunately, the billing process is anything but magical. If you’re a PT, submitting claims comes with the territory. Luckily, there are a few things you can do to optimize your billing process to give yourself more revenue—and fewer headaches. Here are our top ten: 1. …

  • Hiring the Right Marketing and Sales Person for Your Practice Image

    articleMay 15, 2014 | 5 min. read

    Hiring the Right Marketing and Sales Person for Your Practice

    As a physical therapist, you know that the vast majority of the general public could benefit from your services in one way or another. The sad reality, though, is that most people don’t even know what physical therapists do —let alone how seeing a PT could drastically improve their quality of life. In any business, though, profits are driven by demand. And if you want to keep your doors open—or better yet, grow your practice—then you have …

  • WebPT Staff Spotlight on Jenny Walters Image

    articleMay 13, 2014 | 5 min. read

    WebPT Staff Spotlight on Jenny Walters

    Whether she’s planning an event or sampling a craft beer, Jenny Walters is staunchly attentive to detail. After all, it’s the small things—like the subtle, citrusy flavor of Cascade hops or a personalized greeting at a large conference—that often make the biggest impact. As WebPT’s Marketing and Events Specialist, Jenny is responsible for planning all of WebPT’s public appearances—from our trade show booths to our Evolve conferences. And Jenny knows better than anyone that when it comes …

  • PTs Are Salespeople Too Image

    articleMay 7, 2014 | 6 min. read

    PTs Are Salespeople Too

    Salespeople often get a bad rap—for being too pushy, too manipulative, too flat-out obnoxious. And many times, that negative association is well deserved. I mean, when’s the last time you picked up a telemarketing call and said to the person on the other end of the line, “Thank you so much for interrupting my family dinner! Of course I want to take advantage of this one-time credit card offer!” The problem is, sales stereotypes often prevent legitimate …

  • What’s the Deal With External Cause Codes? Image

    articleApr 21, 2014 | 5 min. read

    What’s the Deal With External Cause Codes?

    Let’s face it: the ICD-10 code set isn’t exactly the most enticing reading material. So naturally, mainstream media coverage of ICD-10 has focused on some of the more, shall we say, entertaining features of the coding manual: namely, the external cause codes found in chapter 20. But while these supplementary codes certainly offer a dose of comic relief—and an endless supply of hilarious blog fodder (if we do say so ourselves)—they’ve also elicited more than a few …

  • How Your Bank Can Help With the Cost of the ICD-10 Transition Image

    articleApr 17, 2014 | 4 min. read

    How Your Bank Can Help With the Cost of the ICD-10 Transition

    There’s been plenty of debate over the price tag on the ICD-10 transition. In fact, a recent AMA study—cited in this Information Week article —claimed that by the time everything is said and done, the total cost could be three times more than what original estimates predicted, which means small practices could take a hit of around $226,000. While that projection is probably a bit far-fetched, experts do expect there to be more than a few transitional …

  • How to Select the Right ICD-10 Code in Three Easy Steps Image

    articleApr 16, 2014 | 3 min. read

    How to Select the Right ICD-10 Code in Three Easy Steps

    Earlier this month, we showed you how to find the correct ICD-10 equivalent of an ICD-9 code ; discussed tips for coding pain and injuries ; and provided you with a list of common therapy-specific codes . Now, let’s talk about how to navigate the alphanumeric coding labyrinth known as ICD-10 from patient diagnosis to final code submission. With more than 68,000 codes to wade through, identifying the correct (read: most specific) one might seem a bit …

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