• The PT's Guide to Incident-To Billing Image

    articleOct 16, 2018 | 2 min. read

    The PT's Guide to Incident-To Billing

    This past August, WebPT hosted an open forum-style webinar during which we took all of your hardest-hitting, most mission-critical billing questions—and answered them to the best of our ability. One of the most common questions we received had to do with incident-to billing—and it's easy to see why. After all, you can't just slap any old NPI number on a claim—particularly when you're billing Medicare—and expect to get paid. However, in some cases, billing incident to a …

  • Can PTs Bill for Telehealth Services? Image

    articleOct 12, 2018 | 5 min. read

    Can PTs Bill for Telehealth Services?

    Telehealth is not exactly new. In fact, medical professionals have been using telemedicine since as early as 1940—but that’s because the term “telemedicine” technically refers to any electronic transfer of patient information. The way we think of telemedicine has changed quite a bit over the years. While the definition continues to encompass electronic transfer of medical records, most of us use the term “telehealth” to describe treatments or interventions delivered across electronic means. PTs and Teletherapy Like …

  • When to Use the KX Modifier Image

    articleOct 8, 2018 | 3 min. read

    When to Use the KX Modifier

    In the months since the elimination of the hard cap on therapy services , it seems like rehab therapists are more confused than ever about when they should affix the KX modifier versus issue an Advance Beneficiary Notice of Noncoverage (ABN) . The truth of the matter is that not much has changed operationally since the Medicare therapy cap repeal—aside from the name of the cap (i.e., what was once the “hard cap” is now called the …

  • Why the Future of the Profession Depends on Collaborating with Stakeholders Image

    articleOct 3, 2018 | 7 min. read

    Why the Future of the Profession Depends on Collaborating with Stakeholders

    Last week was a momentous one here at WebPT. Not only did it mark our fifth-annual Ascend conference —which we hosted right here in our hometown of Phoenix, a mere stone’s throw away from WebPT HQ—but it also provided numerous opportunities for us (and our friends and Members) to celebrate WebPT's 10-year anniversary. When one reaches such a milestone, it’s only natural to reflect on the road one took to get there. And to quote APTA President …

  • 4 Things to Know About Billing for Cash-Pay PT Image

    articleSep 28, 2018 | 8 min. read

    4 Things to Know About Billing for Cash-Pay PT

    Some things come as no surprise. Our 2018 State of Rehab Therapy survey validated one pain point we hear about constantly: insurance regulations are one of the biggest barriers to providing quality care to patients. With all the red tape you have to cut through to receive reimbursement for the treatment you provide—not to mention the hoops you must jump through to get (and stay) credentialed with payers —it’s no wonder that more and more PTs are …

  • Equipped to Get Paid: Billing for DME, Orthotics, and Prosthetics in Private Practice Image

    articleSep 26, 2018 | 7 min. read

    Equipped to Get Paid: Billing for DME, Orthotics, and Prosthetics in Private Practice

    Some things in life are very straightforward. For instance, if you need a new pair of jeans, you simply head to the store (or use my preferred method: ordering online from the comfort of your own home), give your money to the cashier, and walk out the door with exactly what you need. Unfortunately, purchasing things such as splints, prosthetics, and durable medical equipment (DME) isn’t so cut and dried. In fact, when it comes to orthotics …

  • Bad Debt Blues: How to Keep Your Clinic Out of the Red Image

    articleSep 21, 2018 | 5 min. read

    Bad Debt Blues: How to Keep Your Clinic Out of the Red

    Many practices are experiencing higher levels of bad debt than they have in the past—partially due to the proliferation of high-deductible health plans that place greater financial responsibility on patients. And when patients don't pay the full amount they are responsible for—and practices fail to collect past-due amounts—the go-to solution often is writing off those totals as bad debt. But financially, that is not an ideal course of action. So, let's talk about how to optimize your …

  • Right on the Money: The Ultimate Guide to Accurate Rehab Therapy Billing Image

    articleSep 19, 2018 | 7 min. read

    Right on the Money: The Ultimate Guide to Accurate Rehab Therapy Billing

    Most of us went to physical therapy school to treat patients, not to spend our lives mired in stacks of paperwork. But that’s what physical therapy billing can feel like: endless mountains of forms, claims, and invoices . As much as we malign it, though, billing accurately for our services is crucial to keeping our clinic doors open so we can continue to treat those patients. Because most of us haven’t received formal training on how to …

  • The Dos and Don'ts of Balance Billing Image

    articleSep 17, 2018 | 5 min. read

    The Dos and Don'ts of Balance Billing

    If you’ve been in the rehab therapy game long enough, chances are, you’ve heard a thing or two about balance billing. But, if you’re out of the loop—or if you’re wondering what balance billing is, anyway—here’s the gist, according to this article from Becker’s Hospital Review: “The practice of balance billing refers to a physician's ability to bill the patient for an outstanding balance after the insurance company submits its portion of the bill. Out-of-network physicians, not …

  • The 8-Minute Rule: What it is and How it Works in WebPT Image

    articleSep 13, 2018 | 12 min. read

    The 8-Minute Rule: What it is and How it Works in WebPT

    With most buyer-seller transactions, calculating the cost of a product or service is fairly simple. There are no complicated formulas for determining the monetary value of a pizza or a movie ticket; you simply pay the business’s advertised price. When it comes to Medicare’s payment for rehab therapy services, however, things aren’t always so simple. Yes, I’m talking about the dreaded 8-Minute Rule (a.k.a. the Rule of Eights). So, here’s a rundown of the rule as well …

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