• FAQ: Physical Therapy Billing Live Q&A Image

    articleAug 30, 2019 | 51 min. read

    FAQ: Physical Therapy Billing Live Q&A

    Earlier this week, Heidi Jannenga, PT, DPT, ATC—WebPT’s Co-Founder and Chief Clinical Officer—and John Wallace, WebPT’s Chief Business Development Officer of Revenue Cycle Management, paired up to answer rehab therapists’ most burning billing questions during a live Q&A-style webinar . And, boy, did we get a lot of great ones. So many, in fact, that we couldn’t possibly get to them all live, so we created this massive post-webinar post (our biggest yet) with the most commonly …

  • The Secret to Documenting for Medical Necessity Image

    articleDec 27, 2018 | 8 min. read

    The Secret to Documenting for Medical Necessity

    Around the holidays, everyone seems to get excited about closing out the year with a bang— literally, in some cases . But there’s nothing wrong with closing out the year on a calm, gentle note—one without denials, for example. One of the best ways to avoid claim denials is to document defensibly, and to prove that your treatment was undeniably (haha—get it?) a medical necessity . So, what exactly is medical necessity? Don’t worry—that’s one term we’re …

  • Common Questions from Our Medicare Open Forum Webinar Image

    articleOct 25, 2018 | 43 min. read

    Common Questions from Our Medicare Open Forum Webinar

    Earlier this week, WebPT President Dr. Heidi Jannenga, PT, DPT, ATC, teamed up with Rick Gawenda, PT—President and CEO of Gawenda Seminars & Consulting—to host a Medicare Open Forum . As expected, we received more questions than our Medicare experts could answer during the live session, so we've provided the answers to the most frequently asked ones below. Don't see the answer you're looking for? Post your question in the comment section at the end of this …

  • The Ins and Outs of ABNs Image

    articleOct 18, 2018 | 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 …

  • ABN Decision Chart Image

    downloadOct 10, 2018

    ABN Decision Chart

    Knowing when—and when not—to issue an Advance Beneficiary Notice of Noncoverage (ABN) can be a challenge for even the most senior provider. But, doing so correctly can mean the difference between being able to collect payment from your patients—and writing off denied charges as bad debt. And that can have a substantial impact on your practice’s bottom line—especially if you see a large number of Medicare beneficiaries.

  • Common Questions from Our PT Billing Open Forum Image

    articleAug 18, 2018 | 34 min. read

    Common Questions from Our PT Billing Open Forum

    Last week, WebPT’s trio of billing experts—Dr. Heidi Jannenga, PT, DPT, ATC/L, WebPT President and Co-founder; John Wallace, PT, MS, WebPT Chief Business Development Officer of Revenue Cycle Management; and Dianne Jewell, PT, DPT, PhD, WebPT Director of Clinical Practice, Outcomes, and Education—hosted a live open forum on physical therapy billing . Before the webinar, we challenged registrants to serve up their trickiest PT billing head-scratchers—and boy, did they deliver! We received literally hundreds of questions on …

  • 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)

    Update: Beginning July 1, 2019, CMS will unbundle NCCI edit pairs when providers attach the appropriate modifier (59, XE, XS, XP, or XU) to either the first-column or second-column code (assuming, of course, that the situation warrants the use of one of these modifiers). Please note that while some Medicaid programs, commercial payers, and Medicare Advantage payers may follow suit, this change does not necessarily affect them, so be sure to reach out to your other payers …

  • 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 …

  • 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 …

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