• ICD-10 Quick Clips: How to Use External Cause Codes Image

    articleJul 31, 2015

    ICD-10 Quick Clips: How to Use External Cause Codes

     By now, you’ve probably seen—and made fun of—more than a few wacky-sounding ICD-10 codes. And while chances are slim that you’ll actually need to code for a patient who has been struck by a macaw or suffered a burn due to his or her water skis being on fire—two situations that would warrant the use of external cause codes—you may very well need to code for some more common (and less funny) external causes of injury. In …

  • ICD-10 Bootcamp: Coding Exercises for PTs and OTs Image

    webinarJul 30, 2015

    ICD-10 Bootcamp: Coding Exercises for PTs and OTs

    As the old saying goes, “Practice makes perfect.” But with the transition to ICD-10 kicking off in a little more than a month, there’s not a whole lot of practice time left. Before you know it, you’ll be taking the field for game time—and this is one game where you definitely can’t rely on talent alone. Looking for a way to get you and your staff members in ICD-10-coding shape—fast? Consider this your ICD-10 boot camp. In …

  • Do You Know Your Modifiers? Image

    articleJul 29, 2015

    Do You Know Your Modifiers?

    It’s a mad, mad, mad, mad Medicare world, and unfortunately, just about every regulation requires a modifier. If you apply the wrong modifier—or forget one entirely—then your clinic suffers decreased payments or flat-out denials. Even worse, if you amass enough modifier mistakes, you make your practice vulnerable to an audit. Worried you’re miserable at modifiers or want confirmation that you’re actually a modifier master? Take our 10-question quiz below to test your modifier know-how.    

  • ICD-10 Quick Clips: How to Find the Correct Diagnosis Code Image

    articleJul 24, 2015

    ICD-10 Quick Clips: How to Find the Correct Diagnosis Code

     The ICD-10 code set might seem really big and scary, but I like to think of coding in ICD-10 the same way I think about driving around a big city. As long as you know the street system and the general layout, you shouldn’t have too much trouble getting to the right address. Check out this video to learn the basic process of navigating to the right diagnosis code in the ICD-10 code set.

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  • A Tale of Two Billing Blunders: Overbilling and Misbilling Image

    articleJul 23, 2015

    A Tale of Two Billing Blunders: Overbilling and Misbilling

    Billing for physical therapy services is tricky, time-consuming, and nerve-wracking. After all, there are so many rules to follow, and it seems like those rules are constantly changing. That makes mistakes tough to avoid. And in many cases, you might not even know you’re making them. And while an occasional billing error probably isn’t a huge deal, if you’re unknowingly messing up left and right, you could end up in hot water. And if you’re purposely messing …

  • Can You Ace Our 8-Minute Rule Quiz? Image

    articleJul 21, 2015

    Can You Ace Our 8-Minute Rule Quiz?

    Maybe you thought your days of grinding through word problems ended when you sold that college algebra textbook back to the university bookstore (for less than half of its original price). But if you’re a rehab therapist who treats Medicare patients, you probably have to call upon your math skills—and maybe even the ol’ TI-83 Plus—fairly often, because sometimes Medicare’s 8-minute rule seems more like a complex trigonometric function than a seemingly straightforward billing formula. Think you’ve …

  • Pro-Bono Work: The Good, The Bad, and The Billing Image

    articleJul 20, 2015

    Pro-Bono Work: The Good, The Bad, and The Billing

    We’re all taught at a young age that it’s better to give than to receive. This saying helps children develop perspective, and even as adults, few people would argue against the moral truth of this simple axiom. In fact, I’m betting this statement really speaks to the empathetic nature of rehab therapists. Unfortunately, though, when you’re running a business (for the purposes of this blog, I’m referring to a private practice outpatient therapy clinic), you really need …

  • How Will ICD-10 Affect Direct Access? (And Other Billing Questions) Image

    articleJul 16, 2015

    How Will ICD-10 Affect Direct Access? (And Other Billing Questions)

    In healthcare sectors across the globe, ICD-10 is hardly  a new concept . But in the US, we’ve been hesitant to adopt the updated system since its inception more than 30 years ago. In just a few short months, though, that’s all going to change. If you’ve been watching the news, reading  the WebPT Blog , or talking with your colleagues, you’ve probably gotten the sense that the  ICD-10 delay , debates, and—for some—dread are about to …

  • Technical Diligence: The Key to Stopping Claim Denials Dead in their Tracks Image

    articleJul 9, 2015

    Technical Diligence: The Key to Stopping Claim Denials Dead in their Tracks

    Hello, readers. Over the past several weeks, I’ve enjoyed answering a number of your questions regarding billing for PT services, so I’m excited to address the topic right here on the WebPT Blog. On June 19, 2015, the Office of the Inspector General (OIG) released a report involving an outpatient private practice physical therapy provider. In case you weren’t aware, the OIG—which is part of the US Department of Health and Human Services (HHS)—is basically the CMS …

  • ICD-10 Breaking News: AMA Secures ICD-10 Grace Period Image

    articleJul 6, 2015

    ICD-10 Breaking News: AMA Secures ICD-10 Grace Period

    The Centers for Medicare & Medicaid Services (CMS) announced today several changes to the plan for ICD-10 implementation in the US. The changes come as a result of the American Medical Association’s (AMA)  hard push for a grace period . AMA President Steven J. Stack, MD, explained the adjustments in a post published today on  AMA Viewpoints . We’ve reviewed this post, and here’s what we’ve learned: During the first year of the ICD-10 transition, CMS will …

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