• The True Cost of a Denied Claim in Your PT Practice Image

    articleJun 15, 2018 | 5 min. read

    The True Cost of a Denied Claim in Your PT Practice

    Claim denials are the worst. Not only does remedying them require additional time and resources, but they also delay cash flow—a situation that can be difficult for practices to navigate. While you may be tempted to overlook one or two denials, these pesky problems add up quickly—and even a couple can point to a much larger issue. And that issue that could cost your clinic a lot of money. Here’s what you need to know about the …

  • The State of Rehab Therapy in 2018 Image

    webinarJun 1, 2018

    The State of Rehab Therapy in 2018

    Falling reimbursements. Skyrocketing insurance premiums and copays. Crippling student loan debt. As a PT, OT, or SLP, sometimes it feels like it’s you against the world. After all, the challenges you face on a daily basis are many and complex. But, you’re not alone. In fact, we recently surveyed nearly 7,000 rehab therapy professionals on everything from payment rates and clinic budgets to education costs and salary, and we found some pretty strong—and surprising—trends.

      Curious …

  • Is Your Practice Financially Healthy? [Quiz] Image

    articleMay 31, 2018 | 1 min. read

    Is Your Practice Financially Healthy? [Quiz]

    Regular health check-ups are crazy-important. After all, even if you’re only experiencing mild symptoms—like a little cough, stuffy nose, or simple sprained ankle—it’s better to know you’ve got a clean bill of health than to just assume it. And if there is an underlying issue, it’s better to catch it sooner rather than later. Similarly, it’s important to regularly assess your practice’s health—specifically, its financial health. Even if things seem hunky-dory on the surface, there could be …

  • Our Comfort Zone is Killing Us: Top Takeaways from the 2018 Graham Sessions Image

    articleJan 17, 2018 | 15 min. read

    Our Comfort Zone is Killing Us: Top Takeaways from the 2018 Graham Sessions

    Most of the time, when I attend a conference—whether that be a physical therapy, healthcare technology, business, or leadership conference—I do so because I want to connect with, and learn from, others in my field. I want to take in and absorb their knowledge to supplement and expand the depth of my own expertise. And most of the conferences I attend—including the Graham Sessions —allow me to do just that. But, this year’s Graham Sessions were different. …

  • Fact or Fiction? The Ultimate Medicare Myth [Quiz] Image

    articleOct 12, 2017 | 1 min. read

    Fact or Fiction? The Ultimate Medicare Myth [Quiz]

    You’ve heard the adage that fact can be stranger than fiction, right? After all, fiction has to make sense. Well, when it comes to Medicare rules, neither fact nor fiction makes much sense—at least not on first pass. But, all rehab therapists who work with Medicare patients must be able to tell the difference—if they want to remain compliant and get paid, that is. To help you put your Medicare knowledge to the test, we’ve put together …

  • Why Physical Therapists Should Support the CONNECT for Health Act 2017 Image

    articleAug 14, 2017 | 6 min. read

    Why Physical Therapists Should Support the CONNECT for Health Act 2017

    The US Senate recently introduced the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act 2017 (S.1016) . If passed, the CONNECT for Health Act would remove several barriers to utilizing telehealth with Medicare patients—which would present a valuable opportunity to the physical therapy profession. Here’s why PTs should strongly consider supporting it: It will allow PTs to deliver, and receive reimbursement for, physical therapy telehealth services. As it stands, Medicare only provides …

  • What 500,000 Evaluative Notes Told Us About the New CPT Codes Image

    articleAug 2, 2017 | 7 min. read

    What 500,000 Evaluative Notes Told Us About the New CPT Codes

    Back in January, PTs and OTs experienced a pretty dramatic shift in the way they coded for initial evaluations. As you probably—hopefully—recall, this change required therapists to select evaluation CPT codes based on the complexity of each individual eval. (If this doesn’t sound familiar—or if you want a refresher on the details of the new evaluation code set—then I’d recommend reading this post ASAP.) This was a major change—one that thrust our entire profession into uncharted territory. …

  • When Should I Use Modifier 59? Image

    articleJul 28, 2017 | 7 min. read

    When Should I Use Modifier 59?

    In a PT’s paradise, the billing process wouldn’t exist. Therapists would simply provide treatment and receive payment accordingly, no explanation—or coding—required. In the real world, though, claims—and the codes and modifiers you submit with those claims—are your ticket to getting paid. And in many situations, one little modifier could have a big impact on your bottom line. Such is the case with modifier 59. Not sure of the rules governing proper use of this much talked-about modifier? …

  • The 8-Minute Rule: What it is and How it Works in WebPT Image

    articleJul 28, 2017 | 8 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). The Basics The 8-Minute Rule governs the process by …

  • Legal Compliance: One More Reason to Collect Patient Deductibles and Copays Image

    articleJul 24, 2017 | 6 min. read

    Legal Compliance: One More Reason to Collect Patient Deductibles and Copays

    Collecting coinsurance, copays, and deductibles upfront is an important piece of the effort to accurately value the services we provide. And yet, we still hear about practices that routinely waive their patients’ deductibles and copays. Today, I’ll discuss another reason not to routinely waive deductibles and copays. In the past, I’ve written about collecting deductibles and copays when a patient presents with a federally funded insurance like Medicare . In cases involving the Department of Justice, the …

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