• The Ins and Outs of ABNs Image

    articleOct 18, 2018 | 6 min. read

    The Ins and Outs of ABNs

    If the rules of Advance Beneficiary Notices of Noncoverage (ABNs) make you a bit confused, you’re definitely not alone. In an effort to shed some light on the ins and outs of ABNs and to highlight some recent changes to ABN requirements, Medicare created this set of FAQs clarifying their use. Here’s some info to help bring you up to speed: What is an Advance Beneficiary Notice of Noncoverage (ABN)? An ABN is a form practitioners use …

  • Denied but Not Dead: How to Submit a Medicare Appeal Image

    articleOct 15, 2018 | 9 min. read

    Denied but Not Dead: How to Submit a Medicare Appeal

    You know the drill: you provided Medicare-covered, medically necessary services to a patient who has active Medicare coverage. And yet, for some reason, CMS denied your claim. While you could chalk it up to a complicated government payer system and write off the costs of those services, that may not be the best solution—especially if you have the documentation to support the validity of your claim. In that case, you may very well want to appeal Medicare’s …

  • When to Use the KX Modifier Image

    articleOct 8, 2018 | 3 min. read

    When to Use the KX Modifier

    In the months since the elimination of the hard cap on therapy services , it seems like rehab therapists are more confused than ever about when they should affix the KX modifier versus issue an Advance Beneficiary Notice of Noncoverage (ABN) . The truth of the matter is that not much has changed operationally since the Medicare therapy cap repeal—aside from the name of the cap (i.e., what was once the “hard cap” is now called the …

  • Happy National PT Month 2018! Image

    articleOct 1, 2018 | 6 min. read

    Happy National PT Month 2018!

    ’Tis the season for changing leaves, hot cider, pumpkin-spiced everything, and, of course, physical therapists. That’s because the APTA named October National PT Month —and they couldn’t have picked a better month. (It is, after all, when I was born. But that’s beside the point.) The true reason for celebrating this October is the wonderful work you and your colleagues do to promote health and wellbeing, restore and maintain function, and improve people’s lives—all without the use …

  • PT and Debt-Free: How to Pay Off Student Loans Faster Image

    articleSep 25, 2018 | 5 min. read

    PT and Debt-Free: How to Pay Off Student Loans Faster

    According to WebPT’s research —and as depicted in the infographic shown below—one in four PT students will have more than $150,000 in student loan debt at graduation; one in three will owe more than $100,000; and one in two will owe more than $70,000. With starting salaries being significantly lower in the PT field than in other medical career paths, the average DPT grad will take 45 years to pay off $100,000 in student debt (assuming that …

  • Bad Debt Blues: How to Keep Your Clinic Out of the Red Image

    articleSep 21, 2018 | 5 min. read

    Bad Debt Blues: How to Keep Your Clinic Out of the Red

    Many practices are experiencing higher levels of bad debt than they have in the past—partially due to the proliferation of high-deductible health plans that place greater financial responsibility on patients. And when patients don't pay the full amount they are responsible for—and practices fail to collect past-due amounts—the go-to solution often is writing off those totals as bad debt. But financially, that is not an ideal course of action. So, let's talk about how to optimize your …

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

    articleSep 13, 2018 | 12 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). So, here’s a rundown of the rule as well …

  • National Payment Amounts for Top Rehab Therapy CPT Codes Image

    articleSep 6, 2018 | 2 min. read

    National Payment Amounts for Top Rehab Therapy CPT Codes

    Here at WebPT, we receive a lot of questions about the typical payment amounts for the most commonly used physical therapy Current Procedural Terminology (CPT) codes . So, we pulled some stats and turned it into a nifty one-sheet download. For reference, WebPT has more than 83,000 therapy professionals using our system (as of August 2018)—and that means we have a robust amount of data showing how therapists use CPT codes in real life. As a reminder, …

  • Are You Paying Your Rehab Therapy Clinic Staff Enough? Image

    articleAug 30, 2018 | 4 min. read

    Are You Paying Your Rehab Therapy Clinic Staff Enough?

    Every good boss wants to ensure that he or she is paying his or her employees enough—in most cases, more than enough—to cover the cost of living and prevent financial worry from getting in the way of job satisfaction. But with many rehab therapy students graduating with massive debt —and fee schedules on the decline—it can be difficult for a rehab therapy practice to properly pay staff and keep enough money in the practice to remain in …

  • Common Questions from Our PT Billing Open Forum Image

    articleAug 18, 2018 | 34 min. read

    Common Questions from Our PT Billing Open Forum

    Last week, WebPT’s trio of billing experts—Dr. Heidi Jannenga, PT, DPT, ATC/L, WebPT President and Co-founder; John Wallace, PT, MS, WebPT Chief Business Development Officer of Revenue Cycle Management; and Dianne Jewell, PT, DPT, PhD, WebPT Director of Clinical Practice, Outcomes, and Education—hosted a live open forum on physical therapy billing . Before the webinar, we challenged registrants to serve up their trickiest PT billing head-scratchers—and boy, did they deliver! We received literally hundreds of questions on …

  • 3 Smart Ways to Use Data Reports in Your PT Practice  Image

    articleAug 8, 2018 | 8 min. read

    3 Smart Ways to Use Data Reports in Your PT Practice

    Recently, we published a blog post detailing all of the reports now available in WebPT to help Members access even greater business intelligence—which in turn helps them make important operational decisions. Today, we thought we’d cover three super-relevant business questions you can answer based on information garnered from these reports (adapted from a wonderful resource created by WebPT Product Marketing Manager Bradley LaFave and Education Team Lead Moriah Ujano). So, without further ado, here we go: 1. …

  • Billing for Habilitation vs. Rehabilitation Services: What PTs, OTs, and SLPs Need to Know Image

    articleJul 26, 2018 | 4 min. read

    Billing for Habilitation vs. Rehabilitation Services: What PTs, OTs, and SLPs Need to Know

    According to this AOTA briefing , in 2017, federal law mandated that many individual and small group market health plans provide beneficiaries with separate visit limits for habilitative and rehabilitative services in an effort to provide equal coverage. As a result, some insurance companies now require providers to affix modifiers to their claims, thus indicating the type of services being provided. With that in mind, we thought it’d be a good idea to provide some clarity around …

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