• The Dish on Patient Discounts: Can You Charge Different Rates for the Same Service? Image

    articleSep 11, 2019 | 7 min. read

    The Dish on Patient Discounts: Can You Charge Different Rates for the Same Service?

    Let’s start with the bad news. (Spoiler alert!) Patient discounts aren’t anywhere near as straightforward as we’d all like them to be. Getting a hard-and-fast rule from every commercial payer and state government—or even from CMS —can be harder than keeping up with the gossip in a highschool cafeteria. So, naturally, the discounting situation is less “he said, she said” and more “they said, they said, they said, and they said.” It’s hard to know what you …

  • Even Small Practices Face Cybersecurity Threats and Government Scrutiny Image

    articleSep 10, 2019 | 4 min. read

    Even Small Practices Face Cybersecurity Threats and Government Scrutiny

    As exhibited in the news items below, small practices are not immune to HIPAA scrutiny by the federal government’s Department of Health and Human Services (DHHS)—as investigated by their enforcement agency, the Office of Civil Rights (OCR). Potential violations may be reported to these agencies through complaints by individual patients or through OCR-initiated audits.  April 2, 2019: “Michigan Practice Forced to Close Following Ransomware Attack” According to this article , when ransomware encrypted the computer system at …

  • CMS Audits: Who, What, and Why Image

    articleSep 6, 2019 | 10 min. read

    CMS Audits: Who, What, and Why

    This post comes from Ascend 2019 speaker Mary R. Daulong, PT, CHC, CHP, President and CEO of Business & Clinical Management Services, Inc. Want to see Mary speak about audits during a live interactive session? Register for Ascend here . Curious about the rest of the speaker lineup? Check it out here . Does it seem like there have been more audits of therapy documentation and billing recently? It is not a figment of your imagination ; …

  • 4 Tactics to Reduce Business Associate HIPAA Risk  Image

    articleSep 5, 2019 | 6 min. read

    4 Tactics to Reduce Business Associate HIPAA Risk

    Here’s a scenario I hope you never have to face: your small physical therapy practice hires a third-party billing company to manage your billing operations. Then, that billing company experiences a massive data breach affecting more than 1,000 of your patients. Because the billing company didn’t have an information security or compliance program in place, it was not aware of the breach for more than six months. Unfortunately, the billing company also did not have insurance, so …

  • 6 TEDTalks to Inspire Rehab Therapists Image

    articleSep 4, 2019 | 4 min. read

    6 TEDTalks to Inspire Rehab Therapists

    Right now, our office is buzzing with excitement: in less than a month, we’ll gather in Minneapolis for our sixth annual Ascend business summit . And if Ascends of years past were any indication, we’re in for some seriously inspiring sessions and motivating discussions. This inspired me—avid watcher of TEDTalks—to put together a list of TED videos that should raise the spirits of any physical therapist, occupational therapist, and speech-language pathologist. Here are some faves: 1. How …

  • 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 …

  • EDI, ERA, and EFT Overview for Rehab Therapists Image

    articleAug 27, 2019 | 4 min. read

    EDI, ERA, and EFT Overview for Rehab Therapists

    What would health care be without its love for initialism? And healthcare billing is no exception, which is why we decided to shed some light on three common ones: EDI, ERA, and EFT. If you’re in the rehab therapy billing world, you’ve probably heard these terms bandied about. But because they directly impact your practice’s ability to make money, it’s imperative that you’re crystal clear about electronic data interchange, electronic funds transfer, and electronic remittance advice definitions. …

  • The 2020 Proposed Rule: Bite-Sized Edition Image

    articleAug 13, 2019 | 6 min. read

    The 2020 Proposed Rule: Bite-Sized Edition

    Too much of anything is bad for you—even if it’s something you like. Too much sun will give you some gnarly burns. Too much exercise can damage your muscles or cause stress fractures. Even too much Chipotle can make you sick (much to my eternal disappointment). All humans need to avoid consuming too much of one thing—and reading through CMS’s annual policy changes is, inarguably, way too much . So, we’re gonna keep this explanation of the …

  • Founder Letter: The Cost-Shifting Conundrum: How to Combat High Patient Copays Image

    articleAug 6, 2019 | 9 min. read

    Founder Letter: The Cost-Shifting Conundrum: How to Combat High Patient Copays

    In our 2019 State of Rehab Therapy survey , 80% of respondents cited payer requirements as the top reason their organizations require physician referrals as a condition of treatment (even in states with unrestricted direct access ). Additionally, high copays and coinsurances were by far the top-ranked regulatory issue in terms of impact to the physical therapy industry and profession. In other words, as it stands, the insurance industry (and its propensity to shift costs onto patients …

  • The Difference Between Medicare and Medicaid Billing and Reimbursement Image

    articleJul 31, 2019 | 8 min. read

    The Difference Between Medicare and Medicaid Billing and Reimbursement

    At first glance, Medicare and Medicaid might seem like twins, or a dynamic duo, or two peas in a pod—basically, inseparable. They’re both government healthcare programs; they were both created at the same time ; they’re both confusing and usually don’t boast the best reimbursement rates ; and they even sound alike (they both start with “Medi-,” right?). In reality, though, these two programs are very, very different. For starters, Medicare is a federally run program, which …

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