• 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 …

  • The 2020 Final Rule: Health Care’s Just Desserts Image

    articleNov 7, 2019 | 9 min. read

    The 2020 Final Rule: Health Care’s Just Desserts

    Okay, so the title of this article might be a little misleading; the final rule isn’t health care’s just desserts. It’s actually really great that CMS is always trying to improve one of our country’s most important safety nets—even though its methods of doing so are divisive , to say the least. That said, CMS doesn’t exactly make it easy to follow the rules (and I also really wanted to come up with some dessert puns), so …

  • Founder Letter: Is the 8% Payment Cut the Wake-Up Call Rehab Therapists Need? Image

    articleNov 6, 2019 | 13 min. read

    Founder Letter: Is the 8% Payment Cut the Wake-Up Call Rehab Therapists Need?

    Last week, CMS issued its annual final rule, which finalized the proposed 8% cut to outpatient Medicare payments for physical therapy and occupational therapy services. It’s officially official: not only will clinics have to contend with the therapy assistant reimbursement reductions in 2022, but they’ll also have to absorb an 8% across-the-board hit to their Medicare revenue starting in January 2021. It’s a pretty heavy blow to the industry, and I feel like I can see everyone …

  • 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 …

  • HIPAA Q&A: Fulfilling Patient Records Requests and Authorizations for Releasing PHI  Image

    articleOct 30, 2019 | 10 min. read

    HIPAA Q&A: Fulfilling Patient Records Requests and Authorizations for Releasing PHI

    Under the HIPAA Privacy Rule , patients have several rights regarding their medical records, including a right to access, a right to amend, and, in some circumstances, a right to restrict disclosures of their protected health information (PHI). Understanding and complying with those rights is an important component of quality patient care. Furthermore, The DHHS Office for Civil Rights (OCR) is spotlighting the importance of these rights with its Right of Access Initiative. In September, OCR stood …

  • 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 …

  • A HIPAA Risk Assessment is a Learning Experience Image

    articleOct 23, 2019 | 8 min. read

    A HIPAA Risk Assessment is a Learning Experience

    If you own a small- to medium-sized physical therapy practice, you are most likely preoccupied with daily operations such as paying bills, marketing your practice, and treating patients. You may know about HIPAA at a high-level—and you may also worry from time to time about a data breach. But, compliance and security are complicated; the regulations are written in legalese. Big organizations have resources that you do not in the form of experts—and time—that they can devote …

  • 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

    It’s the season of spooks—and uncanny thrills and chills (like dancing skeletons and pumpkin people ) are hiding around every corner. But ghostly wails, gnarled trees, and creaky houses aren’t the only eerie sentinels of the season. CMS shared its own spooky surprise with the rehab therapy industry this year by moving forward with the PTA and OTA modifiers and reimbursement reductions. It may not be the spookiest thing to pop up around Halloween time (I personally …

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