• New Ways to Get Paid: The Case for Bundled Payments Image

    articleJan 17, 2017 | 7 min. read

    New Ways to Get Paid: The Case for Bundled Payments

    If you’ve been in business for a while now, you’ve probably gotten pretty used to the standard healthcare fee-for-service payment model: you provide a service, you bill for said service, and then you get paid for that service. Well, times are a changin’. While practitioners will still provide services and receive payment, that payment will soon be dependent on performance (i.e., outcomes data). In other words, you’ll get paid based on the value you offer your patients—not …

  • 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 …

  • 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 …

  • PT and OT Evaluation Codes Cheat Sheet Image

    downloadDec 21, 2016

    PT and OT Evaluation Codes Cheat Sheet

    As of January 1, 2017, PTs and OTs must use a new set of CPT codes to bill for patient evaluations and re-evaluations. But, it's not a simple swap-out across the board; instead, when coding for initial evaluations, therapists must now select one of three codes, which are tiered according to the complexity of the evaluation. But, what separates a low-complexity evaluation from a moderate- or high-complexity one? And how should therapists go about making their coding …

  • What’s in a WebPT Membership? Image

    articleDec 21, 2016 | 6 min. read

    What’s in a WebPT Membership?

    Yup, a WebPT Membership is pretty darn fantastic—just ask this PT clinic or this PT, OT, and sports medicine practice . Because even with a basic membership, you score a whole host of truly web-based , therapy-specific tools and resources that are anything but basic. In fact, they’ll help you be better in business. Here’s just a handful: Secure, efficient, and defensible digital documentation Expert training and free customer support for life Built-in outcome measurement tools , …

  • 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 …

  • Common Questions from Our New PT and OT Evaluation Codes Webinar Image

    articleDec 19, 2016 | 20 min. read

    Common Questions from Our New PT and OT Evaluation Codes Webinar

    This month’s webinar on the new CPT codes was our biggest one yet—more than 11, 000 people registered to attend. With such a large—and clinically diverse—audience, we received a ton of questions. And due to time constraints, our hosts—WebPT’s own Heidi Jannenga and compliance expert Rick Gawenda—weren’t able to get to even a fraction of them during the live broadcast. Not to worry, though; we’ve done our best to answer them all here, in one giant FAQ …

  • 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 …

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

    articleDec 7, 2016 | 4 min. read

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

    In the world of rehab therapy, determining—and billing—the right codes and modifiers can be one of your biggest challenges. That’s certainly true when it comes to properly using modifier 59—and the blog posts we’ve previously written on this topic have generated a lot of reader questions. To complicate matters even more, back in January 2015, CMS rolled out four new HCPCS modifiers for healthcare practitioners to use in lieu of modifier 59—thus giving providers a way to …

  • 2 Guided Examples with the New CPT Codes for PT and OT Evaluations Image

    articleDec 5, 2016 | 8 min. read

    2 Guided Examples with the New CPT Codes for PT and OT Evaluations

    French poetry and comic-book lore have taught us that “with great power comes great responsibility.” And with the imminent rollout of of new CPT codes for therapy evaluations and re-evaluations, rehab therapists would be wise to take that message to heart. That’s because, on January 1, 2017, PTs and OTs will have even more power in the way of accurately representing the patients they treat and the services they provide. Case in point: they’ll scrap all four …

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