• Cashing In on Private Pay: The PT's Guide to Going Out-of-Network Image

    webinarJul 27, 2017

    Cashing In on Private Pay: The PT's Guide to Going Out-of-Network

    For many rehab therapists, submitting a claim to a third-party payer feels a lot like pulling the lever on a slot machine. You never know for sure what you’re gonna get—and most of the time, it’s less than you’d hoped for. With seemingly ever-increasing regulations—and constantly shrinking reimbursements—it’s no wonder so many PTs, OTs, and SLPs feel like the financial odds are stacked against them.

    As a result, more and more rehab therapy providers are trying …

  • Medicare and Cash-Pay PT Services, Part 3: Maintenance Care and Self-Payment Image

    articleDec 17, 2015 | 5 min. read

    Medicare and Cash-Pay PT Services, Part 3: Maintenance Care and Self-Payment

    Based on the first two articles (which you can read here and here ) in this series, we now know there are two key factors that determine when you can accept private payment from a Medicare beneficiary: Your/your clinic’s provider relationship with Medicare Whether the service is “covered” by Medicare We ended the last article with a detailed discussion of medical necessity, which leads us to the final step in determining when a service is covered. Maintenance …

  • Medicare and Cash-Pay PT Services, Part 2: Covered vs. Non-Covered Services and Therapy Cap Essentials Image

    articleDec 16, 2015 | 6 min. read

    Medicare and Cash-Pay PT Services, Part 2: Covered vs. Non-Covered Services and Therapy Cap Essentials

    In the first article of this series on Medicare and Cash-Pay PT Services, we defined the three relationships a PT can have with Medicare and explained how each one influences the types of services (i.e., “covered” and “non-covered”) we can provide to beneficiaries on a self-pay basis. So, now we need to define which services are covered and which are not covered, as well as pinpoint the scenarios in which covered services may become non-covered. 3 Scenarios …

  • Medicare and Cash-Pay PT Services, Part 1: The Must-Know Concepts to Avoid Legal Issues and Capitalize on Opportunities Image

    articleDec 15, 2015 | 8 min. read

    Medicare and Cash-Pay PT Services, Part 1: The Must-Know Concepts to Avoid Legal Issues and Capitalize on Opportunities

    “The sky is falling. The sky is falling!” There are a lot of doom-and-gloom attitudes among our colleagues, but it’s not the sky that is falling; it’s the payments for our services. And they’ve been falling for a long time. Combine tumbling payments with the enormous Baby Boomer population exiting the workforce and extracting from an already strained Medicare system, and it’s no surprise that many providers feel the future of PT private practice is bleak.  But …

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