• 4 Common Physical Therapy Billing Modifiers (and How to Use Them) Image

    articleJul 6, 2018 | 5 min. read

    4 Common Physical Therapy Billing Modifiers (and How to Use Them)

    Physical therapists (PTs) enjoy being part of a profession known for compassion. The vast majority of PTs enter the field eager to help patients achieve their full functional abilities. That said, a PT clinic is still a business, and if you aren’t billing properly, it’s hard to keep your clinic afloat so you can improve the lives of the very patients you set out to help. Luckily, there are plenty of ways to bill in a way …

  • Top 10 Medicare Compliance Strategies for Outpatient Therapy Providers Image

    articleNov 15, 2017 | 16 min. read

    Top 10 Medicare Compliance Strategies for Outpatient Therapy Providers

    These days, almost everyone who works in the outpatient therapy setting has treated a patient with Medicare benefits. We have all encountered the daunting list of rules and regulations we must be follow so that: Medicare considers our documentation sufficient , and We command the highest possible level of reimbursement. From G-codes to POCs and FOMs to LTGs, it’s enough to make anyone’s head spin! With that in mind, here’s a top-10 list of helpful tips for …

  • The Ins and Outs of ABNs Image

    articleOct 24, 2017 | 6 min. read

    The Ins and Outs of ABNs

    If the rules of Advance Beneficiary Notices of Noncoverage (ABNs) make you a bit confused, you’re definitely not alone. In an effort to shed some light on the ins and outs of ABNs and to highlight some recent changes to ABN requirements, Medicare created this set of FAQs clarifying their use. Here’s some info to help bring you up to speed: What is an Advance Beneficiary Notice of Noncoverage (ABN)? An ABN is a form practitioners use …

  • Cut the Cap: The Case for Eliminating Limits on Rehab Therapy Services Image

    articleOct 10, 2017 | 6 min. read

    Cut the Cap: The Case for Eliminating Limits on Rehab Therapy Services

    Let’s take a little trip to the past: the year was 1997. “Titanic” was smashing box office records as moviegoers flocked to theaters for their third or fourth viewing; “Wannabe” by Spice Girls was hitting the airwaves on every Top 40 station; and large-scale healthcare reform was barely stepping into the legislative limelight. To hamper exorbitant healthcare spending, the Clinton administration signed the Balanced Budget Act into law and thus, introduced the Medicare therapy cap . Fast …

  • Medicare Part B Documentation Requirements for Physical and Occupational Therapy Image

    articleJul 24, 2017 | 7 min. read

    Medicare Part B Documentation Requirements for Physical and Occupational Therapy

    How familiar are you with the Medicare guidelines for physical therapy documentation? What about for occupational therapy documentation? If you’re a PT or OT and your answer is anything other than 100%, you’ve come to the right place, because failing to adhere to these standards could mean problems—both in the form of denied reimbursements and potential audits . If you’re looking for Medicare Part A therapy documentation requirements, click here ; for CMS documentation guidelines for speech-language …

  • Denial Management FAQ Image

    articleMay 26, 2017 | 22 min. read

    Denial Management FAQ

    During our denial management webinar , we discussed the difference between rejections and denials, explained how to handle both, and provided a five-step plan for stopping them in their tracks. The webinar concluded with an exhaustive Q&A, and we’ve amassed the most common questions here. Insurance Issues Claim Quandaries Compliance Qualms Documentation Dilemmas Front-Office Frustrations Insurance Issues We’ve had issues with auto insurances denying 97112 (neuromuscular re-education) for non-neuro diagnoses, even in cases when the patient’s medical …

  • 10 Defensible Documentation Tips for PTs Image

    downloadDec 22, 2016

    10 Defensible Documentation Tips for PTs

    Therapists often view documentation as onerous. But, as you well know, that certainly doesn’t mean the practice is invaluable or meaningless. In fact, documentation tells your patients’ stories and serves as a verifiable record of patient care, thereby giving key decision-makers (i.e., payers) the right information to determine your value. More importantly, defensible documentation helps you, the rehab therapist, prove your ability to achieve patient outcomes—and get paid. Still need some tips to tell your patients’ stories …

  • Should I Stop or Should I Go? What to Do When a Patient Hits the Therapy Cap Image

    articleNov 7, 2016 | 4 min. read

    Should I Stop or Should I Go? What to Do When a Patient Hits the Therapy Cap

    Halloween and the whole pretend thing may be over, but follow me for a second: when a Medicare patient comes to you for treatment, it’s critical that you also play the roles of investigator and lawyer (though costumes are optional). Clearly documenting the therapy services you are providing during the current benefit period —without skimping on the details—can potentially save you from an audit. In fact, your documentation is like evidence in a court case . So, …

  • Why Issuing Blanket ABNs is a No-No Image

    articleOct 28, 2016 | 4 min. read

    Why Issuing Blanket ABNs is a No-No

    With Medicare routinely changing and tightening its rules on reimbursement, PTs may be worried about receiving payment in a timely, efficient manner. Fortunately, Advance Beneficiary Notices of Noncoverage (ABNs) help you cover all your financial bases, as they: put the onus on your Medicare patients to decide whether they would like to accept financial liability (i.e., pay out-of-pocket) for the therapy services you provide; and safeguard you when Medicare denies a claim. So, why not issue ABNs …

  • Why Medicare-Enrolled PTs Can't Always Provide Treatment on a Cash-Pay Basis Image

    articleOct 27, 2016 | 3 min. read

    Why Medicare-Enrolled PTs Can't Always Provide Treatment on a Cash-Pay Basis

    Even if you feel comfortable with all things Medicare, chances are there’s a new rule in the works ( oh, looky here ) that could trip you up. Yes, the rules are always changing—and even the ones that have been in place for a while could get you stuck in a pickle (mmm, pickles). That’s especially true with the rules around providing treatment on a cash-pay basis , because your restrictions and obligations vary based on your …

Pages

Achieve greatness in practice with the ultimate EMR for PTs, OTs, and SLPs.