EMR Archives | Page 3 of 9 | WebPT

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Is Your Physical Therapy Software Ready for ICD-10?

At this point, the majority of physical therapy clinics are using some type of software to document, schedule, and bill for patient treatment. Thanks to ever-increasing compliance regulations, paper had to go the way of the VHS, becoming nearly obsolete. When your practice switched from paper to software, it was a big change.

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How to Test ICD-10 Internally

ICD-10 is coming—as of now, it’s slated for 2015. But just because it’s been delayed doesn’t mean you should delay your testing plans. Today, we’ll discuss how to test ICD-10 internally (and tomorrow, we’ll tackle testing externally). In this article, Brooke Andrus wrote about Advanced MD’s testing plan, which includes testing to ensure that:

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PT Primer for Coding Pain and Injuries in ICD-10

One of the most talked about—and most feared—characteristics of ICD-10 is the massive size of the new code set. Whereas ICD-9 contains approximately 13,000 diagnosis codes, ICD-10 has around 68,000—an increase of more than fivefold. With so many codes to choose from, how can you be sure you’re selecting the right one—or even looking in the right place?

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Documenting in a Multi-Speciality Practice

Our Members often ask us for advice on documenting in a practice that has multiple therapy specialties. Here are our tips: 

Keep It Separated

If your clinic offers PT, OT, and/or SLP services, be sure to add cases specific to each discipline based on the patient’s condition(s) because different profiles appear for different user types. Furthermore, ensure that therapists are documenting all things specific to their particular discipline—such as authorizations and prescriptions—within the correct case. If do you happen to document within the wrong case, don’t fret. In WebPT, you can move notes between cases.

Master Your Schedule

With the case complexity of multi-specialty treatments, scheduling also becomes a little more involved. The administrative team or front office staff must book appointments for the proper cases; otherwise, workflow issues may arise.

Streamline Patient Encounters

Creating custom evaluation templates is even more valuable in multi-specialty practices than in single speciality ones. As this blog post points out, you can customize the objective tests you want to use in your initial evaluations, so each therapist has a shorter and more applicable Objective section.

Have additional questions on how to document in a multi-specialty therapy practice? Ask them in the comments section below.

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How to Complete Functional Limitation Reporting in WebPT

As of July 1, 2013, the Centers for Medicare and Medicaid Services (CMS) requires that therapists complete functional limitation reporting (FLR)—through the use of G-codes and severity modifiers—on all eligible Medicare Part B patients at the initial evaluation, re-evaluation if applicable, every progress note (minimum of every ten visits), and discharge in order to receive reimbursement for their services. Today, several other private insurance companies also require FLR data as a condition of reimbursement. Good thing WebPT has you covered. Read on to learn how Members can use our totally free, built-in, easy-to-use functional limitation reporting feature.

Initial Evaluation

Subjective Tab
Prior Level of Function

In the Subjective Tab, you’ll find a section labeled Prior Level of Function. There, you will select your patient’s prior level of function—the areas in which the patient was independently functioning prior to seeking treatment. This information provides supporting evidence and context for your patient’s history. (Note that this section is Medicare required. If you miss this step for a Medicare patient, an alert will prevent you from finalizing your note.)

Prior Level of Function screenshot
Current Functional Limitation

Next, you’ll see the Current Functional Limitation section. There, you’ll select your patient’s current functional limitation(s) (check all that apply). This information will also provide supporting evidence and context for your patient. (Note that this section is also Medicare required. If you miss this step for a Medicare patient, an alert will prevent you from finalizing your note.)

current functional limitation
Primary Functional Limitation

From there, we’ll prompt you to select your patient’s primary functional limitation category (self care; changing and maintaining body position; mobility: walking and moving around; carrying, moving, and handling objects; or other). Based on this information and the visit type, we’ll autocomplete your G-codes.

primary functional limitation
Objective Tab
Objective Measurement Tools

To identify your patient’s current functional severity and track his or her progress towards the goal, you’ll use the results of an outcome measurement tool (OMT) and your clinical judgement. In this section of the Objective Tab, you’ll be able to select, perform, and score your OMT—and we’ll help you decide which tools to use. There will be a badge next to the outcome measurement tools we feel are most appropriate to use considering your patient’s primary functional limitation (e.g., “M” for mobility: walking and moving around). You can go with our suggestion or choose your own.

OMT
Functional Reporting

Under Status Modifier, you can select the appropriate severity modifier for your patient’s current status (how severe the patient’s limitation is at this moment in time) and projected long-term goal status (how severe you believe the patient’s limitation will be at the end of treatment). This is the first of two opportunities you’ll have to actually apply severity modifiers. If you choose to skip this step here, you must complete it in the Assessment Tab.

functional reporting
Assessment Tab
Severity Modifiers

Beneath the Assessment/Diagnosis field, you will have a final opportunity to choose your severity modifiers. Here, you can also document the clinical rationale you used to make your selection. This text box will automatically populate based on the outcome measurement tools you selected. (If you already made your severity modifier selections in the Objective Tab but now wish to change them, you may do so using the dropdown menus in this section. Your new selections will replace those in the Objective Tab.)

severity modifiers
Problem List and Goals

WebPT will automatically transfer your patient’s primary functional limitation and corresponding goals into the Problem List and Goals test boxes. We will also adjust your goal met percentages in accordance with your patient’s progress. However, you will still need to manually select a goal duration using the dropdown menus.

problem list

Daily Note

Your finalized daily note will automatically display your patient’s primary functional limitation, current status, projected goal status, rehab potential, and long-term goal.

daily note

Progress Note

On your next progress note (at minimum on your patient’s tenth visit), the system will prompt you to complete functional reporting again. Here, you’ll perform an OMT and—using the results and your clinical judgment—update your patient’s status and severity modifiers as well as verify his or her long-term goal. Just like on the initial evaluation, this information will automatically appear in the problem list and goals boxes.

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February Founder Letter: WebPT is So Much More

We’ve been in business for six years now, and most people know us for our documentation. As Members, you use our documentation platform daily. But did you know that your Membership with WebPT includes so much more than documentation? We’ve adopted a mission of empowering rehab therapists to achieve greatness in practice. So, while we might have started out as a documentation company, we have evolved into a solutions company. So, to take a page from Aladdin, let me open your eyes to a whole new world of WebPT:

Oodles of Content

If you’re reading this founder letter, that means you’re currently on our blog. But my letters aren’t the only thing here. We pick a different theme each month—such as compliance, company culture, or marketing best practices—and post roughly 16 articles dedicated to that topic over the course of the month. (As a heads-up, February’s theme is WebPT tips and tricks.) We also host monthly webinars inspired by these themes.

We offer all this content for free to everyone—Members and non-Members alike. Why? Because, as I said above, our goal as a company is to help rehab therapists achieve greatness in practice. And that starts with education.

Discounted PT Products

There’s power in numbers, and with more than 30,000 Members, WebPT packs a lot of punch when it comes to purchasing potential. As a Member, you automatically have access to our ecommerce site, the WebPT Marketplace. There, you can save up to 25% off wholesale on the products and supplies your practice needs. You’re already buying these products, so we wanted to provide a way for you to save money in the process. In fact, depending on how much you shop, the amount you save buying through the Marketplace could actually cover the cost of your Membership. Pretty cool, right? To explore the Marketplace, simply click the shopping cart icon in the top-right corner of the WebPT Dashboard.

A Partner in Compliance

As a therapist, your number-one priority is treating your patients. But to keep doing that, you have to get paid, and in times of increasing regulations and decreased reimbursements, your clinic can’t afford any slip-ups—like penalty fees, denied reimbursements, or audits. That’s where WebPT comes in. We’re your partner in compliance, dedicated to helping you ensure your documentation and billing are up to snuff while providing a wealth of educational materials, including entire sites dedicated to hot compliance topics—namely, ICD10forPT.com and functionallimitation.org. That way, you’re prepared for anything.

We created WebPT after identifying a problem with no solution. And along the way, we found even more problems to solve—thanks in part to feedback from you, our awesome Members. The result is everything I discussed above—and there’s more to come. So go ahead; hop aboard your magic carpet and discover this whole new world of WebPT. Take advantage of it! After all, it exists because of you and for you.

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Lakeside & Polson Physical Therapy Saves Time, Stays Compliant with WebPT

Since 1996, Lakeside & Polson Physical Therapy has been a PT mainstay in Northwest Montana’s beautiful Flathead Valley. But when Samantha Modderman, PT, and her business partners took over ownership of the two-clinic practice last year, they couldn’t believe how outdated its existing billing and documentation methods were.

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