• Rate Your PT Clinic's Billing [Quiz] Image

    articleSep 27, 2019 | 1 min. read

    Rate Your PT Clinic's Billing [Quiz]

    At the end of the day, you can’t have a successful PT clinic without a reliable, efficient billing process. But, when you’re consumed by the stressors of running a PT clinic and don’t exactly feel over the moon with your current billing situation, it’s difficult to tell if your clinic’s billing process is out of this world and just needs a small tuneup—or if it’s earthbound and needs a complete overhaul.  So, there’s never been a better …

  • Timely Filing: A Cheat Sheet for PTs Image

    articleSep 26, 2019 | 6 min. read

    Timely Filing: A Cheat Sheet for PTs

    When it comes to punctuality, here’s my motto: “If you’re early, you’re on time. If you’re on time, you’re late.” Maybe I think that way because I have a Type A personality (holy organization, Batman ). Or, maybe it’s because this rule truly applies in many situations—even in physical therapy billing . Because with claim submissions , lateness isn’t only unacceptable; it also causes denials . So, how do you know when your claim submissions are early, …

  • The Home Health PT's Guide to Billing for Outpatient Services Image

    articleSep 19, 2019 | 5 min. read

    The Home Health PT's Guide to Billing for Outpatient Services

    Did you know that the singular form of the word “confetti” is “ confetto ”? Or that sharks have literally attacked the Internet ? Or that we can thank Shakespeare for inventing the word “manager?” (Yeah, that one surprised me, too!) There’s a lot of collective human knowledge that each of us as individuals will never get a chance to learn about—and I mean a lot. Simply reading the entire Internet would take a couple dozen million …

  • The Dish on Patient Discounts: Can You Charge Different Rates for the Same Service? Image

    articleSep 11, 2019 | 7 min. read

    The Dish on Patient Discounts: Can You Charge Different Rates for the Same Service?

    Let’s start with the bad news. (Spoiler alert!) Patient discounts aren’t anywhere near as straightforward as we’d all like them to be. Getting a hard-and-fast rule from every commercial payer and state government—or even from CMS —can be harder than keeping up with the gossip in a highschool cafeteria. So, naturally, the discounting situation is less “he said, she said” and more “they said, they said, they said, and they said.” It’s hard to know what you …

  • Compliance Quest: 7 Medicare Muck-Ups and How to Fix Them Image

    webinarAug 30, 2019

    Compliance Quest: 7 Medicare Muck-Ups and How to Fix Them

    Legends tell of a great beast who lurks in the depths of CMS’s darkest dungeon. Many adventurers have set out to conquer this mighty leviathan, only to find themselves outmatched, outnumbered, and eventually, defeated. But now, the time has come for a hero to emerge and subdue this prodigious beast once and for all. That beast is Medicare. And the hero? That’s you. With the right knowledge and skillset, you and your party (er, clinic staff) can …

  • EDI, ERA, and EFT Overview for Rehab Therapists Image

    articleAug 27, 2019 | 4 min. read

    EDI, ERA, and EFT Overview for Rehab Therapists

    What would health care be without its love for initialism? And healthcare billing is no exception, which is why we decided to shed some light on three common ones: EDI, ERA, and EFT. If you’re in the rehab therapy billing world, you’ve probably heard these terms bandied about. But because they directly impact your practice’s ability to make money, it’s imperative that you’re crystal clear about electronic data interchange, electronic funds transfer, and electronic remittance advice definitions. …

  • Building from the Ground Up: Billing Checklist for New PTs Image

    articleAug 20, 2019 | 7 min. read

    Building from the Ground Up: Billing Checklist for New PTs

    You might say that when you’re building a table, the most important tool to have on hand would be a saw. Another person might say it’d be a sander—and another might argue that you can’t do anything without a tape measure. I’d personally say that, while you definitely need all those tools, the most important tool to have on hand is a calm, clear-headed frame of mind. (Seriously, don’t use dangerous equipment if you’re not 100% present …

  • The 2020 Proposed Rule: Bite-Sized Edition Image

    articleAug 13, 2019 | 6 min. read

    The 2020 Proposed Rule: Bite-Sized Edition

    Too much of anything is bad for you—even if it’s something you like. Too much sun will give you some gnarly burns. Too much exercise can damage your muscles or cause stress fractures. Even too much Chipotle can make you sick (much to my eternal disappointment). All humans need to avoid consuming too much of one thing—and reading through CMS’s annual policy changes is, inarguably, way too much . So, we’re gonna keep this explanation of the …

  • 5 Reasons to Outsource Your PT Clinic's RCM Image

    articleAug 5, 2019 | 5 min. read

    5 Reasons to Outsource Your PT Clinic's RCM

    If you’re at a place where your clinic’s billing is the bane of your (or your staff’s) existence, it may be time to get some help. Not every practice needs to outsource its billing—let’s make that perfectly clear. If you have an expert biller (or a few) on staff—and you’re not experiencing any major billing frustrations—then outsourcing is probably not the right move for your clinic. But, for the clinics that are overloaded, overwhelmed, or completely burnt …

  • The Difference Between Medicare and Medicaid Billing and Reimbursement Image

    articleJul 31, 2019 | 8 min. read

    The Difference Between Medicare and Medicaid Billing and Reimbursement

    At first glance, Medicare and Medicaid might seem like twins, or a dynamic duo, or two peas in a pod—basically, inseparable. They’re both government healthcare programs; they were both created at the same time ; they’re both confusing and usually don’t boast the best reimbursement rates ; and they even sound alike (they both start with “Medi-,” right?). In reality, though, these two programs are very, very different. For starters, Medicare is a federally run program, which …

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