• The 8-Minute Rule Showdown: Medicare vs. AMA Image

    articleNov 25, 2015 | 5 min. read

    The 8-Minute Rule Showdown: Medicare vs. AMA

    The guidelines for using the 8-Minute Rule are kind of like the instructions for building a piece of furniture from IKEA: they appear simple at first, but before you know it, you’ve been struggling for hours, you’ve got a lopsided futon, and there are seven leftover screws of various shapes and sizes scattered around your living room floor (maybe they’re just extras, right?). To make matters even more confusing, not all payers adhere to the same set …

  • 2016 CPT Code Changes: What PTs, OTs, and SLPs Need to Know Image

    articleNov 11, 2015 | 2 min. read

    2016 CPT Code Changes: What PTs, OTs, and SLPs Need to Know

    January 1 marks the start of a brand new year. As we clean up the discarded party hats, noise-makers (i.e., pots and pans), and champagne flutes, we tend to reflect on the past year. Upon doing so, we often find that some of our old habits aren’t worth holding onto. That’s why many of us make new resolutions to adopt healthy lifestyle changes (new year, new you!), while simultaneously kicking our bad habits to the curb. But …

  • The Ultimate ICD-10 FAQ: Part Deux Image

    articleSep 24, 2015 | 16 min. read

    The Ultimate ICD-10 FAQ: Part Deux

    Just when we thought we’d gotten every ICD-10 question under the sun, we got, well, more questions. Like, a lot more. But, we take that as a good sign, because like a scrappy reporter trying to get to the bottom of a big story, our audience of blog readers and webinar attendees aren’t afraid to ask the tough questions—which means they’re serious about preparing themselves for the changes ahead. And we’re equally serious about providing them with …

  • The Ultimate ICD-10 FAQ Image

    articleSep 1, 2015 | 21 min. read

    The Ultimate ICD-10 FAQ

    Yesterday, we hosted the largest webinar in WebPT history . Thousands of rehab therapy professionals attended the live session, which focused on ICD-10 coding examples . As expected, we received a lot of questions. Below is a collection of the webinar’s most frequently asked questions. The Seventh Character Craze What is the seventh character? The seventh character didn’t exist in ICD-9 , so it’s caused a great deal of confusion. Essentially, it’s a mechanism for applying greater …

  • Medical Necessity and ICD-10: What Physical Therapists Need to Know Image

    articleAug 11, 2015 | 4 min. read

    Medical Necessity and ICD-10: What Physical Therapists Need to Know

    ICD-10 has raised a lot of questions, and with good reason:  it differs greatly from its predecessor, ICD-9 , after all. One critical question is, “How will ICD-10 affect the way in which I diagnose?” Currently, many physical therapists receive diagnosis codes from referring physicians, and they just carry those over into their notes. But ICD-10 isn’t solely about coding patient diagnoses correctly; it’s also about coding the correct patient diagnoses. As Lori Purcell, RHIA, CCS, explains …

  • Do You Know Your Modifiers? [Quiz] Image

    articleJul 29, 2015 | 1 min. read

    Do You Know Your Modifiers? [Quiz]

    It’s a mad, mad, mad, mad Medicare world, and unfortunately, just about every regulation requires a modifier. If you apply the wrong modifier—or forget one entirely—then your clinic suffers decreased payments or flat-out denials. Even worse, if you amass enough modifier mistakes, you make your practice vulnerable to an audit. Worried you’re miserable at modifiers or want confirmation that you’re actually a modifier master? Take our 10-question quiz below to test your modifier know-how.    

  • A Tale of Two Billing Blunders: Overbilling and Misbilling Image

    articleJul 23, 2015 | 6 min. read

    A Tale of Two Billing Blunders: Overbilling and Misbilling

    Billing for physical therapy services is tricky, time-consuming, and nerve-wracking. After all, there are so many rules to follow, and it seems like those rules are constantly changing. That makes mistakes tough to avoid. And in many cases, you might not even know you’re making them. And while an occasional billing error probably isn’t a huge deal, if you’re unknowingly messing up left and right, you could end up in hot water. And if you’re purposely messing …

  • Can You Ace Our 8-Minute Rule Quiz? [Quiz] Image

    articleJul 21, 2015 | 1 min. read

    Can You Ace Our 8-Minute Rule Quiz? [Quiz]

    Maybe you thought your days of grinding through word problems ended when you sold that college algebra textbook back to the university bookstore (for less than half of its original price). But if you’re a rehab therapist who treats Medicare patients, you probably have to call upon your math skills—and maybe even the ol’ TI-83 Plus—fairly often, because sometimes Medicare’s 8-minute rule seems more like a complex trigonometric function than a seemingly straightforward billing formula. Think you’ve …

  • Counting the Clock: 7 Must-Know Facts about Billable PT Treatment Time Image

    articleJul 8, 2015 | 7 min. read

    Counting the Clock: 7 Must-Know Facts about Billable PT Treatment Time

    In the classic 1993 legal flick The Firm, Gene Hackman’s veteran attorney character advises a rookie associate (played by a young and dashingly handsome Tom Cruise) to bill for any hours he spends “even thinking about a client”—whether he’s “stuck in traffic or shaving or sitting on a park bench.” Unfortunately, the rules governing billable time in rehab therapy are not as, shall we say, open to interpretation. In fact, billing for every single minute of a …

  • The Startup Clinic's Guide to Private Practice PT Billing Image

    articleJul 1, 2015 | 6 min. read

    The Startup Clinic's Guide to Private Practice PT Billing

    Is your relationship with billing complicated at best? I get it.  Billing for private practice physical therapy  can seem daunting, especially in light of ever-changing regulations. But unless you own a strictly cash-pay clinic, you can’t practice—or get paid—without it. I’m not asking you to love billing, but to help your clinic succeed, you need to understand it. Here’s how to get started: Get credentialed If you haven’t already gotten credentialed, you’ll need to start here.  Being …

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