• articleFeb 19, 2013 | 4 min. read

    Understanding Medicare Non-Compliance Risks and Protecting Your Practice

    During CSM 2013, I attended the two-part presentation on fraud and abuse in Medicare. While such stories of the “Rock Doc” in South Beach were very interesting (and shocking!), the presenters stressed that those sensational stories are not the norm. Typically, when Medicare audits rehab therapy practices, it’s primarily due to documentation and billing red flags rather than flat out fraud. Of course, red flags can arise due to negligence (i.e., what Medicare would label as “abuse”). …

  • articleDec 26, 2012 | 4 min. read

    Resolving the “Bill As” Problem

    Today's blog post comes from WebPT Co-Founder Heidi Jannenga, PT, MPT, ATC/L.  With the holidays quickly approaching, we thought this would be the perfect time to write a post on best practices when hiring a substitute, or contractor, to cover for you while you’re basking in the sun, boarding down a mountain, hanging out with the in-laws, or doing whatever it is you do to take a much deserved break. When bringing in another therapist to treat …

  • articleNov 29, 2012 | 4 min. read

    CMS: 2013 Final Rule for Home Health and Outpatient Prospective Payment Systems

    Today's blog post comes from Senior Copywriters Erica Cohen and Char Bohnett. Home Health In 2008, Centers for Medicare and Medicaid Services (CMS) implemented the first refinements to the Home Health Prospective Payment System (HH PPS) since its inception on October 1, 2000. One of the major changes included discontinuing the use of a single 10-therapy threshold for the purpose of payment and instead implementing three therapy thresholds at six, 14, and 20 visits. Additionally, the Affordable …

  • articleAug 30, 2012 | 5 min. read

    How to Bill for PTAs Providing Physical Therapy Services

    Today's post comes from Tom Ambury, PT and compliance officer at  PT Compliance Group , and WebPT cofounder and COO Heidi Jannenga, PT, MPT, ATC/L. One of the most frequently asked questions in the PT billing space is: "Our state practice act allows licensed PTAs to treat without direct onsite supervision. I understand that PTAs can’t bill under their own National Provider Identifier (NPI) and license, so how do I bill for my PTA’s services?" The answer: Don’t confuse …

  • articleApr 11, 2012 | 4 min. read

    Maximizing Your Clinic’s Revenue Stream

    This post was authored by WebPT Billing Specialist, Geoff Elledge . Thanks for sharing your wisdom Geoff!   There are many different ways to look at your clinic’s finances.  You can look at average revenue per patient visit, insurance payer mix, average referrals from physicians and on and on.   Let’s start with a few of the basic questions you should ask: much does it cost you to treat an average patient? How much does the insurance …

  • articleFeb 24, 2012 | 6 min. read

    Physical Therapy Billing: Mastering the A/R cycle

    This post was authored by WebPT Billing Specialist, Geoff Elledge. The photo of Geoff we used for this post was just too good to pass up. Enjoy! The number one key to mastering your A/R is a good tickler system.   Long term success is all about timely and consistent follow up of your outstanding claims.  In order to get a good handle on this mastering a few key elements will go a long way. The first …

  • articleFeb 23, 2012 | 4 min. read

    Patient Registration: 10 Questions for Successful A/R

      The A/R cycle starts and ends with a solid patient registration process.  It is probably the most under-appreciated aspect of the billing process, yet one of the most important!  Most new practices think it’s good enough to get a copy of the card and then submit a claim.  After all, it’s the insurance company’s job to pay for your services, right? Not so fast, just a few standard practices can dramatically increase your chances of payment …

  • articleFeb 22, 2012 | 3 min. read

    Top 3 Things PT’s Need To Know About Insurance

    Today's post is contributed by Greg Babiec , Physical Therapist, and Owner Evolve Physical Therapy & Sports Rehabilitation  in New York. Greg is also a member of WebPT. You can follow him on Twitter at @DrBadBack . Thanks, Greg, for contributing your insights and expertise today! As a PT, understanding how health insurance works can sometimes be an unpleasant yet important part of the profession.  Of course, treating patients is our primary role but since we spend so …

  • articleFeb 20, 2012 | 3 min. read

    What you need to know before taking your billing In House

    Many clinic owners don’t pay quite enough attention to how billing tactics can effect their business overall. It’s one of those scenarios where the phrase “You don’t know what you don’t know” seems appropriate. Let’s take a close look at one billing method that can improve the health of your practice and give you the most visibility and control over billing practices.    In house billing is all about control. Deciding to go with an in house …

  • articleFeb 17, 2012 | 3 min. read

    Considerations Before You Outsource Your Billing

    As a physical therapist, what does it mean to outsource your billing ? Is it worth it to have another company handle your claims? It’s a big change, so what does the on-boarding process look like? These are all excellent questions for you to consider. Even if you think you’re satisfied with your current billing circumstance, it may be worth re-evaluating. It’s always smart to periodically invest some time in auditing your processes and business vendors/partners. You …

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