• The Devil is in the Details: How to Document Defensibly Image

    articleNov 18, 2016 | 8 min. read

    The Devil is in the Details: How to Document Defensibly

    If we polled our readers—rehab professionals like you, that is—and asked them what they love most about their jobs, we could safely bet our bank accounts that not one of our lovely PTs, OTs, or SLPs would say, “documenting defensibly.” We know; documentation is no one’s favorite. Just ask WebPTers Brian Kunich, PT, OCS, COMT, and Bradley LaFave, who surveyed their audience with that very same question during a presentation they gave at Ascend 2016 . Some …

  • 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 …

  • The Bundle Conundrum: Should PTs Participate in CJR? Image

    articleNov 9, 2016 | 6 min. read

    The Bundle Conundrum: Should PTs Participate in CJR?

    There a lot of hot topics in health care right now. Among top trending terms like “Affordable Care Act,” “pay-for-performance,” and “value-based care,” you’ve also probably heard “Medicare bundled payments”—specifically, “CJR” (or Comprehensive Care for Joint Replacement ). It’s a new bundled payment model from CMS, and it is of particular importance to outpatient rehab providers. As this article explains, “CJR will support better care for patients who are undergoing elective hip and knee replacement surgeries—the two …

  • Hot Out of the Oven: Highlights of the 2017 Final Rule for PTs, OTs, and SLPs Image

    articleNov 9, 2016 | 8 min. read

    Hot Out of the Oven: Highlights of the 2017 Final Rule for PTs, OTs, and SLPs

    Halloween may be over, but if you didn’t get your fill of scares, I’ve got the perfect activity for you: reading through 1,401 pages of pure Medicare gobbledygook. Screaming yet? (Or should I check back at around page 500?) I kid, of course; there’s no need for you to slog through this year’s extra meaty Final Rule —which details the Medicare fee schedule and other important Medicare regulatory and reimbursement changes for physical therapy, occupational therapy, and …

  • On this Election Day, Be Sure to #VotePT Image

    downloadNov 8, 2016

    On this Election Day, Be Sure to #VotePT

    Today is Election Day, and we hope that means that you’ll go out to the polls—if you haven’t already—and exercise your right to vote . And as you do, don’t forget that the importance of influencing government policy doesn’t end on Election Day (though we’d encourage you to consider candidates’ support of pro-PT legislation as you cast your ballots); advocacy for the physical therapy industry should be a career-long endeavor. Because while we may not always agree …

  • Founder Letter: My Evaluation of the New PT and OT Eval Codes Image

    articleNov 3, 2016 | 5 min. read

    Founder Letter: My Evaluation of the New PT and OT Eval Codes

    Over the last several years, healthcare providers in general—and rehab therapists, specifically—have been hit with a seemingly constant barrage of regulatory requirements. And the vast majority of these initiatives—PQRS, functional limitation reporting, MPPR, ICD-10, and the like—have either: Had a direct negative impact on our payments, or Forced us to devote extra time to satisfying the criteria of the requirements—with zero compensation for that time. So, it should come as no surprise that the rehab therapy community …

  • New Year, New Codes: How to Bill for PT and OT Evaluations in 2017 Image

    webinarOct 27, 2016

    New Year, New Codes: How to Bill for PT and OT Evaluations in 2017

    As we prepare to ring in the new year, PTs and OTs also must prepare to ring in a new set of CPT codes for therapy evaluations and re-evaluations. That’s right—the ball isn’t the only thing dropping on January 1, 2017. On that day, all of the existing PT and OT evaluative codes—including 97001, 97002, 97003, and 97004—are fading into the annals of history. In their place will be eight new codes: three for PT evals, three …

  • More Than Luck: 5 PPS 2016 Takeaways Image

    articleOct 26, 2016 | 6 min. read

    More Than Luck: 5 PPS 2016 Takeaways

    Last week, the Wynn Las Vegas was abuzz with more than the whir of spinning reels and the jangle of noisy slot machines. That’s because, amidst the usual cheers and chimes of a casino floor, more than 1,000 private practice leaders, vendors, students, and other professionals came together to share and learn advice for private practice success during PPS 2016. Throughout all of the sessions I attended, I noticed one centralized theme: it’s going to take more …

  • Breaking News: 2017 MACRA Final Rule Hits Image

    articleOct 17, 2016 | 4 min. read

    Breaking News: 2017 MACRA Final Rule Hits

    After months of heated debate and public commentary—much of it coming from physicians who felt they needed more time to prepare themselves to participate in a brand-new quality reporting program—the Department of Health & Human Services (HHS) on Friday released its final rule on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) . This act, which will go into effect January 1, 2017, reimburses eligible Medicare physicians based on the quality of care they deliver …

  • Video Tutorial: Selecting the Correct Complexity Level for PT and OT Evals Image

    articleOct 13, 2016 | 1 min. read

    Video Tutorial: Selecting the Correct Complexity Level for PT and OT Evals

    The holidays will be here before we know it—and that means PTs and OTs will be required to use the new evaluation and re-evaluation CPT codes before we know it, too. And these codes bring with them the gift of complexity. But, unlike that snowman sweater from Great Aunt Sheila, therapists can't exchange these codes; so, whether they want to or not, PTs and OTs have to learn the ins and outs of coding for evaluative complexity …

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