• 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 …

  • 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 …

  • 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 …

  • 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 …

  • 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, …

  • FAQ: The State of Rehab Therapy in 2019 Image

    articleJul 19, 2019 | 14 min. read

    FAQ: The State of Rehab Therapy in 2019

    Earlier this week, WebPT’s fearless leaders, Dr. Heidi Jannenga, PT, DPT, ATC, and Nancy Ham, CEO, revealed the results of our annual State of Rehab Therapy survey and discussed the national trends that affect rehab therapy professionals on a daily basis. The presenters didn’t have enough time to address all of the thought-provoking questions we received from our audience, so we compiled an FAQ for y’all to read at your leisure. Can’t find the answer to your …

  • How to Verify Patient Insurance in Three Easy Steps Image

    articleJul 11, 2019 | 7 min. read

    How to Verify Patient Insurance in Three Easy Steps

    Remember the game of telephone? Here’s how it goes: A group of kids sit in a circle, and then someone comes up with a message and whispers it to the person on his or her right. That person whispers what he or she heard to the next person, who then whispers it to the next person—and the message travels all the way around the circle until the last person announces what he or she heard. Somehow, almost …

  • The Pros and Cons of In-Network Payer Relationships Image

    articleJul 3, 2019 | 5 min. read

    The Pros and Cons of In-Network Payer Relationships

    It’s hard to identify when you’re trapped in an unhealthy relationship—even if that relationship is just a professional business arrangement. Yes, it’s possible that your in-network payer relationships are verging on unhealthy, especially if payers constantly grind your gears, and you’re hesitant to renew your contracts with them. The good news is that you have no obligation to remain in-network with every payer—and, in some cases, it may be better to ditch the in-network relationships altogether. That …

  • Founder Letter: Bill to Thrill: 10 RCM Tweaks to Improve the Patient Experience in Your Practice Image

    articleJul 2, 2019 | 9 min. read

    Founder Letter: Bill to Thrill: 10 RCM Tweaks to Improve the Patient Experience in Your Practice

    I don’t want to beat around the bush: health care—physical, occupational, and speech therapy included—is expensive. But the true cost of skyrocketing healthcare spending goes beyond out-of-pocket deductibles , because patients are allowing their health to take a backseat to other expenses. Last month, I stressed the importance of winning patients for life by marketing to them throughout the entire customer lifecycle. And I don’t want to undermine the value of keeping patients engaged throughout the entire …

  • The State of Rehab Therapy in 2019 Image

    downloadJun 17, 2019

    The State of Rehab Therapy in 2019

    Each year, we survey thousands of rehab therapy professionals on the metrics, strategies, and complicating factors that influence success in the current healthcare market. In 2019, we received more than 6,000 responses from individuals in a variety of settings, specialties, and geographic regions—and we’ve compiled all that data into the single most comprehensive annual report on the state of the rehab therapy industry.  This report features insights on everything from demographics and financial metrics to regulatory challenges …

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