• The Complete Guide to Physical Therapy Billing Image

    downloadOct 3, 2019

    The Complete Guide to Physical Therapy Billing

    When you think about physical therapy billing, what words come to mind? If you’re like most people, it’s probably not “simple” or “stress free.” The fact is, PT billing is less like a stroll in the park and more like a journey through a labyrinth. It’s confusing, and the rules are ever-changing. But, if you want your practice to be successful, it’s also very, very necessary. That’s why we decided to create this comprehensive PT billing guide. …

  • 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 …

  • CMS Audits: Who, What, and Why Image

    articleSep 6, 2019 | 10 min. read

    CMS Audits: Who, What, and Why

    This post comes from Ascend 2019 speaker Mary R. Daulong, PT, CHC, CHP, President and CEO of Business & Clinical Management Services, Inc. Want to see Mary speak about audits during a live interactive session? Register for Ascend here . Curious about the rest of the speaker lineup? Check it out here . Does it seem like there have been more audits of therapy documentation and billing recently? It is not a figment of your imagination ; …

  • FAQ: Physical Therapy Billing Live Q&A Image

    articleAug 30, 2019 | 51 min. read

    FAQ: Physical Therapy Billing Live Q&A

    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 . And, boy, did we get a lot of great ones. So many, in fact, that we couldn’t possibly get to them all live, so we created this massive post-webinar post (our biggest yet) with the most commonly …

  • 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 …

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