Blog Top Banner

  • Double Duty: How to Bill for PT and OT on the Same Day Image

    articleNov 12, 2018 | 6 min. read

    Double Duty: How to Bill for PT and OT on the Same Day

    In many cases, physical therapy and occupational therapy go together like peanut butter and jelly. PTs and OTs often share similar goals and interventions, treat the same types of patients in the same settings, and get confused by the billing rules that apply to our respective specialties. This confusion leads to quite a few questions, including this head-scratcher: how does one bill for OT and PT provided to a single patient on the same day? While the …

  • Spot the Difference: Rules for Medicare vs. Medicare Advantage Image

    articleNov 9, 2018 | 5 min. read

    Spot the Difference: Rules for Medicare vs. Medicare Advantage

    Medicare and Medicare Advantage (MA) plans have similar structures, because MA plans are required to (at minimum): offer the same benefits that traditional Medicare provides to its beneficiaries, and adhere to all CMS National and Local Coverage Determinations. However, there are some significant differences between the two . And that makes sense given that traditional Medicare is government-operated, while Medicare Advantage plans are operated by Medicare-approved private companies. Thus, many of the core Medicare requirements don't automatically …

  • Should PTs, OTs, and SLPs use the New X Modifiers? Image

    articleNov 7, 2018 | 4 min. read

    Should PTs, OTs, and SLPs use the New X Modifiers?

    When it comes to Medicare, a lot can change in four years—whether it be the rise and fall of functional limitation reporting or answers to questions like, “Do outpatient rehab therapists have to report MIPS?” (You can get that answer here , by the way.) So, when CMS introduced the X modifiers back in 2015 and told PTs, OTs, and SLPs they wouldn't have to use them, anyone familiar with Medicare rules knew that advice was subject …

  • 2018 PPS Annual Conference Image

    event

    2018 PPS Annual Conference

    Nov 8, 2018 - Nov 9, 2018

    The Broadmoor International Center
    Colorado Springs, CO

    WebPT is hittin’ the road once again, and this time we’re heading to the Private Practice Section annual conference in Colorado Springs! We’re ready to take in that fresh mountain air, admire the beautiful scenery, discuss all things physical therapy, and hangout with our amazing Members at the iconic Broadmoor resort. So, if you’re at PPS this week, come say “hi!” And be sure to join us at booth 307 for a glass of bubbly at 4:00 …

  • Founder Letter: What to Do About MIPS in 2019 Image

    articleNov 6, 2018 | 9 min. read

    Founder Letter: What to Do About MIPS in 2019

    As 2019 looms, we've been getting a lot of questions about Medicare's Merit-Based Incentive Payment System (MIPS)—specifically, whether or not all physical, occupational, and speech therapists need to report and, if there is a penalty, how to avoid it. These are both great questions—and luckily, fairly easy ones to answer. But one of the reasons why there is so much confusion swirling about Medicare's latest reporting program is that there's a lot of misleading information—and even some …

  • CMS’s Final Bow: The 2019 Final Rule Image

    articleNov 5, 2018 | 8 min. read

    CMS’s Final Bow: The 2019 Final Rule

    Last week, the Centers for Medicare and Medicaid Services (CMS) published its 2019 final rule . Clocking in at just over 2,300 pages, the final rule isn't exactly a light read—especially because the legal lingo can be harder to interpret than Shakespearean verse. Luckily, we have the script—with all its twists and turns—decoded and ready for you to review. Here's the synopsis: Out, Out FLR! CMS took a cue from Lady Macbeth and washed its hands of …

  • Unwrapping MIPS and the Final Rule: How to Prepare for 2019 Image

    webinarNov 5, 2018

    Unwrapping MIPS and the Final Rule: How to Prepare for 2019

    Picture this: snowflakes drift lazily through the bitter winter air and pile softly on your windowsill. You’re snuggled up under your softest blanket, holding a steaming cup of cocoa and smiling as your family laughs and chatters happily after tearing open their holiday gifts. Then, someone hands you a box wrapped in shiny blue paper with a tag that reads, “From Medicare.” You rip into the bright wrapping paper, but as it falls to the floor, you …

  • 9716-What? When to Bill for PT Evals and Re-Evals Image

    articleNov 2, 2018 | 5 min. read

    9716-What? When to Bill for PT Evals and Re-Evals

    Over the years, we've received a lot of questions about when to bill for an evaluation versus a re-evaluation , and when you look at the description for CPT code 97164 (PT Re-evaluation), it's easy to see why. According to the American Medical Association , 97164 denotes a re-evaluation of an established plan of care, which requires these components: “an examination including a review of history and use of standardized tests and measures;” “a revised plan of …

  • Plandemonium: Everything PTs Need to Know About Medicare Original, Advantage, and Supplement Plans Image

    articleOct 30, 2018 | 6 min. read

    Plandemonium: Everything PTs Need to Know About Medicare Original, Advantage, and Supplement Plans

    Generally speaking, Medicare is a federally funded health insurance program  that provides benefits for people who are 65 or older; people with disabilities; and people with end-stage renal disease. Each part of Medicare—A, B, C, and D—covers a distinct set of services and benefits. Then, there are Supplement Plans that fill in some of the gaps. Not sure how Part C differs from Part A—or what gaps a Supplement Plan could possibly fill? How about Original Medicare …

  • Common Questions from Our Medicare Open Forum Webinar Image

    articleOct 25, 2018 | 43 min. read

    Common Questions from Our Medicare Open Forum Webinar

    Earlier this week, WebPT President Dr. Heidi Jannenga, PT, DPT, ATC, teamed up with Rick Gawenda, PT—President and CEO of Gawenda Seminars & Consulting—to host a Medicare Open Forum . As expected, we received more questions than our Medicare experts could answer during the live session, so we've provided the answers to the most frequently asked ones below. Don't see the answer you're looking for? Post your question in the comment section at the end of this …

Pages

Achieve greatness in practice with the ultimate EMR for PTs, OTs, and SLPs.