• 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 …

  • 3 Times When You Absolutely Must Issue a Patient Refund Image

    articleAug 8, 2019 | 4 min. read

    3 Times When You Absolutely Must Issue a Patient Refund

    When we talk about the billing side of rehab therapy , we’re usually referring to getting money—not giving it back. However, failure to refund patients when necessary can result in some dire financial consequences—including heavy fines and other penalties. The government is pretty clear about its stance on this: according to guidance from the Office of the Inspector General (OIG), “Billing companies should institute procedures to provide for timely and accurate reporting to both the provider and …

  • 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 …

  • Credentialing vs. Contracting: Everything Rehab Therapists Need to Know Image

    articleAug 2, 2019 | 6 min. read

    Credentialing vs. Contracting: Everything Rehab Therapists Need to Know

    There’s a lot of confusion about the difference between credentialing and contracting —as well as what PTs, OTs, and SLPs must do to complete each process. In fact, questions about the insurance credentialing process are some of the most common inquiries we get from new clinics. So, I decided to do a little digging. And with some help from clinical-biller-turned-WebPTer Asia Giuffrida, our Therabill Onboarding Team Lead, I’ve compiled everything rehab therapists need to know about credentialing …

  • 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 …

  • 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 …

  • Billing Software vs. RCM Service: What's the Difference, and What's Right for Your Practice? Image

    articleJul 23, 2019 | 5 min. read

    Billing Software vs. RCM Service: What's the Difference, and What's Right for Your Practice?

    Billing is one of the most complicated aspects of running a clinic. And considering the fact that billing rules seem to change as often as the season , it’s easy to make mistakes—and find yourself face-to-face with a billing blunder beast. (Try saying that three times fast!) At some point, even the most vigilant providers and billers need a little bit of help crossing all of their t’s and dotting all of their i’s, so to speak. …

  • Billing in the Big Leagues: How to Scale Your RCM Processes as Your Practice Grows Image

    articleJul 17, 2019 | 8 min. read

    Billing in the Big Leagues: How to Scale Your RCM Processes as Your Practice Grows

    It’s the bottom of the ninth; the bases are loaded, and you’re up to bat. This one’s for the win. If you knock it out of the park, you may just get called up to the majors. And no matter how good you are, that’s a big leap. The same is true in rehab therapy private practice. Small practices already have a lot of balls in the air: marketing , keeping employees happy , and providing patients …

  • How to (Ethically) Boost Billing Productivity in PT Private Practice Image

    articleJul 16, 2019 | 5 min. read

    How to (Ethically) Boost Billing Productivity in PT Private Practice

    You’ve got a business to keep afloat, staff to pay , and patients to serve—so, of course you want to make the most out of every unit charged. But boosting billing productivity doesn't necessarily mean squeezing every possible charge out of each date of service—especially when those charges aren’t warranted. With that in mind, here are seven workflow and strategy best practices to ensure you’re billing at your best (adapted from this resource as well as our …

  • Claim Time: How Many Units Per Visit Should a PT Bill? Image

    articleJul 10, 2019 | 4 min. read

    Claim Time: How Many Units Per Visit Should a PT Bill?

    As the old Rolling Stones tune goes, “Time is on my side.” For rehab therapists who bill correctly, that’s certainly true in many cases. But, as with most things RCM-related, billing correctly can be easier said than done—especially if you don’t have a team of dedicated billing experts . Between confusing payer rules and coding conundrums, it’s sometimes hard to know if you’re on the right track. But, knowing where the rest of the pack is can …

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