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PT, and her business partners took over ownership of the two-clinic practice last year, they couldn’t believe how outdated its existing billing and documentation methods were.
Earlier this year at Evolve New York, we were lucky enough to meet Finish Line PT owner Michael Conlon, PT and learn how WebPT has helped his clinic reach a new level of success. Today, we thought we’d share his story with you.
Confidence and compliance are two words rehab therapists rarely put in the same sentence. Sure, they know that therapy cap requirements, functional limitation reporting, PQRS, the 8-minute rule, and MPPR are all Medicare regulations. But beyond that, memories get a bit fuzzy—and that’s understandable.
In honor of this month’s compliance theme, here’s everything you need to know about how therapists determine what to bill to Medicare for outpatient therapy services (a.k.a. the 8-Minute Rule):
Well, it’s November already, and that means two things: Thanksgiving and Physician Quality Reporting System (PQRS). Sure, PQRS doesn’t involve mouthwatering roasted turkey, savory stuffing, or creamy mashed potatoes, but it has become quite the November tradition for us here at WebPT. You see, this is the time of year that the Centers for Medicare & Medicaid Services (CMS) typically confirms the details of next year’s reporting requirements, thus allowing us to update our PQRS solution (claims- and registry-based reporting) and start our month-long blog and webinar theme of “everything you need to know to be PQRS compliant.”
Unfortunately, this year is shaping up a little differently. As a result of the government shutdown, CMS delayed its November 1 meeting to discuss the 2014 Physician Fee Schedule Proposed Rule—which includes potential PQRS changes—until at least the middle of this month. And until they meet, we won’t know much about what PQRS 2014 will truly entail in terms of reporting requirements, measures, penalties, and incentives—let alone when the government will actually finalize the Proposed Rule. This means that as of today, no one knows for sure:
- which measures therapists must report
- how many measures therapists must report
- whether there will be compliance incentives
- what penalties will be associated with noncompliance
- what percentage of patients for whom therapists must complete PQRS reporting
“ICD-10 is coming. ICD-10 is coming.” You might be tempted to turn away, go back to work, and ignore this Paul Revere-style warning. But that would be unwise. Sure, October 1, 2015, might seem far, far away, but we all know that time flies, and this ICD-10 implementation deadline will be here before we know it. So let’s put a big X on the calendar, and begin our countdown to preparedness. Today, we’re talking about the importance of ICD-10 testing.
By now you’ve already—hopefully—heard the news about the big ICD-10 transition that’s going down on October 1, 2015. But, if you’re like most US healthcare providers—about 75%, according to this article—you haven’t exactly stuck to the suggested preparatory timelines that CMS released a while back.
As we’ve stated in previous blog posts, the US will transition to ICD-10 codes on October 1, 2015—to some of you, that might seem like a quickly approaching date. Others might be wondering, “What’s the rush?” Know that it only seems hurried now because of pesky procrastination. To truly understand this, we must delve into the history of ICD-10.
This month, we’re talking a lot about marketing rehab therapy to consumers. And while that’s an important piece of the marketing puzzle—especially in a world dominated by search engines and social media—we’d be remiss to skip over another key method of generating more business for your practice: referral marketing. To significantly boost the number of referrals you receive, you’ve got to be proactive. So, here’s a rundown of some referral marketing best practices to help drive more patients through your front door.
Last month, WebPT hosted another fantastic functional limitation reporting (FLR) webinar. If you missed it or simply want a refresher, this post is for you. Here were the most frequently asked questions and answers:
The current healthcare system is broken. That’s clear—regardless of your political point of view. To be honest, I’ve been a bit of a naysayer in the past about the government’s capacity to be the driving force in healthcare reform—to improve standardization, which ultimately is the key to providing and scaling quality health services. However, after listening to and speaking with several leaders in government healthcare IT, I feel differently. In fact, I now know that they get it, that there are both good ideas and good intentions behind these changes because they all add to something greater. ICD-10 is one of these changes.
In mid-June, I attended the HIMSS ICD-10 Conference in Washington, D.C. The US is the last country in the world with modern healthcare to adopt ICD-10 diagnosis codes—for perspective, Canada, the second-to-last adopter, implemented them in each province between 2001 and 2005. So why transition to ICD-10? Well, besides catching up with the rest of the world, ICD-10 will allow providers to be even more specific and exact in describing patient diagnoses, thus improving interoperability, data sharing and outcomes, evidence-based practice, and ultimately public health.
With so much to absorb in just three days, you can imagine that I may have felt a little overwhelmed. Nevertheless, I took copious notes, and here are the most important things I learned from such interesting speakers as Farzad Mostashari, Denise Buenning, and Mark Lott:
Today’s blog post comes from WebPT Senior Writer Charlotte Bohnett, contributing writer Erica Cohen, and WebPT Co-Founder Heidi Jannenga, PT. Monday and Tuesday we hosted webinars on functional limitation reporting. We got tons of great questions. Here are the most frequently asked ones: