• Physical Therapy Specialties Every PT Should Know About Image

    articleAug 30, 2019 | 12 min. read

    Physical Therapy Specialties Every PT Should Know About

    One of the best parts about being a physical therapist is that we have endless opportunities to niche down . From working with developmentally challenged infants to focusing on seniors with Parkinson’s disease, we can take our passion for helping others and apply it in countless ways. But, while there are tons of certifications out there, there are only a handful of sanctioned, board-certified clinical specializations for physical therapists.  We did some digging to explore what these …

  • 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 Roaring 2020s: Why We’re Entering Rehab Therapy’s Greatest Era Image

    articleAug 27, 2019 | 5 min. read

    The Roaring 2020s: Why We’re Entering Rehab Therapy’s Greatest Era

    High out-of-pocket costs. Inefficient care paths. Market Consolidation. Unfair payer and government policy. I could probably draw out this list for several paragraphs, but you get the idea—there’s a lot that we, as rehab therapists, are up against. And most of it is seemingly out of our control. If you pay attention to politics—and with the next election cycle already taking over national news headlines, it’s kind of hard not to—then you know that debate over healthcare …

  • 4 Common Reasons for PT Claim Denials (and What to Do About Them) Image

    articleAug 21, 2019 | 8 min. read

    4 Common Reasons for PT Claim Denials (and What to Do About Them)

    No one wants to deal with denials, but unfortunately, they happen. In some cases—for some PT practices—they happen a lot. And they can be a major drain on clinic resources and cash flow. The best method for dealing with denials—including medical necessity denials—is to prevent them from happening in the first place. With that in mind, here are four common reasons for PT claim denials—and what you can do to avoid them (or, at the very least, …

  • Building from the Ground Up: Billing Checklist for New PTs Image

    articleAug 20, 2019 | 7 min. read

    Building from the Ground Up: Billing Checklist for New PTs

    You might say that when you’re building a table, the most important tool to have on hand would be a saw. Another person might say it’d be a sander—and another might argue that you can’t do anything without a tape measure. I’d personally say that, while you definitely need all those tools, the most important tool to have on hand is a calm, clear-headed frame of mind. (Seriously, don’t use dangerous equipment if you’re not 100% present …

  • Growing Pains: How to Manage Transitions and Chaos as Your Practice Expands Image

    articleAug 16, 2019 | 7 min. read

    Growing Pains: How to Manage Transitions and Chaos as Your Practice Expands

    This post comes from Ascend 2019 speaker Amy Lafko, the owner of Cairn Consulting Solutions. Want to see Amy speak about rehab therapy business and leadership strategy during a live interactive session? Register for Ascend here . Curious about the rest of the speaker lineup? Check it out here . A few years ago, I was working as a director of rehab. My team of 35 had been in a really good groove. That’s when the merger …

  • 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 …

  • Stamp of Approval: How to Obtain Prior Authorization for PT Services Image

    articleAug 12, 2019 | 8 min. read

    Stamp of Approval: How to Obtain Prior Authorization for PT Services

    If you contract with third-party payers , then you’re most likely already familiar with the term [cue ominous thunder sounds] “prior authorization (a.k.a. preauthorization)”. And if you’re not yet, just wait. This Verywell article —written for patients—explains that when an insurance company requires prior authorization, healthcare providers must obtain approval from said insurance company before providing patient services, treatment, or equipment. Otherwise, the insurance company won’t pay for it—and either the provider or the patient will be …

  • 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 …

  • 5 Reasons to Outsource Your PT Clinic's RCM Image

    articleAug 5, 2019 | 5 min. read

    5 Reasons to Outsource Your PT Clinic's RCM

    If you’re at a place where your clinic’s billing is the bane of your (or your staff’s) existence, it may be time to get some help. Not every practice needs to outsource its billing—let’s make that perfectly clear. If you have an expert biller (or a few) on staff—and you’re not experiencing any major billing frustrations—then outsourcing is probably not the right move for your clinic. But, for the clinics that are overloaded, overwhelmed, or completely burnt …

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