• 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 …

  • The Rehab Therapist's Guide to Using CMS-1500 Claim Forms Image

    articleJul 29, 2019 | 17 min. read

    The Rehab Therapist's Guide to Using CMS-1500 Claim Forms

    Healthcare billing can get even the best billers tangled up in knots—and it’s no wonder why. Between tracking and adhering to shifting payer guidelines, managing patient claims, verifying insurance , and defending against denials , billers are pulled and twisted in a million different directions. That’s why it’s so important to have a strong billing foundation; a concrete understanding of your billing basics will help you pivot and twirl and handle the whirlwind of the billing office …

  • Physical Therapy Billing Live Q&A Image

    webinarJul 24, 2019

    Physical Therapy Billing Live Q&A

    Billing Blunder Blues got you down? Let our RCM experts mend your broken heart. Anyone who’s worked on the revenue cycle management (RCM) side of rehab therapy knows how complicated things can get—it’s enough to make a ramblin’ man lose his mind. Whether it’s a payer that suddenly denies a claim (even though you’ve submitted similar ones a thousand times before without issue) or confusion over which CPT code to select for patient education, a whole lotta …

  • How to Verify Patient Insurance in Three Easy Steps Image

    articleJul 11, 2019 | 7 min. read

    How to Verify Patient Insurance in Three Easy Steps

    Remember the game of telephone? Here’s how it goes: A group of kids sit in a circle, and then someone comes up with a message and whispers it to the person on his or her right. That person whispers what he or she heard to the next person, who then whispers it to the next person—and the message travels all the way around the circle until the last person announces what he or she heard. Somehow, almost …

  • The Pros and Cons of In-Network Payer Relationships Image

    articleJul 3, 2019 | 5 min. read

    The Pros and Cons of In-Network Payer Relationships

    It’s hard to identify when you’re trapped in an unhealthy relationship—even if that relationship is just a professional business arrangement. Yes, it’s possible that your in-network payer relationships are verging on unhealthy, especially if payers constantly grind your gears, and you’re hesitant to renew your contracts with them. The good news is that you have no obligation to remain in-network with every payer—and, in some cases, it may be better to ditch the in-network relationships altogether. That …

  • The State of Rehab Therapy in 2019 Image

    downloadJun 17, 2019

    The State of Rehab Therapy in 2019

    Each year, we survey thousands of rehab therapy professionals on the metrics, strategies, and complicating factors that influence success in the current healthcare market. In 2019, we received more than 6,000 responses from individuals in a variety of settings, specialties, and geographic regions—and we’ve compiled all that data into the single most comprehensive annual report on the state of the rehab therapy industry.  This report features insights on everything from demographics and financial metrics to regulatory challenges …

  • When Patients Can't Pay: The How and Why of Financing Programs Image

    articleMar 13, 2019 | 5 min. read

    When Patients Can't Pay: The How and Why of Financing Programs

    Most patients— especially those with whom your practice has a good rapport —want to pay their bills. Unfortunately, with the rise of high-deductible healthcare plans , patients are now responsible for a larger portion of their healthcare bills (in addition to insurance plan premiums). As a result, many well-intentioned people are simply unable to cover the cost of the care they need. This problem is exacerbated for specialities like rehab therapy, because patients typically need to attend …

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