• Regulatory Roundup: 6 Challenges Confronting Rehab Therapists in 2018 Image

    webinarOct 25, 2017

    Regulatory Roundup: 6 Challenges Confronting Rehab Therapists in 2018

    Back in the lawless days of the wild, wild west, people made up their own rules: agreements were made with handshakes and disputes were settled with barroom brawls. My, how times have changed. Nowadays, there are so many rules, it’s tough to keep ’em all straight. But, that’s not necessarily a bad thing—especially if you know the rules and how they affect your practice. If you get a handle on those things, then we reckon you’ll get …

  • Maintenance, Medicare, and Medical Necessity: Unpacking the Jimmo Update Image

    articleOct 5, 2017 | 5 min. read

    Maintenance, Medicare, and Medical Necessity: Unpacking the Jimmo Update

    Hey, have you heard the good news? CMS has completed all required action items laid out in the Jimmo v. Sebelius settlement. If you’re scratching your head and wondering why that matters, here’s the rundown: a few years ago, a group of Medicare providers alleged that CMS contractors made determinations on claims for skilled care based on an inappropriate “Improvement Standard.” These providers took CMS to court, and the court determined that CMS needed to clarify and …

  • Top 5 Benefits of an Integrated EMR and Billing System Image

    articleSep 1, 2017 | 3 min. read

    Top 5 Benefits of an Integrated EMR and Billing System

    Traditionally, PT billing and documentation have been separate processes—each with its own set of frustrations. However, WebPT’s billing software, Therabill , provides therapists with a better, more streamlined workflow—and because this billing software is connected to a top-notch EMR, users are able to run their clinics more efficiently, and thus, focus more on patient care. Here at WebPT, we’re determined to simplify clinical and financial processes for PTs—and providing an integrated billing solution is an important piece …

  • Why Physical Therapists Should Support the CONNECT for Health Act 2017 Image

    articleAug 14, 2017 | 6 min. read

    Why Physical Therapists Should Support the CONNECT for Health Act 2017

    The US Senate recently introduced the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act 2017 (S.1016) . If passed, the CONNECT for Health Act would remove several barriers to utilizing telehealth with Medicare patients—which would present a valuable opportunity to the physical therapy profession. Here’s why PTs should strongly consider supporting it: It will allow PTs to deliver, and receive reimbursement for, physical therapy telehealth services. As it stands, Medicare only provides …

  • What 500,000 Evaluative Notes Told Us About the New CPT Codes Image

    articleAug 2, 2017 | 7 min. read

    What 500,000 Evaluative Notes Told Us About the New CPT Codes

    Back in January, PTs and OTs experienced a pretty dramatic shift in the way they coded for initial evaluations. As you probably—hopefully—recall, this change required therapists to select evaluation CPT codes based on the complexity of each individual eval. (If this doesn’t sound familiar—or if you want a refresher on the details of the new evaluation code set—then I’d recommend reading this post ASAP.) This was a major change—one that thrust our entire profession into uncharted territory. …

  • When Should I Use Modifier 59? Image

    articleJul 28, 2017 | 7 min. read

    When Should I Use Modifier 59?

    In a PT’s paradise, the billing process wouldn’t exist. Therapists would simply provide treatment and receive payment accordingly, no explanation—or coding—required. In the real world, though, claims—and the codes and modifiers you submit with those claims—are your ticket to getting paid. And in many situations, one little modifier could have a big impact on your bottom line. Such is the case with modifier 59. Not sure of the rules governing proper use of this much talked-about modifier? …

  • Medicare Part B Documentation Requirements for Physical and Occupational Therapy Image

    articleJul 24, 2017 | 7 min. read

    Medicare Part B Documentation Requirements for Physical and Occupational Therapy

    How familiar are you with the Medicare guidelines for physical therapy documentation? What about for occupational therapy documentation? If you’re a PT or OT and your answer is anything other than 100%, you’ve come to the right place, because failing to adhere to these standards could mean problems—both in the form of denied reimbursements and potential audits . If you’re looking for Medicare Part A therapy documentation requirements, click here ; for CMS documentation guidelines for speech-language …

  • Physical Therapy Billing for Beginners, Part 1 Image

    articleJul 16, 2017 | 5 min. read

    Physical Therapy Billing for Beginners, Part 1

    Of course, you got into physical therapy to help people—not to rake in the dough. But in order to do the former well, you’ve also got to know how to make a profit—and that requires billing for your services. If you’re new to physical therapy, you might be feeling a little overwhelmed by the prospect, so here are a few things to remember about billing for physical therapy services—the basics, if you will. (Keep in mind that …

  • Denial Management FAQ Image

    articleMay 26, 2017 | 22 min. read

    Denial Management FAQ

    During our denial management webinar , we discussed the difference between rejections and denials, explained how to handle both, and provided a five-step plan for stopping them in their tracks. The webinar concluded with an exhaustive Q&A, and we’ve amassed the most common questions here. Insurance Issues Claim Quandaries Compliance Qualms Documentation Dilemmas Front-Office Frustrations Insurance Issues We’ve had issues with auto insurances denying 97112 (neuromuscular re-education) for non-neuro diagnoses, even in cases when the patient’s medical …

  • How Can PTs Use Telehealth? Image

    articleMar 22, 2017 | 7 min. read

    How Can PTs Use Telehealth?

    Telehealth continues to garner headlines as providers, patients, and payers all seek more effective and cost-efficient ways to deliver care. In fact, this increasingly popular treatment option is giving providers of all stripes the flexibility to cast a wider net and provide services to patients seeking alternate ways to access health services (e.g., those who are homebound or who reside in more rural, underserved areas). But, as with anything new, there are bound to be some growing …

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