• Senate Recesses with No Decision on SGR Bill Image

    articleMar 31, 2015 | 3 min. read

    Senate Recesses with No Decision on SGR Bill

    Let the trepidation commence. The Sustainable Growth Rate (SGR) formula—which Medicare uses to calculate reimbursements—and the therapy cap are both officially in limbo. On March 26, the House of Representatives passed legislation that would repeal SGR and extend the therapy cap exceptions process for another two years. (As an aside, the bill did not include an ICD-10 delay, so that transition is continuing as scheduled.) Enactment of that bill wouldn’t be the optimal outcome for rehab therapists, …

  • Common Questions from our Modifier Open Forum Image

    articleJul 7, 2014 | 10 min. read

    Common Questions from our Modifier Open Forum

    Should I have my patients sign an advance beneficiary notice of noncoverage (ABN) just in case Medicare doesn’t pay? No, by having your patient sign an ABN, you are acknowledging that you do not believe that the services you are providing are either medically necessary or covered by Medicare. If you have an ABN on file, you should include a modifier GA or GX modifier on your claim so Medicare knows to deny the claim and assign …

  • Clinic Management Best Practices Image

    webinarMar 25, 2014

    Clinic Management Best Practices

    Managing a rehab therapy practice is a lot like juggling chainsaws—you’ve got to be cool under pressure and quick on your feet. Easier said than done—especially in the face of increasing regulations and decreasing reimbursements. But we’re here to help. In this webinar, hosts Heidi Jannenga, PT, and Marketing Director Mike Manheimer will cover a plethora topics related to clinic management, including: the social media ROI quandary qualities of an effective front office staff medical necessity and …

  • The Great Medically Necessary Discussion and How to Use ABNs Image

    articleMar 12, 2014 | 6 min. read

    The Great Medically Necessary Discussion and How to Use ABNs

    For many physical therapists, the phrase “medically necessary” sounds worse than nails on a chalkboard. On the one hand, it’s vague, subjective, and open to infinite interpretation. And on the other, it’s often the determining factor in whether payers—perhaps most notably, Medicare—will provide reimbursement for rehab therapy services. A Bit of History The history of the “medically necessary” reimbursement requirement stretches all the way back to the 1960s. As E. Haavi Morreim explains in  this article , it was …

  • articleNov 19, 2013 | 4 min. read

    Therapy Cap Recap

    If you’re a rehab therapist who treats Medicare patients, you’ve got a bevy of rules and regulations to follow and knowing all of them inside and out is a tall order, to say the least. If decoding government legalese isn’t really your thing, don’t worry—we’ve dedicated this entire month to serving up a smorgasbord of digestible, easy-to-understand guides on the important Medicare policies that apply to you. On today’s menu: the therapy cap. As part of the …

  • articleAug 28, 2013 | 7 min. read

    No Workarounds: Following the Rules of the Therapy Cap and the Importance of Solid Documentation

    If you’re like most rehab therapists, finding a letter from Medicare in your mailbox is enough to make your brow sweat and your heart skip a beat. With all of the regulations we have to follow—and the potential penalties associated with noncompliance—it’s no surprise that we have grown to fear Medicare. We’re afraid of doing something wrong. Or in some cases, we’re afraid of not getting paid. Thus, rather than defend our decisions, our expertise, and our …

  • The Ultimate Functional Limitation Reporting Survival Guide Image

    articleJul 1, 2013 | 3 min. read

    The Ultimate Functional Limitation Reporting Survival Guide

    Oops! You had your head in the proverbial sand regarding all of this functional limitation reporting mumbo jumbo, and now you need a crash-course—stat! Luckily for you, we’ve put together a quick study guide to help you cram for the big change. Think of it as your FLR CliffsNotes—a condensed summary of this new Centers for Medicare & Medicaid Services (CMS) requirement and what you need to do to stay compliant. So, let’s get to it. Here …

  • articleJun 26, 2013 | 3 min. read

    Wellness and Cash-Based Services for Medicare

    Today’s blog post comes from  Ann Wendel ,  PT . Ann is the owner of  PranaPT , a member of WebPT, and an active social media participant (@PranaPT). Thanks, Ann! Due to all of the recent changes in Medicare documentation and billing requirements, I have had an increase in the number of questions from other physical therapists regarding cash-based services for Medicare patients. In past articles, I have discussed the inability of physical therapists to “opt out” …

Pages

Achieve greatness in practice with the ultimate EMR for PTs, OTs, and SLPs.