• Creating the Perfect PT Billing Workflow Image

    articleJul 14, 2015 | 7 min. read

    Creating the Perfect PT Billing Workflow

    In an ideal world, patients would know their benefits like the back of their hands, we’d have a global payer list, and every claim would be accepted on the first try. But the world is not a perfect place, and there’s only so much you can control. Still, you can do your darndest to get close to the perfect billing workflow. Perfect—or near-perfect—billing begins way before you even create the claim. So, let’s start at the very …

  • Founder Letter: Why Clean Claims are Everything Image

    articleJul 7, 2015 | 6 min. read

    Founder Letter: Why Clean Claims are Everything

    When you consider the many complex aspects of running a  private practice , your bottom line might be the biggest source of anxiety. And that’s for good reason; it’s your lifeblood. In an effort to improve  your metrics , you’ve likely examined your workflow, documentation practices, and staffing requirements for any possible improvements. That’s a great start, and I encourage you to stay on top of  self-evaluation  in all of these ways. But have you ever stopped …

  • Clear Course for Cash: 5 Simple Ways to Optimize Your PT Billing Workflow Image

    webinarJul 6, 2015

    Clear Course for Cash: 5 Simple Ways to Optimize Your PT Billing Workflow

    Is your current billing workflow flooding your clinic with claim delays, rejections, and/or underpayments? Don’t try to bail yourself out with a sieve. Instead, stop taking on water entirely by patching the holes in your billing processes. But how, you ask? Never fear; we have the answers you need to shore up your ship—for good. Tune in to this month’s webinar, where hosts Heidi Jannenga and Charlotte Bohnett will show you how to set your billing workflow …

  • 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 …

  • Beat the Burnout: Time Management Tips for Private Practice PTs Image

    webinarJun 2, 2015

    Beat the Burnout: Time Management Tips for Private Practice PTs

    Between treating patients, completing CEUs, running a business, and managing staff, it’s hard to have a life outside of work; heck, it’s probably difficult to keep your head on straight some days. Such are the trials and tribulations of a private practice PT. And with so many tasks and people competing for your attention, you might find yourself dealing with a bad case of burnout. So, how do you wear so many hats—and juggle so many responsibilities—while …

  • Inside Job: Combating Employee Theft in Your Practice Image

    articleMay 12, 2015 | 8 min. read

    Inside Job: Combating Employee Theft in Your Practice

    I spent my youth working in retail and at restaurants—two industries rife with high turnover rates and employee theft. Still, I was always shocked when I heard that an employee had been fired for pocketing cash from the registers or stealing merchandise from the shelves. Believe it or not, theft isn’t relegated to these two industries. Private medical practices also must combat theft—and it occurs way more often than you think. According to this Physicians Practice article …

  • The 411 on UB-04: What PTs Need to Know Image

    articleApr 29, 2015 | 4 min. read

    The 411 on UB-04: What PTs Need to Know

    Developed by the Centers for Medicare and Medicaid Services (CMS) and implemented in 2007 , the UB-04 form—also known as CMS-1450—is the standard claim form providers use to bill CMS. But plenty of other government and commercial insurance carriers use it, too. As CMS explains , UB-04 can be “used by an institutional provider to bill a Medicare fiscal intermediary (FI) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for …

  • Mad Maximizing Reimbursements: Revenue Road Image

    articleApr 23, 2015 | 3 min. read

    Mad Maximizing Reimbursements: Revenue Road

    We might not live in a post-apocalyptic world like the characters in the latest Mad Max film , but it certainly feels familiar in the world of physical therapy, where private practices fight to survive against ever-shrinking profit margins and federal legislation that threatens to erode bottom lines. Our weapon of choice in this furious battle? Increased efficiency. Here’s the strategy: Technology Processing Paper claims process in six to eight weeks, while electronic claims process in about …

  • The Claim Game: How to Manage Overpayment Image

    articleApr 9, 2015 | 4 min. read

    The Claim Game: How to Manage Overpayment

    If you’ve recently discovered that a patient or insurance company overpaid you for services rendered, you might be tempted to consider it “free money.” It’s like you’re playing Medicare Monopoly, and you just pulled a Community Chest card that reads: “Insurance error in your favor. Collect claim overpayment.” However, overpayments give you an inflated appraisal of your total revenue and might even encourage embezzlement —both of which can wreak havoc on your balance sheet. Worse yet, if …

  • There’s no “I” in Team (But There are Two in Billing): Here’s Why Your People Matter Image

    articleApr 6, 2015 | 4 min. read

    There’s no “I” in Team (But There are Two in Billing): Here’s Why Your People Matter

    Your billing process is spot-on and your billing system runs like a ’66 Shelby 427 Cobra—but somehow your payment cycle is stuck in an Abbott and Costello skit with Who on first, What on second, and I Don’t Know on third. So, what’s causing such a major-league breakdown in your revenue stream? The human factor. Before your season’s over for good, it’s time to give a darn about your billing team. Here’s what to watch for when …

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