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 got the 8-minute rule on lock? Take this quiz to test your smarts. (Need a quick study session first? Check out this blog post.)

 
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  • 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 …

  • The Complete PT Billing FAQ Image

    articleMay 24, 2016 | 25 min. read

    The Complete PT Billing FAQ

    Over the years, WebPT has a hosted a slew of billing webinars and published dozens of billing-related blog posts. And in that time, we’ve received our fair share of tricky questions. Now, in an effort to satisfy your curiosity, we’ve compiled all of our most common brain-busters into one epic FAQ. Don’t see your question? Ask it in the comments below. (And be sure to check out this separate PT billing FAQ we recently put together.) Questions …

  • The 8-Minute Rule Showdown: Medicare vs. AMA Image

    articleNov 25, 2015 | 5 min. read

    The 8-Minute Rule Showdown: Medicare vs. AMA

    The guidelines for using the 8-Minute Rule are kind of like the instructions for building a piece of furniture from IKEA: they appear simple at first, but before you know it, you’ve been struggling for hours, you’ve got a lopsided futon, and there are seven leftover screws of various shapes and sizes scattered around your living room floor (maybe they’re just extras, right?). To make matters even more confusing, not all payers adhere to the same set …

  • Common Questions from Our PT Billing Open Forum Image

    articleAug 18, 2018 | 34 min. read

    Common Questions from Our PT Billing Open Forum

    Last week, WebPT’s trio of billing experts—Dr. Heidi Jannenga, PT, DPT, ATC/L, WebPT President and Co-founder; John Wallace, PT, MS, WebPT Chief Business Development Officer of Revenue Cycle Management; and Dianne Jewell, PT, DPT, PhD, WebPT Director of Clinical Practice, Outcomes, and Education—hosted a live open forum on physical therapy billing . Before the webinar, we challenged registrants to serve up their trickiest PT billing head-scratchers—and boy, did they deliver! We received literally hundreds of questions on …

  • The PT's Guide to Billing Image

    downloadJun 7, 2016

    The PT's Guide to Billing

    When it comes to physical therapy billing, you have to know your stuff—because even the simplest mistakes can cause denials. Of course, knowing billing backwards and forwards doesn’t have to be complicated. That’s why we created a comprehensive billing resource specifically for PTs. Take the guesswork out of billing. Enter your email address below, and we’ll send your free guide.

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

    articleJul 23, 2015 | 6 min. read

    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 …

  • Dual-Coding Wonder Twin Powers: Activate? Image

    articleSep 2, 2015 | 3 min. read

    Dual-Coding Wonder Twin Powers: Activate?

    Thirty days has September—and so has your clinic to prepare for ICD-10. Just one month from now, you’ll have to start using ICD-10 codes on most claims with dates of service on or after October 1, 2015. Did you see I wrote, “most”? That’s not a typo. The reason I can’t say “all” is because not all payers are switching to ICD-10. That means you’ll have to be bi-code-lingual (so don’t purge your brain of all ICD-9 …

  • Everything You Need to Know About the Medicare 8-Minute Rule Image

    articleNov 11, 2013 | 5 min. read

    Everything You Need to Know About the Medicare 8-Minute Rule

    In honor of this month’s compliance theme, here’s everything you need to know about how therapists determine what to bill to Medicare for outpatient therapy services (a.k.a. the 8-Minute Rule): CPT Codes  There are two types of CPT codes you’ll need to understand in order to bill properly: service- and time-based. Service-based (or untimed ) codes are those that you’d use for things like conducting a physical therapy evaluation or re-evaluation, applying hot/cold packs, or performing electrical …

  • The 7 Deadly Sins of PT Billing Image

    webinarMar 30, 2015

    The 7 Deadly Sins of PT Billing

    Billing for physical therapy services is tricky, time-consuming, and riddled with ever-evolving rules—which means mistakes are bound to happen. But how many mistakes are you truly making? The occasional oops is one thing, but what if you’re unknowingly flubbing up left and right? That’s a scary thought. Even scarier: you could be flubbing on purpose, because “everyone’s doing it.” Whether accidental or intentional, actions have consequences, and when it comes to billing for the services you provide, …

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