reimbursements Archives | WebPT

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The Role of Telehealth as the World Reopens

The coronavirus pandemic was a catalyst for a new wave of regulatory changes that expanded the rehab therapist toolbox almost overnight. Most recently, CMS made telehealth more widely accessible to rehab therapy providers. (Hallelujah!) While the industry has been fighting for this privilege for years, the swift change cast many providers into the uncharted waters of remote care with very little time to prepare.

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The Dos and Don’ts of Telehealth Billing Compliance

Some states—such as Louisiana and Ohio—had already authorized telehealth as a mode of service delivery for physical therapists. A few state Medicaid programs, such as Minnesota, reimbursed for OT and SLP telehealth services. Of course, Medicare did not authorize rehabilitation providers to deliver services virtually

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The 4 Biggest Telehealth Challenges for PT Clinics

Last week, CMS announced that PTs—along with OTs and SLPs—are eligible to provide telehealth services to Medicare beneficiaries for the duration of this emergency, which is huge. Rehab therapists have been advocating hard for this move since well before the pandemic struck, and now that this change is on the books,

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Breaking News: CMS Authorizes PTs, OTs, and SLPs to Provide Telehealth Services

On Thursday, April 30, the Centers for Medicare and Medicaid Services officially made physical therapists, occupational therapists, and speech-language pathologists eligible to deliver—and receive reimbursement for—telehealth services for the remainder of the public health emergency period. This change—along with all other temporary provisions included in the full CMS bulletin—is retroactive to March 1, 2020.

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How to Handle Modifier 59 Denials for 97530 and 97140

Following several CMS announcements that providers were overusing modifiers 25 and 59 as a means to bypass edit pairs (without supplying proper documentation to support those bypasses), multiple commercial payers—including Anthem, Aetna, and Humana—adopted front-end claim edit policies for claims containing these modifiers.

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How One PT Clinic Adopted Telehealth in Response to COVID-19

In this Q&A, Jaclyn Fulop, MSPT, the owner of Exchange Physical Therapy Group, explains how her practice responded to the COVID-19 pandemic by implementing a telehealth model. Interested in adopting telehealth in your own organization? Be sure to review this comprehensive blog post on leveraging and billing for telehealth in rehab therapy, this FAQ on Medicare’s new e-visit opportunities for rehab therapists, and this free webinar on telehealth and business continuity in the rehab industry. And to keep following what the team at Exchange PT is up to, be sure to check ’em out on Instagram.

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Telehealth in a Time of Crisis: What Rehab Therapists Need to Know

As the reality of pandemic sets in, industries across the country are experiencing a significant dropoff in business—and private practice rehab therapy is no different. Many therapy business owners have reached out to us for recommendations on how to address this, with several requesting information on the telehealth opportunities specifically available to them and their patients.

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Timely Filing: A Cheat Sheet for PTs

When it comes to punctuality, here’s my motto: “If you’re early, you’re on time. If you’re on time, you’re late.” Maybe I think that way because I have a Type A personality (holy organization, Batman). Or, maybe it’s because this rule truly applies in many situations—even in physical therapy billing.

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FAQ: Physical Therapy Billing Live Q&A

Earlier this week, Heidi Jannenga, PT, DPT, ATC—WebPT’s Co-Founder and Chief Clinical Officer—and John Wallace, WebPT’s Chief Business Development Officer of Revenue Cycle Management, paired up to answer rehab therapists’ most burning billing questions during a live Q&A-style webinar.

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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?).

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