• 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 …

  • 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 …

  • MIPS 101 Image

    articleJul 24, 2019 | 3 min. read

    MIPS 101

    The Merit-based Incentive Payment System, or MIPS, is one tough cookie. It’s complicated and downright frustrating at times—but it’s something that rehab therapists need to be familiar with. If you’ve been looking for a no-nonsense, easy-to-follow MIPS explainer, then you’ve come to the right place! Just play the video to understand the basics behind this latest government program.  If you’ve finished the video and want a followup (or a recap) of the more complicated info we discussed, …

  • News Flash: Updated Guidance on 59 and X Modifier Use Image

    articleJul 8, 2019 | 2 min. read

    News Flash: Updated Guidance on 59 and X Modifier Use

    Earlier this year, the Centers for Medicare & Medicaid Services (CMS) announced a change to the way the agency will process modifier 59 and the X modifiers on provider claims. Previously, it would only unbundle NCCI edit pairs if providers submitted the appropriate modifier on the column two code . However, as this resource explains , there were times when it seemed less awkward for billers to affix the modifier to the column one code (usually, “when …

  • What’s in a WebPT Membership? Image

    articleMar 29, 2019 | 9 min. read

    What’s in a WebPT Membership?

    A WebPT Membership is pretty darn fantastic—just ask this PT clinic or this PT and OT pediatric practice . Because even with a basic membership, you score a whole host of truly web-based, therapy-specific tools and resources that are anything but basic. In fact, they’ll help you be better in business. Here’s just a handful: Secure, efficient, and defensible digital documentation Expert training and life-long, (free!) email support, chat support, and US-based telephone support Built-in outcome measurement …

  • 3 Emerging Trends in OT Telehealth and Technology Image

    articleMar 15, 2019 | 10 min. read

    3 Emerging Trends in OT Telehealth and Technology

    If you’ve been to Ascend —or any business-related rehab therapy event—you’ve certainly heard this common complaint: “There are so many patients who would benefit from OT, PT, and SLP—but they aren't making it into our clinics.” To make matters worse, we therapy professionals aren't very good at retaining the patients who do come to see us. And, of the few patients who complete an entire course of therapy, many don’t comply with their home exercise programs (HEPs) …

  • 2019 MIPS Quality Measures for PTs, OTs, and SLPs Image

    downloadFeb 22, 2019

    2019 MIPS Quality Measures for PTs, OTs, and SLPs

    There are boatloads of information floating around about MIPS and its requirements—and considering how complex it is , there’s little question as to why. Certain parts of the program bear the brunt of the intricate legalese, though—one of which being the Quality category. A descendent of the defunct PQRS program, the Quality category has more than 250 measures—each with unique reporting requirements. Of those measures, the final rule listed the following 11 as specifically applicable to PTs …

  • 5 MIPS Lies You've Been Told—But Should Not Believe Image

    articleFeb 20, 2019 | 7 min. read

    5 MIPS Lies You've Been Told—But Should Not Believe

    WebPT is a purpose-driven company that’s gained the trust of its Members by prioritizing integrity, which, by definition , requires honesty and strong principles. As a company executive—and also as a consumer—I know that being lied to is the worst, especially when a person or company does it in order to benefit at my expense. Unfortunately, there seems to be a lot of this going on in our industry right now when it comes to Medicare's Merit-Based …

  • The Pros and Cons of Opting into MIPS Image

    articleFeb 18, 2019 | 8 min. read

    The Pros and Cons of Opting into MIPS

    I’ve spent an enormous amount of time researching MIPS —from digging through the 2,000-odd pages of the final rule and decoding line upon line of legalese, to participating in hour-long discussions (and dozens of email chains) with WebPT’s compliance experts. After all that researching, I feel pretty comfortable with the ins and outs of the program—as well as its benefits and drawbacks. So, let’s talk shop. Here are the pros and cons of MIPS participation : Pros …

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