billing Archives | WebPT

lemons and lemonade with straw webpt graphic
article

Founder Letter: Making the Most of Our New Normal

It all happened in an instant—or at least it felt like an instant. One day, we were living our lives as normal—going about our work days, our family and social obligations, our routines. Then came news of the outbreak, the pandemic, the national emergency—all in such rapid-fire sequence that before we even had time to process it, we were reeling from the shock of having our lives turned upside down.

Read More
basketball shot clock at 59 seconds WebPT Graphic
article

How to Handle Modifier 59 Denials for 97530 and 97140

Following several CMS announcements that providers were overusing modifiers 25 and 59 as a means to bypass edit pairs (without supplying proper documentation to support those bypasses), multiple commercial payers—including Anthem, Aetna, and Humana—adopted front-end claim edit policies for claims containing these modifiers.

Read More
FAQ: for WebPT Webinar
article

FAQ: What PTs, OTs, and SLPs Are Asking About Telehealth and Crisis Management Strategy 

These are unprecedented times—and the rapidly changing healthcare landscape is leaving many rehab therapists feeling lost, adrift, and concerned about their future. That’s why earlier this week, our in-house experts, Dr. Heidi Jannenga, PT, DPT, ATC, WebPT Chief Clinical Officer and Co-Founder, John Wallace, PT, MS, WebPT Chief Business Development Officer of Revenue Cycle Management, and Veda Collmer, WebPT

Read More
side by side; a bill, a mobile phone, a dollar bill WebPT Graphic
article

Billing for PT and OT Telehealth Services During the COVID-19 Response

In these tumultuous times, it is of the utmost importance that we prioritize the safety of our fellow healthcare workers and patients. That is why many providers are seriously considering changing their business model and reallocating resources to telehealth—especially considering that CMS is beginning to reimburse PTs and OTs for certain telehealth services.

Read More
an abstract pen and official-looking document WebPT Graphic
article

Everything PTs Need to Know About Accepting Medicare Assignment

Over the years, we’ve written quite a few blog posts about Medicare—covering everything from Medicare and direct access to Medicare supervision requirements—and I don’t foresee that stopping any time soon. After all, there are so many intricacies and nuances to navigating Medicare that we have fodder to write until, well, either the end of time or the end of Medicare—whichever comes first.

Read More
abstract two marshmallows roasting on a small campfire WebPT Graphic
article

FAQ: MIPS and S’more: 2020 Final Rule Highlights

Okay, we’ll admit it: it’s probably the worst time of year to go camping. (It may not snow a whole lot in our lovely desert home, but even our December nights have gotten so, so bitterly cold.) But, that didn’t stop Heidi Jannenga, PT, DPT, ATC, WebPT Co-Founder and Chief Clinical Officer, and Rick Gawenda, PT, CEO of Gawenda Seminars & Consulting, from hosting an hour-long camping-themed webinar where they talked about ghost stories and s’mores—and a handful of CMS’s 2020 regulatory changes.

Read More
mobile device on a light green background WebPT Graphic
article

Can PTAs Do Progress Notes? (And Other PTA and OTA Questions)

Recently, we’ve received a whole lot of questions about what physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) can and cannot do in practice—likely because many practice owners are re-evaluating staff roles and clinic operations in preparation of the Medicare reimbursement reduction for assistant-provided services, which takes effect in 2022.

Read More
article

Common Questions from Our Medicare Compliance Webinar

During this month’s webinar, compliance experts Heidi Jannenga, PT, DPT, ATC, WebPT Co-Founder and Chief Clinical Officer, and Veda Collmer, JD, OTR, WebPT’s Chief Compliance Officer, discussed strategies for contending with compliance chaos and Medicare mayhem.

Read More
article

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.

Read More