• How to Use Modifier 59 With the New PT and OT Evaluation Codes Image

    articleJan 30, 2017 | 9 min. read

    How to Use Modifier 59 With the New PT and OT Evaluation Codes

    Whether you’re a therapy billing newbie or a seasoned vet, knowing the ins and outs of modifier 59 —and when it’s appropriate to bill with this “last resort” modifier —can be difficult and just plain confusing. With CMS’s recent release of new eval and re-eval CPT codes , your confusion may be intensifying. But, don’t let this weighty topic keep you up at night. Instead, look to the information below to fine-tune your billing and documentation efforts. …

  • Tales from the Table: How PTs Have Successfully Negotiated Payer Contracts Image

    articleJan 27, 2017 | 5 min. read

    Tales from the Table: How PTs Have Successfully Negotiated Payer Contracts

    No private practice owner should approach payer contract negotiations haphazardly—or worse, not understand specific terms before signing on the dotted line. And for good reason: Continued claim denials and decreasing reimbursements make it tough for many rehab therapy practice owners to get the most out of their private payer contracts. But while the mere thought of going head-to-head with large health plans in your physical therapy provider network is probably enough to form a knot in your …

  • The Future of the ACA: What a Potential Repeal Means for Rehab Therapy Providers Image

    articleJan 16, 2017 | 5 min. read

    The Future of the ACA: What a Potential Repeal Means for Rehab Therapy Providers

    Policy often shifts—sometimes in large, dramatic fashion—when new leaders take office, and if Republican lawmakers stick to their word, a complete overhaul or dismantling of the Affordable Care Act (ACA) could be imminent. And that could bring about some far-reaching consequences for practitioners and patients alike—even beyond the potential for 20 million Americans to lose their insurance coverage or anyone with a preexisting condition to be stripped of important protections. It could mean higher premiums and reduced …

  • Do PTs, OTs, and SLPs Need to Worry About Meaningful Use in 2017? Image

    articleJan 12, 2017 | 4 min. read

    Do PTs, OTs, and SLPs Need to Worry About Meaningful Use in 2017?

    By this point, you may have already heard that the future of Meaningful Use (MU)—at least as healthcare providers once knew it—has officially sunsetted. If you’re a PT, OT, or SLP, you might respond to that news with something like, “Yeah—so?” After all, rehab therapists were never eligible for MU anyway. But, just because the MU program is being consolidated —along with the Physician Quality Reporting System (PQRS) and the Value-Based Payment Modifier (VM)—into the new Merit-based …

  • Why PTs, OTs, and SLPs Need to Get a Seat on the Telehealth Train Image

    articleJan 9, 2017 | 6 min. read

    Why PTs, OTs, and SLPs Need to Get a Seat on the Telehealth Train

    Technology continues to play a key role in furthering health care’s reach—and remote, virtual care delivery is the latest trend in the overarching push to improve patients’ access to care. In fact, as we’ve previously reported , an estimated 1.8 million health consumers are expected to take part in some form of telehealth —or telemedicine—by year’s end, with the biggest market share coming from post-acute care patients. That’s great news for patients looking for alternate ways to …

  • New Year's Resolutions Across Rehab Nation Image

    articleJan 6, 2017 | 4 min. read

    New Year's Resolutions Across Rehab Nation

    More than 100 million Americans resolve to make changes each new year. And while some of us stumble along the way, plenty more enjoy coming up with—and actually following through on—ideas for self-improvement. Need a jumpstart for a successful 2017? We recently surveyed some select rehab therapy professionals to get a pulse on their goals for the year. Here’s what they had to say. Asia Giuffrida Office Manager at Gilford Physical Therapy & Spine Center Rather than …

  • Analyze This: How to Make Data Collection Worth Your While Image

    articleJan 4, 2017 | 7 min. read

    Analyze This: How to Make Data Collection Worth Your While

    In an era of seemingly limitless data , knowing which points have any practical application or significance can make all the difference in critical decision-making—including the choices that impact patient care. And as the rehab therapy industry moves toward a pay-for-performance system , therapists will want to wear data as a badge of honor —and make sure the information they collect has value in a patient-centric healthcare world. That’s because, in the near future, PTs, OTs, and …

  • 2016 Rehab Therapy Year in Review Image

    articleDec 27, 2016 | 10 min. read

    2016 Rehab Therapy Year in Review

    While we’re about to close the books on 2016, we thought it would be nice—and educational—to look back on some of the therapy industry trends, advancements, and hot topics that made headlines throughout the year. Plus, most of these items will impact you and your practice in 2017 and beyond—so, as we look back, don’t forget to look forward. Okay, here we go! Clinical Trends What are those weird suction cups all about? If you, like many …

  • Conquering Credentialing: What PTs, OTs, and SLPs Need to Know About Insurance Enrollment Image

    articleDec 20, 2016 | 4 min. read

    Conquering Credentialing: What PTs, OTs, and SLPs Need to Know About Insurance Enrollment

    Going into business for yourself means financial freedom and the ability to be your own boss. Of course, being in charge means contending with all the ongoing logistical challenges of running a therapy practice—including ensuring that all of your treating therapists are credentialed with all of your major payers. Otherwise, you leave your practice vulnerable to denied claims—and thus, reduced cash-flow. With that in mind, here’s the 4-1-1 on credentialing. Earning Those Credentials Getting credentialed (i.e., enrolling …

  • How to Quickly Move on When Separating from Your EMR Image

    articleDec 15, 2016 | 4 min. read

    How to Quickly Move on When Separating from Your EMR

    Breaking up with your partner in crime—er, EMR—around the holidays can instill in you feelings of loneliness, anger, and doubt as you look ahead to the new year. But like any broken relationship, there’s no use in justifying to yourself—and others—why things might turn around for the better. After all, you know your EMR’s general lack of support—she blamed you for workflow inefficiencies—is something that can’t be fixed overnight. With the new year fast approaching, sometimes change …

  • The What, Why, and How of MPPR Image

    articleDec 13, 2016 | 5 min. read

    The What, Why, and How of MPPR

    In an age of increased regulations and reduced fee schedules, turning a profit in the outpatient rehab therapy industry is tougher than ever. And for the past five years—going on six—it’s been particularly tough for those therapists who treat a lot of Medicare patients. That’s because, under a policy called multiple procedure payment reduction (MPPR), CMS won't pay claims in full when a PT, OT, or SLP performs more than one related procedure on a patient during …

  • FOP Hacks: How to Maximize Your Use of the WebPT Scheduler Image

    articleDec 8, 2016 | 5 min. read

    FOP Hacks: How to Maximize Your Use of the WebPT Scheduler

    WebPT’s intuitive EMR can help you cover all your clinical and logistical bases. But, to get the most bang for your buck, you and your staff should be using the application to its full potential. On that note, even the experts among us could benefit from a brief reminder course in Front Office 101 to get their practices running a little smoother. With that, here are five hacks to make your life a little easier when using …

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