• 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 …

  • Physical Therapy Billing for Beginners Image

    articleJul 26, 2019 | 7 min. read

    Physical Therapy Billing for Beginners

    Most physical therapists chose this profession to help people—not to become the world’s greatest biller. And yet, in order to stay in business long enough to truly make a difference for your patients, you’ve got to know how to make a profit—and that requires a solid understanding of PT billing. If you’re new to physical therapy, you might be feeling a little overwhelmed by the prospect, so below, we’ve provided some billing basics:  Codes ICD To properly …

  • 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 …

  • 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 …

  • CMS’s Final Bow: The 2019 Final Rule Image

    articleNov 5, 2018 | 8 min. read

    CMS’s Final Bow: The 2019 Final Rule

    Last week, the Centers for Medicare and Medicaid Services (CMS) published its 2019 final rule . Clocking in at just over 2,300 pages, the final rule isn't exactly a light read—especially because the legal lingo can be harder to interpret than Shakespearean verse. Luckily, we have the script—with all its twists and turns—decoded and ready for you to review. Here's the synopsis of all the physical therapy, occupational therapy, and speech-language pathology Medicare changes for 2019: Out, …

  • 9716-What? When to Bill for PT Evals and Re-Evals Image

    articleNov 2, 2018 | 5 min. read

    9716-What? When to Bill for PT Evals and Re-Evals

    Over the years, we've received a lot of questions about when to bill for an evaluation versus a re-evaluation , and when you look at the description for CPT code 97164 (PT Re-evaluation), it's easy to see why. According to the American Medical Association , 97164 denotes a re-evaluation of an established plan of care, which requires these components: “an examination including a review of history and use of standardized tests and measures;” “a revised plan of …

  • Common Questions from Our Medicare Open Forum Webinar Image

    articleOct 25, 2018 | 43 min. read

    Common Questions from Our Medicare Open Forum Webinar

    Earlier this week, WebPT President Dr. Heidi Jannenga, PT, DPT, ATC, teamed up with Rick Gawenda, PT—President and CEO of Gawenda Seminars & Consulting—to host a Medicare Open Forum . As expected, we received more questions than our Medicare experts could answer during the live session, so we've provided the answers to the most frequently asked ones below. Don't see the answer you're looking for? Post your question in the comment section at the end of this …

  • Right on the Money: The Ultimate Guide to Accurate Rehab Therapy Billing Image

    articleSep 19, 2018 | 7 min. read

    Right on the Money: The Ultimate Guide to Accurate Rehab Therapy Billing

    Most of us went to physical therapy school to treat patients, not to spend our lives mired in stacks of paperwork. But that’s what physical therapy billing can feel like: endless mountains of forms, claims, and invoices . As much as we malign it, though, billing accurately for our services is crucial to keeping our clinic doors open so we can continue to treat those patients. Because most of us haven’t received formal training on how to …

  • Code This, Not That: How to Maximize Your PT Billing by Using the Right CPT Codes Image

    articleAug 21, 2018 | 4 min. read

    Code This, Not That: How to Maximize Your PT Billing by Using the Right CPT Codes

    Physical therapy billing is equal parts art and science. On one hand, we want our codes to accurately represent the services we have provided, but on the other, we want to generate maximum reimbursement—while avoiding the risk of fraudulent billing . While compliance experts might be able to code like ninjas without breaking a sweat, the rest of us often struggle to walk the billing and coding line. Using CPT codes to their fullest is a great …

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