• Founder Letter: Innovate, Don't Automate: The Slippery Slope of Clinical Support Software Image

    articleMar 7, 2017 | 8 min. read

    Founder Letter: Innovate, Don't Automate: The Slippery Slope of Clinical Support Software

    Today, most of us depend on technology to help us tackle some of the more mundane tasks that would otherwise require time and space on our already-too-full schedules. We text instead of call. We order gifts, groceries, and gadgets online instead of waiting in line at the store. And we deposit checks using our phones—if we ever even receive a check (hello, Square Cash and online bill pay)—instead of trekking over to the bank. In essence, we’ve …

  • Evaluation Exam: Do You Know How to Use the New PT and OT Eval Codes? [Quiz] Image

    articleMar 3, 2017 | 1 min. read

    Evaluation Exam: Do You Know How to Use the New PT and OT Eval Codes? [Quiz]

    On January 1, 2017, new CPT codes went into effect for PT and OT evaluations and reevaluations. To use these new codes correctly, PTs and OTs must determine—and code for—the correct level of complexity associated with each patient evaluation. As with anything new, the implementation of these codes stirred up quite a few tough questions. Think you know how to use them? Test your skills on this quiz to be sure. After all, incorrect code selection could …

  • Common Questions from our Cloudy with a Chance of Reform Webinar Image

    articleFeb 13, 2017 | 13 min. read

    Common Questions from our Cloudy with a Chance of Reform Webinar

    In our first webinar of 2017 , WebPT’s co-founder and president, Heidi Jannenga, teamed up with CEO Nancy Ham to discuss the current and future healthcare trends that will impact PTs, OTs, and SLPs. (Missed it? No worries; you can view the complete recording here .) As always, we received quite a few questions during the presentation—way more than we could address live. So, we’ve put them all here, in one handy Q&A doc. Scroll through and …

  • How to Use Modifier 59 With the New PT and OT Evaluation Codes Image

    articleJan 30, 2017 | 9 min. read

    How to Use Modifier 59 With the New PT and OT Evaluation Codes

    Whether you’re a therapy billing newbie or a seasoned vet, knowing the ins and outs of modifier 59 —and when it’s appropriate to bill with this “last resort” modifier —can be difficult and just plain confusing. With CMS’s recent release of new eval and re-eval CPT codes , your confusion may be intensifying. But, don’t let this weighty topic keep you up at night. Instead, look to the information below to fine-tune your billing and documentation efforts. …

  • Tales from the Table: How PTs Have Successfully Negotiated Payer Contracts Image

    articleJan 27, 2017 | 5 min. read

    Tales from the Table: How PTs Have Successfully Negotiated Payer Contracts

    No private practice owner should approach payer contract negotiations haphazardly—or worse, not understand specific terms before signing on the dotted line. And for good reason: Continued claim denials and decreasing reimbursements make it tough for many rehab therapy practice owners to get the most out of their private payer contracts. But while the mere thought of going head-to-head with large health plans in your physical therapy provider network is probably enough to form a knot in your …

  • Why PTs, OTs, and SLPs Need to Get a Seat on the Telehealth Train Image

    articleJan 9, 2017 | 6 min. read

    Why PTs, OTs, and SLPs Need to Get a Seat on the Telehealth Train

    Technology continues to play a key role in furthering health care’s reach—and remote, virtual care delivery is the latest trend in the overarching push to improve patients’ access to care. In fact, as we’ve previously reported , an estimated 1.8 million health consumers are expected to take part in some form of telehealth —or telemedicine—by year’s end, with the biggest market share coming from post-acute care patients. That’s great news for patients looking for alternate ways to …

  • Cloudy with a Chance of Reform: 5 Key Healthcare Forecasts for 2017 Image

    webinarJan 5, 2017

    Cloudy with a Chance of Reform: 5 Key Healthcare Forecasts for 2017

    Predicting the weather is tough—just ask any meteorologist who has called for sun on the day of a major downpour. Well, predicting the fate of the US healthcare system isn’t much easier—there’s a lot up in the air, after all. But, even without a healthcare equivalent of Doppler Radar, there are a few key trends that are sure to have a major impact on PTs, OTs, and SLPs in 2017 and beyond. And to keep your practice …

  • Most Commonly Used CCI Edits for PT, OT, and SLP Private Practice Settings Image

    downloadDec 22, 2016

    Most Commonly Used CCI Edits for PT, OT, and SLP Private Practice Settings

    Some things go better together: peanut butter and jelly, chips and salsa, fish and chips. Likewise, rehab therapists often perform certain procedures that are similar to one another—but they might not know that two or more specific therapy types form “edit pairs.” Subsequently, they’re left in the dark about collecting a bigger portion of Medicare’s payment pie. So how can you, the rehab therapist, determine which therapy services are mutually exclusive? It’s as simple as identifying one …

  • Modifier 59 Flowchart Image

    downloadDec 22, 2016

    Modifier 59 Flowchart

    To bill for modifier 59 or not to bill for this very tricky modifier—that is the (burning) question. If you find yourself asking this question time and again—while also thinking back to high school English class—you’re not alone. Few modifiers cause as much consternation for PTs or wreak as much havoc on their payments as modifier 59. But knowing when to accurately apply one of the most misused modifiers is your ticket to getting paid by Medicare—and …

  • PT and OT Evaluation Codes Cheat Sheet Image

    downloadDec 21, 2016

    PT and OT Evaluation Codes Cheat Sheet

    As of January 1, 2017, PTs and OTs must use a new set of CPT codes to bill for patient evaluations and re-evaluations. But, it's not a simple swap-out across the board; instead, when coding for initial evaluations, therapists must now select one of three codes, which are tiered according to the complexity of the evaluation. But, what separates a low-complexity evaluation from a moderate- or high-complexity one? And how should therapists go about making their coding …

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