• How Can PTs Use Telehealth? Image

    articleMar 22, 2017 | 7 min. read

    How Can PTs Use Telehealth?

    Telehealth continues to garner headlines as providers, patients, and payers all seek more effective and cost-efficient ways to deliver care. In fact, this increasingly popular treatment option is giving providers of all stripes the flexibility to cast a wider net and provide services to patients seeking alternate ways to access health services (e.g., those who are homebound or who reside in more rural, underserved areas). But, as with anything new, there are bound to be some growing …

  • Stay Sharp: Using Data to Up-Skill Your Clinical Staff Image

    articleMar 9, 2017 | 6 min. read

    Stay Sharp: Using Data to Up-Skill Your Clinical Staff

    As more private payers join the value-based reimbursement movement, rehab therapy providers may want to take a good, hard look in the mirror to determine whether their data-collection efforts are up to par—and for good reason. Payment throughout the entire healthcare continuum will soon be tied to value, rather than volume . And to prove the efficacy of their treatment—and thus, ensure success in the long term—PTs must not only collect outcomes data, but also develop a …

  • Founder Letter: Innovate, Don't Automate: The Slippery Slope of Clinical Support Software Image

    articleMar 7, 2017 | 8 min. read

    Founder Letter: Innovate, Don't Automate: The Slippery Slope of Clinical Support Software

    Today, most of us depend on technology to help us tackle some of the more mundane tasks that would otherwise require time and space on our already-too-full schedules. We text instead of call. We order gifts, groceries, and gadgets online instead of waiting in line at the store. And we deposit checks using our phones—if we ever even receive a check (hello, Square Cash and online bill pay)—instead of trekking over to the bank. In essence, we’ve …

  • Evaluation Exam: Do You Know How to Use the New PT and OT Eval Codes? [Quiz] Image

    articleMar 3, 2017 | 1 min. read

    Evaluation Exam: Do You Know How to Use the New PT and OT Eval Codes? [Quiz]

    On January 1, 2017, new CPT codes went into effect for PT and OT evaluations and reevaluations. To use these new codes correctly, PTs and OTs must determine—and code for—the correct level of complexity associated with each patient evaluation. As with anything new, the implementation of these codes stirred up quite a few tough questions. Think you know how to use them? Test your skills on this quiz to be sure. After all, incorrect code selection could …

  • Suppressing Sticker Shock: How to Handle Your Patients’ High-Deductible Health Plans Image

    webinarFeb 23, 2017

    Suppressing Sticker Shock: How to Handle Your Patients’ High-Deductible Health Plans

    Copayments, coinsurances, unresolved balances—oh my! Any one of these can cause headaches for healthcare providers, but as healthcare reform efforts shift more and more financial burden to insurance beneficiaries, today’s practitioners are increasingly facing all three. And these challenges are not only hurting their patient acquisition and retention rates, but also their bottom lines. Tired of spending time verifying benefits only to lose those patients to copay sticker shock? Stuck in a constant cycle of pursuing past-due …

  • 5 Ways Value-Based Payment will Change the Face of Rehab Therapy Image

    articleFeb 8, 2017 | 7 min. read

    5 Ways Value-Based Payment will Change the Face of Rehab Therapy

    As greek philosopher Heraclitus observed long ago, “Change is the only constant in life.” And there may be no better quote to sum up life in health care. After all, everything is changing—all the time. It can certainly feel that way, at least: ICD-10 , new eval codes , CJR , MACRA , MIPS —I could go on naming recent industry changes, but you get the idea. Today, we’re talking specifically about the shift toward value-based payment …

  • 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 …

  • 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 …

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