• 5 Strategies for Training Your Clinic Staff on Compliance Image

    articleNov 11, 2019 | 7 min. read

    5 Strategies for Training Your Clinic Staff on Compliance

    Human error is one of the biggest compliance and security threats to any organization—especially organizations in health care. That’s why setting expectations for your staff—and providing continual healthcare compliance training and education opportunities—is so important. And that goes for everyone on your team: front-office staff, clinical staff, billers, administrators, and executives should all receive regular Medicare and HIPAA compliance training and updates. After all, the reputation (and financial solvency) of your practice depends on your entire team’s …

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

    articleNov 5, 2019 | 10 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 you’re anything less than 100% confident in your knowledge of the Medicare documentation rules that apply to your specialty—then you’ve come to the right place. Failing to adhere to these standards could mean problems—both in the form of denied reimbursements and potential audits . So, read on and make sure you’re totally up …

  • MIPS and S’more: 2020 Final Rule Highlights Image

    webinarNov 4, 2019

    MIPS and S’more: 2020 Final Rule Highlights

    The best part of camping happens after nightfall—when a hush falls over the pines and you cluster around a crackling campfire to make gooey s’mores. There’s a chill in the air, and you scoot closer to the fire as you watch a puff of glowing embers float up into the dazzling, star-speckled sky. This is the best time to tell stories—when everyone is half illuminated by the warm, flickering firelight and the rest of the world has …

  • How to Deal with Medicare as a Secondary Insurance Image

    articleOct 31, 2019 | 6 min. read

    How to Deal with Medicare as a Secondary Insurance

    Some things are just better together, like peanut butter and jelly or milk and cookies. And for Medicare patients with other health insurance providers, few things are better than when Medicare and their private payers work together cooperatively. However, Medicare has a lot of unique rules , which means providers should tread carefully when their patients have Medicare and a second insurance. To that end, here’s a rundown of all the things PTs, OTs, and SLPs need …

  • 5 Times a Medicare Patient Can't Pay Cash Image

    articleOct 24, 2019 | 6 min. read

    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. And given that many Medicare patients could benefit from rehab therapy (hello, baby boomers), it would be lovely if Medicare made it easy for cash-pay providers to serve those beneficiaries . Unfortunately, though, compared to instances in which you can accept cash from a Medicare patient, there are significantly …

  • 5 Questions to Ask Every Medicare Patient Before Providing PT Services Image

    articleOct 18, 2019 | 8 min. read

    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. ( Even cash-based PTs! ) So, how can PTs prevent themselves from making Medicare billing blunders (aside from a world-class documentation and billing platform, of course)? …

  • Common Questions from Our Medicare Compliance Webinar Image

    articleOct 17, 2019 | 48 min. read

    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. As they ventured forth into the Medicare labyrinth, they received many queries from fellow adventurers—er, rehab therapists—about the potential pitfalls one might experience while facing the Medicare behemoth. They received so many, in fact, that they simply could not answer them …

  • 5 Examples of When to Use the New PTA and OTA Modifiers Image

    articleOct 16, 2019 | 9 min. read

    5 Examples of When to Use the New PTA and OTA Modifiers

    The season of spooks has officially passed—and uncanny thrills and chills (like dancing skeletons and pumpkin people ) have retreated to their hovels for another year. But one eerie (and stubborn) sentinel of the season still remains: the PTA and OTA modifiers and payment reductions. This spooky surprise (courtesy of CMS) may not have been the spookiest thing to pop up around Halloween time this year (I personally thought the 8% payment cut was a lot scarier), …

  • Medicare Part A vs. Part B: What PTs, OTs, and SLPs Need to Know Image

    articleOct 11, 2019 | 10 min. read

    Medicare Part A vs. Part B: What PTs, OTs, and SLPs Need to Know

    Whether you’re just starting out as a Medicare provider—or you’re making the switch from inpatient to outpatient—there’s a lot to keep straight when it comes to the complicated rules, regulations, and policies that govern Original Medicare (which consists of both Part A and Part B). But if you want to receive reimbursement for your services, you’ve got to know how to navigate the murky Medicare waters.  Basic Differences Between Medicare Part A and Medicare Part B As …

  • The Startup Clinic's Guide to Private Practice PT Billing Image

    articleOct 3, 2019 | 11 min. read

    The Startup Clinic's Guide to Private Practice PT Billing

    Is your relationship with billing complicated at best? I get it. Figuring out how to bill insurance companies 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 startup clinic succeed, you need to understand it. Here’s how to get started: Get credentialed. If you haven’t already …

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