cumentation is a thorn in the side of many a rehab therapist. It can be convoluted, confusing, and insanely time-consuming—and it definitely doesn’t help that the rules change every year. (Thanks a lot, CMS.) But, even though writing SOAP documentation can feel like an unforgiving and tedious task, it still deserves your full and undivided attention—because distractions can trigger mistakes, which can trigger denials, which can trigger attention from CMS, which can trigger an audit.
Under the HIPAA Privacy Rule, patients have several rights regarding their medical records, including a right to access, a right to amend, and, in some circumstances, a right to restrict disclosures of their protected health information (PHI). Understanding and complying with those rights is an important component of quality patient care.
Before 2015, data breaches were mostly confined to retail businesses. However, as more patient information becomes digitized, big data breaches are becoming more common in health care. And hackers don’t discriminate; they target organizations of all types and sizes, ranging from big hospitals to small private practices.
As exhibited in the news items below, small practices are not immune to HIPAA scrutiny by the federal government’s Department of Health and Human Services (DHHS)—as investigated by their enforcement agency, the Office of Civil Rights (OCR).
Does it seem like there have been more audits of therapy documentation and billing recently? It is not a figment of your imagination; they are happening at a record pace. Unfortunately, each payer has its own reasons for initiating audits, so assuaging why you were selected can be a daunting task.
Here’s a scenario I hope you never have to face: your small physical therapy practice hires a third-party billing company to manage your billing operations. Then, that billing company experiences a massive data breach affecting more than 1,000 of your patients.
Earlier this week, Heidi Jannenga, PT, DPT, ATC—WebPT’s Co-Founder and Chief Clinical Officer—and John Wallace, WebPT’s Chief Business Development Officer of Revenue Cycle Management, paired up to answer rehab therapists’ most burning billing questions during a live Q&A-style webinar.
We get it: no one actually enjoys documentation. It can be cumbersome and time-consuming—not to mention frustrating. Unfortunately, though, for a PT, OT, or SLP, defensible documentation is a necessary evil. It’s a good thing, then, that technology can help make the entire process smoother—and that there are resources available to help you ensure your documentation meets all defensibility standards.
We received more than 600 questions during our Medicare open forum webinar. Here are the most common ones, along with answers.
Here are the major compliance checks and balances your rehab therapy practice should have in place.
Physical therapy billing is equal parts art and science. On one hand, we want our codes to accurately represent the services we have provided, but on the other, we want to generate maximum reimbursement—while avoiding the risk of fraudulent billing.