medical necessity Archives | WebPT

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Over the Line: 4 Times When It’s Okay to Treat a Medicare Patient Beyond the Therapy Threshold

The #spookyszn has come and gone, but for many physical therapists, the threat of a Medicare audit is far more frightening than any ghoul or goblin—no matter what time of year it is. As such, some PTs may try to subvert the ever-watchful eye of CMS by remaining cautious as their patients creep closer to the Medicare physical therapy threshold (formerly known as the “Medicare physical therapy cap”).

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5 Times a Medicare Patient Can’t Pay Cash

With declining reimbursements—and ever-increasing documentation and reporting requirements—it’s no wonder so many rehab therapists are stepping out of contracts with third-party payers to pursue a cash-pay business model.

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5 Questions to Ask Every Medicare Patient Before Providing PT Services

Physical therapy billing is complicated enough. When you throw Medicare into the mix, it becomes an even bigger headache. But when you consider the fact that, as of 2015, more than 55 million Americans receive Medicare coverage, every physical therapist is bound to contend with Medicare rules at some point.

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Common Questions from Our Medicare Compliance Webinar

During this month’s webinar, compliance experts Heidi Jannenga, PT, DPT, ATC, WebPT Co-Founder and Chief Clinical Officer, and Veda Collmer, JD, OTR, WebPT’s Chief Compliance Officer, discussed strategies for contending with compliance chaos and Medicare mayhem.

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