• 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 …

  • 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 …

  • 6 Surefire Signs Medicare Will Audit Your PT Practice (and How to Fix 'Em) Image

    articleNov 30, 2017 | 7 min. read

    6 Surefire Signs Medicare Will Audit Your PT Practice (and How to Fix 'Em)

    Camping season may be over, but I’m in the mood to tell a scary campfire story. So, here goes: It’s an average work day. Your last patient just left, and you’ve got a little downtime between appointments to grab a cup of coffee and catch up on documentation. As you sit down at your desk, you notice a stack of envelopes. “The mail must’ve come early today,” you think to yourself. As you thumb through the advertisements …

  • 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 Ins and Outs of the So-Called Pseudo-Codes Image

    articleNov 29, 2016 | 6 min. read

    The Ins and Outs of the So-Called Pseudo-Codes

    At some point or another, almost every rehab therapist has commiserated with a colleague over the billing process. We know; it’s one of your least-favorite parts of the job. But, while it’s certainly less fulfilling than providing patient treatment, accurately reporting CPT codes is imperative to your ability to get paid. In other words, flubbing up on your billing duties can cost your clinic big bucks—and no one wants to leave cold-hard cash sitting on the table …

  • How to Bill for One-on-One Therapy Services Provided in a Group Treatment Setting Image

    articleNov 15, 2016 | 4 min. read

    How to Bill for One-on-One Therapy Services Provided in a Group Treatment Setting

    Humans are naturally social creatures. Being in groups gives us more confidence—and for patients seeking rehab therapy services, that can often lead to better outcomes. But, as a therapist, knowing when and how to bill for one-on-one services (a.k.a. individual therapy) in a group treatment setting can be tricky to say the least. Here are a few things to consider when treating multiple patients during the same timeframe: Billing for Individual Services In some ways, billing for …

  • Trick or Treat: A Creepy-Crawly Compliance Quiz Image

    articleOct 31, 2016 | 1 min. read

    Trick or Treat: A Creepy-Crawly Compliance Quiz

    Medicare compliance can be tricky—if not downright terrifying (sounds an awful lot like our favorite creepy-crawly holiday, Halloween). So when it comes to compliance, do you scare easily? Or, do you know the mean Medicare streets like the back of your hand? Take this frightening Medicare compliance quiz to find out whether your compliance basket is fraught with compliance tricks or filled to the brim with satisfying treats. Oh! And one last thing: while the scenarios and …

  • The Definitive Medicare Part B FAQ for Outpatient PT, OT, and SLP Image

    articleOct 27, 2016 | 33 min. read

    The Definitive Medicare Part B FAQ for Outpatient PT, OT, and SLP

    In October, we hosted a webinar dedicated to the most common Medicare misconceptions . We received a lot of questions from the audience—so many, in fact, that we’ve organized them all into one huge FAQ. Scroll through and check them out, or use the link bank below to skip to a particular section. The Therapy Cap ABNs Modifiers Supervision Prescriptions and Certifications Cash-Pay Rules and Regulations Re-Evaluations Everything Else   The Therapy Cap If a patient reaches …

  • Collaboration Compliance: The Ins and Outs of Team Therapy and Group Therapy Image

    articleOct 21, 2016 | 4 min. read

    Collaboration Compliance: The Ins and Outs of Team Therapy and Group Therapy

    Understanding the nuances of team therapy and group therapy —and how to bill for each—presents some challenges; based on the ol’ English language, you’d think these analogous terms are virtually the same. But, when it comes to rehab therapy billing, these two phrases are non-interchangeable—and treating them the same could put your practice at risk of claim denials or audits. So, how do know if you’re billing the right codes for treatment scenarios involving multiple patients—or multiple …

  • 9 Most Common Medicare Misconceptions for PTs, OTs, and SLPs Image

    webinarSep 8, 2016

    9 Most Common Medicare Misconceptions for PTs, OTs, and SLPs

    To say that Medicare regulations are confusing is an understatement. But, it’s not just the barely-readable government gobbledygook that throws providers for a loop; it’s also the fact that the rules are always changing. If you treat Medicare patients, we’re willing to bet you’ve been tripped up by at least one of these common misconceptions—maybe without even knowing it. And that could leave a nasty bruise on your practice’s bottom line—especially if you ever find yourself at …

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