• Common Questions from our Modifier Open Forum Image

    articleJul 7, 2014 | 10 min. read

    Common Questions from our Modifier Open Forum

    Should I have my patients sign an advance beneficiary notice of noncoverage (ABN) just in case Medicare doesn’t pay? No, by having your patient sign an ABN, you are acknowledging that you do not believe that the services you are providing are either medically necessary or covered by Medicare. If you have an ABN on file, you should include a modifier GA or GX modifier on your claim so Medicare knows to deny the claim and assign …

  • Why You Must Code for Medical Necessity with ICD-10 Image

    articleApr 8, 2014 | 3 min. read

    Why You Must Code for Medical Necessity with ICD-10

    In order to successfully transition to ICD-10, healthcare providers will need to change more than the actual codes they use; they’ll also have to change the way they think about coding. Because in addition to choosing the right code from a list of 68,000 possibilities, providers must ensure that the code they choose most accurately reflects the specific condition they’re treating so it supports the medical necessity of their services. As this article points out, “Medical necessity …

  • Clinic Management Best Practices Image

    webinarMar 25, 2014

    Clinic Management Best Practices

    Managing a rehab therapy practice is a lot like juggling chainsaws—you’ve got to be cool under pressure and quick on your feet. Easier said than done—especially in the face of increasing regulations and decreasing reimbursements. But we’re here to help. In this webinar, hosts Heidi Jannenga, PT, and Marketing Director Mike Manheimer will cover a plethora topics related to clinic management, including: the social media ROI quandary qualities of an effective front office staff medical necessity and …

  • The Great Medically Necessary Discussion and How to Use ABNs Image

    articleMar 12, 2014 | 6 min. read

    The Great Medically Necessary Discussion and How to Use ABNs

    For many physical therapists, the phrase “medically necessary” sounds worse than nails on a chalkboard. On the one hand, it’s vague, subjective, and open to infinite interpretation. And on the other, it’s often the determining factor in whether payers—perhaps most notably, Medicare—will provide reimbursement for rehab therapy services. A Bit of History The history of the “medically necessary” reimbursement requirement stretches all the way back to the 1960s. As E. Haavi Morreim explains in  this article , it was …

  • articleNov 19, 2013 | 4 min. read

    Therapy Cap Recap

    If you’re a rehab therapist who treats Medicare patients, you’ve got a bevy of rules and regulations to follow and knowing all of them inside and out is a tall order, to say the least. If decoding government legalese isn’t really your thing, don’t worry—we’ve dedicated this entire month to serving up a smorgasbord of digestible, easy-to-understand guides on the important Medicare policies that apply to you. On today’s menu: the therapy cap. As part of the …

  • articleAug 28, 2013 | 7 min. read

    No Workarounds: Following the Rules of the Therapy Cap and the Importance of Solid Documentation

    If you’re like most rehab therapists, finding a letter from Medicare in your mailbox is enough to make your brow sweat and your heart skip a beat. With all of the regulations we have to follow—and the potential penalties associated with noncompliance—it’s no surprise that we have grown to fear Medicare. We’re afraid of doing something wrong. Or in some cases, we’re afraid of not getting paid. Thus, rather than defend our decisions, our expertise, and our …

  • articleJul 15, 2013 | 4 min. read

    What You Need to Know About the So-Called Medicare Improvement Standard

    When I say “Medicare policy,” what’s the first word that comes to mind? Probably not “clear.” Unfortunately, that lack of clarity leaves Medicare rules super prone to misinterpretation and misapplication. Case in point: the so-called Medicare Improvement Standard. To make a long story short, there have been some major developments regarding this quote-unquote “rule.” I’ll get into the nitty-gritty in a bit, but the meat of the story is that (a) most of what you think you …

  • articleMar 5, 2013 | 2 min. read

    March Founder Letter: Proper Documentation Essential for Billing

    Today’s blog post comes from WebPT Co-Founder Heidi Jannenga, PT, MPT, ATC/L. Over the last several months, we focused much of our content on the significance of documentation. Not simply because of its importance in remaining compliant and receiving reimbursements but also because of the bigger picture—it’s crucial in elevating our profession; achieving autonomy, direct access, and respect; and receiving the recognition we deserve as the musculoskeletal experts. Documentation is our key to proving our worth to …

  • articleFeb 18, 2013 | 4 min. read

    Top 5 Medicare Compliance FAQs

    Navigating the murky waters of Medicare can be as scary as finding yourself on a lifeboat in the middle of the ocean with a tiger on board —well, maybe not just as scary, especially if you have WebPT to help. We’re filling this month’s blogs with all sorts of valuable and applicable information on everything there is to know about 2013 Medicare. But what better way to get up to speed than with some frequently asked questions. …

  • 2013 Medicare Therapy Cap FAQ Image

    articleFeb 4, 2013 | 6 min. read

    2013 Medicare Therapy Cap FAQ

    In January, WebPT released the Medicare Allowable Fee Schedule in preparation for the new Medicare Therapy Cap Alerts we’ll launch this month. In short, this new feature will allow you to reproduce your Allowable Fee Schedule within WebPT as published by Medicare. This fee schedule will inform a tracking tool and subsequent alerts so you can see how much of the therapy cap your patients have accrued using your services. As a result of this launch, we’ve …

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