• 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 …

  • Evidence-Based Payment: Why Data is the Key to Pay-for-Performance Success Image

    articleMay 5, 2015 | 4 min. read

    Evidence-Based Payment: Why Data is the Key to Pay-for-Performance Success

    If I challenged you to find a rehab therapist who didn’t believe in the power of evidence, you’d be searching for a while—forever, hopefully. After all, PTs, OTs, and SLPs are steadfastly dedicated to evidence-based clinical practice, because they know it gives their patients the best possible chances for success. On the business side of therapy practice, however, the application of evidence—a.k.a. data—is something many rehab therapists have yet to fully embrace. Payers, on the other hand, …

  • How to Optimize Your Claims Image

    articleApr 16, 2015 | 7 min. read

    How to Optimize Your Claims

    Billing. Everyone loves delving into their claim submission practices to optimize their billing. Amirite? Okay, so that statement might be a bit of a stretch. But, whether you love it—or not—this process could directly influence your clinic’s financial success. That’s why we’ve covered such a vast array of billing topics in our blog posts this month; we want to help you get your clinic’s billing practices into tip-top shape . If you’ve been following along, I hope …

  • Founder Letter: Put the Kibosh on These Billing Bad Behaviors Image

    articleApr 7, 2015 | 5 min. read

    Founder Letter: Put the Kibosh on These Billing Bad Behaviors

    As an entrepreneur, I’m prone to breaking rules and taking risks. But as a PT—and an ethical businessperson—I tend to adhere to regulations, because in those roles, risky moves often come with hefty consequences. So, what happens when the lines between growing a business and providing quality patient care blur—as they so often do in private practice? You want to do right by your patients, but you also have to keep the lights on. And that’s exactly …

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