• 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 …

  • 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 …

  • How to Set Up a Google My Business Page for Your PT Clinic Image

    downloadJul 30, 2019

    How to Set Up a Google My Business Page for Your PT Clinic

    When patients first embark on their healthcare journey, they generally start with the Internet, asking a search engine (usually Google) to find a provider who can help them manage their pain. And at that moment, patients don’t set the direction of their search: Google does. Google is the ultimate compass in a patient’s healthcare journey—but it doesn’t always point to the best provider on the block. For Google, true north leads to those websites that play by …

  • The Rehab Therapist's Guide to Using CMS-1500 Claim Forms Image

    articleJul 29, 2019 | 17 min. read

    The Rehab Therapist's Guide to Using CMS-1500 Claim Forms

    Healthcare billing can get even the best billers tangled up in knots—and it’s no wonder why. Between tracking and adhering to shifting payer guidelines, managing patient claims, verifying insurance , and defending against denials , billers are pulled and twisted in a million different directions. That’s why it’s so important to have a strong billing foundation; a concrete understanding of your billing basics will help you pivot and twirl and handle the whirlwind of the billing office …

  • 8 Workflow Tips to Save Time on Patient Documentation Image

    articleJul 25, 2019 | 13 min. read

    8 Workflow Tips to Save Time on Patient Documentation

    “I can’t wait to spend three hours documenting after work tonight!” said no physical therapist, ever . Yet, many of us take our documentation home each day. It happens so frequently, in fact, that some of us have just accepted it as part of being a PT. If you’re in outpatient care, you’ve got a million recerts, progress notes, pre-authorization forms, and Medicare-specific sheets to handle. If you’re in acute care, there’s the ever-changing battery of required …

  • Physical Therapy Billing Live Q&A Image

    webinarJul 24, 2019

    Physical Therapy Billing Live Q&A

    Billing Blunder Blues got you down? Let our RCM experts mend your broken heart. Anyone who’s worked on the revenue cycle management (RCM) side of rehab therapy knows how complicated things can get—it’s enough to make a ramblin’ man lose his mind. Whether it’s a payer that suddenly denies a claim (even though you’ve submitted similar ones a thousand times before without issue) or confusion over which CPT code to select for patient education, a whole lotta …

  • MIPS 101 Image

    articleJul 24, 2019 | 3 min. read

    MIPS 101

    The Merit-based Incentive Payment System, or MIPS, is one tough cookie. It’s complicated and downright frustrating at times—but it’s something that rehab therapists need to be familiar with. If you’ve been looking for a no-nonsense, easy-to-follow MIPS explainer, then you’ve come to the right place! Just play the video to understand the basics behind this latest government program.  If you’ve finished the video and want a followup (or a recap) of the more complicated info we discussed, …

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