• 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 …

  • 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 …

  • Most Commonly Used CCI Edits for PT, OT, and SLP Private Practice Settings Image

    downloadDec 22, 2016

    Most Commonly Used CCI Edits for PT, OT, and SLP Private Practice Settings

    Some things go better together: peanut butter and jelly, chips and salsa, fish and chips. Likewise, rehab therapists often perform certain procedures that are similar to one another—but they might not know that two or more specific therapy types form “edit pairs.” Subsequently, they’re left in the dark about collecting a bigger portion of Medicare’s payment pie. So how can you, the rehab therapist, determine which therapy services are mutually exclusive? It’s as simple as identifying one …

  • Modifier 59 Flowchart Image

    downloadDec 22, 2016

    Modifier 59 Flowchart

    To bill for modifier 59 or not to bill for this very tricky modifier—that is the (burning) question. If you find yourself asking this question time and again—while also thinking back to high school English class—you’re not alone. Few modifiers cause as much consternation for PTs or wreak as much havoc on their payments as modifier 59. But knowing when to accurately apply one of the most misused modifiers is your ticket to getting paid by Medicare—and …

  • Collections Letter Templates Image

    downloadDec 22, 2016

    Collections Letter Templates

    Turn on any mobster film, and you’ll quickly understand the importance of paying back any owed debts. Likewise, rehab therapy patients with overdue accounts need to eventually pay up; after all, your business depends on your success in collecting those funds. Plus, if these issues fester with enough patients—and for extended time periods—you run the risk of closing your doors for good. So how do you navigate the tightrope of writing an urgent collections letters that's stern, …

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