• Cashing In on Private Pay: The PT's Guide to Going Out-of-Network Image

    webinarJul 27, 2017

    Cashing In on Private Pay: The PT's Guide to Going Out-of-Network

    For many rehab therapists, submitting a claim to a third-party payer feels a lot like pulling the lever on a slot machine. You never know for sure what you’re gonna get—and most of the time, it’s less than you’d hoped for. With seemingly ever-increasing regulations—and constantly shrinking reimbursements—it’s no wonder so many PTs, OTs, and SLPs feel like the financial odds are stacked against them.

    As a result, more and more rehab therapy providers are trying …

  • Medicare Part B Documentation Requirements for Physical and Occupational Therapy Image

    articleJul 24, 2017 | 7 min. read

    Medicare Part B Documentation Requirements for Physical and Occupational Therapy

    How familiar are you with the Medicare guidelines for physical therapy documentation? What about for occupational therapy documentation? If you’re a PT or OT and your answer is anything other than 100%, you’ve come to the right place, because failing to adhere to these standards could mean problems—both in the form of denied reimbursements and potential audits . If you’re looking for Medicare Part A therapy documentation requirements, click here ; for CMS documentation guidelines for speech-language …

  • Legal Compliance: One More Reason to Collect Patient Deductibles and Copays Image

    articleJul 24, 2017 | 6 min. read

    Legal Compliance: One More Reason to Collect Patient Deductibles and Copays

    Collecting coinsurance, copays, and deductibles upfront is an important piece of the effort to accurately value the services we provide. And yet, we still hear about practices that routinely waive their patients’ deductibles and copays. Today, I’ll discuss another reason not to routinely waive deductibles and copays. In the past, I’ve written about collecting deductibles and copays when a patient presents with a federally funded insurance like Medicare . In cases involving the Department of Justice, the …

  • Physical Therapy Billing for Beginners, Part 1 Image

    articleJul 16, 2017 | 5 min. read

    Physical Therapy Billing for Beginners, Part 1

    Of course, you got into physical therapy to help people—not to rake in the dough. But in order to do the former well, you’ve also got to know how to make a profit—and that requires billing for your services. If you’re new to physical therapy, you might be feeling a little overwhelmed by the prospect, so here are a few things to remember about billing for physical therapy services—the basics, if you will. (Keep in mind that …

  • Oversight Overview: The Rules of Supervision for Rehab Therapy Techs, Assistants, and Students Image

    articleJul 14, 2017 | 7 min. read

    Oversight Overview: The Rules of Supervision for Rehab Therapy Techs, Assistants, and Students

    Therapist assistants (PTAs, OTAs, and SLPAs) and techs—as well as therapy students—can be a big help to therapy practices. But, per state and Medicare law, not all titles are created—or treated—equally . Read on to learn how you can incorporate the services of assistants, technicians, and students into your practice—and still get paid. Therapist Assistants According to the APTA , under Medicare, therapist assistants can provide therapy services in an outpatient private practice setting—as long as those …

  • Data and Lobstah: What You Missed at APTA NEXT 2017 Image

    articleJun 27, 2017 | 5 min. read

    Data and Lobstah: What You Missed at APTA NEXT 2017

    Last week, Boston was brimming with more than hot lobstah—er, lobster—rich history, and die-hard sports fans. That’s because thousands of forward-thinking physical therapists joined together to learn, network, and discuss the future of the industry at APTA NEXT . Now, if you didn’t have a chance to attend this wicked-sweet, innovation-focused, four-day event, don’t worry. I had the opportunity to sit in on sessions, try a lobster roll for the first time, and boil down (no pun …

  • 8 Reasons You Should Attend Ascend 2017 Image

    articleJun 15, 2017 | 5 min. read

    8 Reasons You Should Attend Ascend 2017

      Great news! Ascend— the ultimate business summit for rehab therapists —is back. Last year, the third-annual event hit Fort Worth, Texas, for two incredibly educational (and incredibly fun) days. This year—September 29 and 30, to be exact—Ascend is heading to our nation’s capital. As we all know, DC is full of movers, shakers, and changemakers, and Ascend will keep that tradition alive—minus the political drama. This two-day conference is a can’t-miss affair. Here’s why: 1.) You’ll …

  • Denial Management FAQ Image

    articleMay 26, 2017 | 22 min. read

    Denial Management FAQ

    During our denial management webinar , we discussed the difference between rejections and denials, explained how to handle both, and provided a five-step plan for stopping them in their tracks. The webinar concluded with an exhaustive Q&A, and we’ve amassed the most common questions here. Insurance Issues Claim Quandaries Compliance Qualms Documentation Dilemmas Front-Office Frustrations Insurance Issues We’ve had issues with auto insurances denying 97112 (neuromuscular re-education) for non-neuro diagnoses, even in cases when the patient’s medical …

  • Down with Denials! 5 Claim Fixes to Make Sure Your PT Clinic Gets Paid Image

    webinarApr 19, 2017

    Down with Denials! 5 Claim Fixes to Make Sure Your PT Clinic Gets Paid

    One denied claim might not sound off your billing alarm bells—but in reality, it should. That’s because—as with faulty plumbing—one leak often indicates a much larger issue. And all too often, rehab therapy practices fail to act quickly enough—and soon find themselves wading in a flood of lost revenue. But there are simple, proven, and affordable ways to not only plug your billing holes, but also reinforce your whole system so you’re less likely to bust a …

  • The PT Patient's Guide to Understanding Insurance Image

    downloadApr 3, 2017

    The PT Patient's Guide to Understanding Insurance

    Patients are shouldering a greater portion of their healthcare costs than ever before. But when they don’t know the specifics of their coverage, they can end up with much bigger bills than they bargained for—and that often leads to unpaid balances and unfinished treatment plans. Bring them up to speed—and improve your practice’s collections and patient retention—with this guide. Patients will learn: What it means for a service to be “covered.” How to define common insurance terms. …

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