articleOct 18, 2018 | 6 min. read
The Ins and Outs of ABNs
If the rules of Advance Beneficiary Notices of Noncoverage (ABNs) make you a bit confused, you’re definitely not alone. In an effort to shed some light on the ins and outs of ABNs and to highlight some recent changes to ABN requirements, Medicare created this set of FAQs clarifying their use. Here’s some info to help bring you up to speed: What is an Advance Beneficiary Notice of Noncoverage (ABN)? An ABN is a form practitioners use …
articleOct 12, 2018 | 5 min. read
Can PTs Bill for Telehealth Services?
Telehealth is not exactly new. In fact, medical professionals have been using telemedicine since as early as 1940—but that’s because the term “telemedicine” technically refers to any electronic transfer of patient information. The way we think of telemedicine has changed quite a bit over the years. While the definition continues to encompass electronic transfer of medical records, most of us use the term “telehealth” to describe treatments or interventions delivered across electronic means. PTs and Teletherapy Like …
downloadOct 10, 2018
The Ins and Outs of ABNs
Knowing when—and when not—to issue an Advance Beneficiary Notice of Noncoverage (ABN) can be a challenge for even the most senior provider. But, doing so correctly can mean the difference between being able to collect payment from your patients—and writing off denied charges as bad debt. And that can have a substantial impact on your practice’s bottom line—especially if you see a large number of Medicare beneficiaries.
articleSep 26, 2018 | 7 min. read
Equipped to Get Paid: Billing for DME, Orthotics, and Prosthetics in Private Practice
Some things in life are very straightforward. For instance, if you need a new pair of jeans, you simply head to the store (or use my preferred method: ordering online from the comfort of your own home), give your money to the cashier, and walk out the door with exactly what you need. Unfortunately, purchasing things such as splints, prosthetics, and durable medical equipment (DME) isn’t so cut and dried. In fact, when it comes to orthotics …
articleSep 13, 2018 | 12 min. read
The 8-Minute Rule: What it is and How it Works in WebPT
With most buyer-seller transactions, calculating the cost of a product or service is fairly simple. There are no complicated formulas for determining the monetary value of a pizza or a movie ticket; you simply pay the business’s advertised price. When it comes to Medicare’s payment for rehab therapy services, however, things aren’t always so simple. Yes, I’m talking about the dreaded 8-Minute Rule (a.k.a. the Rule of Eights). So, here’s a rundown of the rule as well …
webinarAug 31, 2018
Medicare Open Forum
Medicare making you shout and scream? Then join our expert compliance team! We’ll answer all your toughest Q’s. Because you’ve gotta know the rules, or you’re bound to lose! If receiving accurate reimbursements were a game, Medicare would certainly be one of the toughest opponents—and that’s especially true for rehab therapists. After all, the rules are constantly changing, and it seems like Medicare is always trying to sneak in a trick play to prevent PTs, OTs, and …
articleAug 23, 2018 | 6 min. read
Hazard Ahead: 8 Workers' Comp Billing Tips for PTs
When talking workers’ compensation (WC) billing and collections, it’s best to keep your high beams on. After all, compared to their commercial payer counterparts, these entities don’t always follow the same rules of the road. So, to help you stay in your lane when it comes to creating and submitting workers’ comp claims, here are a few important considerations: 1. Always verify the patient’s eligibility before providing any treatment. First things first: When a patient attends therapy …
articleAug 18, 2018 | 34 min. read
Common Questions from Our PT Billing Open Forum
Last week, WebPT’s trio of billing experts—Dr. Heidi Jannenga, PT, DPT, ATC/L, WebPT President and Co-founder; John Wallace, PT, MS, WebPT Chief Business Development Officer of Revenue Cycle Management; and Dianne Jewell, PT, DPT, PhD, WebPT Director of Clinical Practice, Outcomes, and Education—hosted a live open forum on physical therapy billing . Before the webinar, we challenged registrants to serve up their trickiest PT billing head-scratchers—and boy, did they deliver! We received literally hundreds of questions on …
articleAug 9, 2018 | 7 min. read
The How and Why of an Effective Rehab Therapy Compliance Program
It’s no secret that the US healthcare industry is heavily regulated—and those regulations are strictly enforced. Take this recent press release from the Department of Justice (DOJ), for example. It explains how the DOJ charged 601 individuals with fraud—the largest healthcare fraud takedown in history. Among them: 71 physicians charged with falsely billing Medicare, Medicaid, and TRICARE in cases involving the prescription and distribution of narcotics. And in New York, 13 individuals were charged with conspiracy for …
articleJul 18, 2018 | 6 min. read
3 Common Rehab Therapy Credentialing Mistakes
Proper credentialing is a crucial step in running a successful physical therapy clinic. If your clinic and therapists aren’t properly credentialed with insurance providers from the get-go, your bottom line might suffer. And it’s not just new clinics that are susceptible to making credentialing mistakes; in fact, any clinic that has gone through a change in ownership, rapid growth phase, or any other transition might find itself mired in credentialing headaches. But before we get to the …
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