June 27, 2014, 9:00 AM PDT / 12:00 PM EDT

Not sure when to apply modifier 59? Wondering why you have to use the KX modifier? Let’s face it: modifiers can get pretty confusing. There are a lot of rules to keep straight—and most of them are anything but cut-and-dried. That’s why we focused this month’s webinar on all things modifiers. WebPT founder Heidi Jannenga, PT, teamed up with compliance expert Tom Ambury to host an open forum. They devoted the first half of the webinar to explaining the ins and outs of modifiers, and the second half is a live Q&A.

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    Earlier this week, WebPT President Dr. Heidi Jannenga, PT, DPT, ATC, teamed up with Rick Gawenda, PT—President and CEO of Gawenda Seminars & Consulting—to host a Medicare Open Forum . As expected, we received more questions than our Medicare experts could answer during the live session, so we've provided the answers to the most frequently asked ones below. Don't see the answer you're looking for? Post your question in the comment section at the end of this …

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    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 …

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    articleFeb 10, 2015 | 3 min. read

    What's the Deal with the New Modifiers?

    In addition to unleashing all the 2015 PQRS changes , the Centers for Medicare and Medicaid Services (CMS) decided to throw us another curveball by introducing the following four HCPCS modifiers —called the X{EPSU} modifiers—to “define specific subsets” of the 59 modifier. XE Separate Encounter, A Service That Is Distinct Because It Occurred During A Separate Encounter XS Separate Structure, A Service That Is Distinct Because It Was Performed On A Separate Organ/Structure XP Separate Practitioner, A …

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    4 Common Physical Therapy Billing Modifiers (and How to Use Them)

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  • Double Duty: How to Bill for PT and OT on the Same Day Image

    articleNov 12, 2018 | 6 min. read

    Double Duty: How to Bill for PT and OT on the Same Day

    In many cases, physical therapy and occupational therapy go together like peanut butter and jelly. PTs and OTs often share similar goals and interventions, treat the same types of patients in the same settings, and get confused by the billing rules that apply to our respective specialties. This confusion leads to quite a few questions, including this head-scratcher: how does one bill for OT and PT provided to a single patient on the same day? While the …

  • Do You Know Your Modifiers? [Quiz] Image

    articleJul 29, 2015 | 1 min. read

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    It’s a mad, mad, mad, mad Medicare world, and unfortunately, just about every regulation requires a modifier. If you apply the wrong modifier—or forget one entirely—then your clinic suffers decreased payments or flat-out denials. Even worse, if you amass enough modifier mistakes, you make your practice vulnerable to an audit. Worried you’re miserable at modifiers or want confirmation that you’re actually a modifier master? Take our 10-question quiz below to test your modifier know-how.    

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    Over the years, WebPT has a hosted a slew of billing webinars and published dozens of billing-related blog posts. And in that time, we’ve received our fair share of tricky questions. Now, in an effort to satisfy your curiosity, we’ve compiled all of our most common brain-busters into one epic FAQ. Don’t see your question? Ask it in the comments below. (And be sure to check out this separate PT billing FAQ we recently put together.) Questions …

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    webinarSep 8, 2016

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    To say that Medicare regulations are confusing is an understatement. But, it’s not just the barely-readable government gobbledygook that throws providers for a loop; it’s also the fact that the rules are always changing. If you treat Medicare patients, we’re willing to bet you’ve been tripped up by at least one of these common misconceptions—maybe without even knowing it. And that could leave a nasty bruise on your practice’s bottom line—especially if you ever find yourself at …

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    articleOct 31, 2016 | 1 min. read

    Trick or Treat: A Creepy-Crawly Compliance Quiz

    Medicare compliance can be tricky—if not downright terrifying (sounds an awful lot like our favorite creepy-crawly holiday, Halloween). So when it comes to compliance, do you scare easily? Or, do you know the mean Medicare streets like the back of your hand? Take this frightening Medicare compliance quiz to find out whether your compliance basket is fraught with compliance tricks or filled to the brim with satisfying treats. Oh! And one last thing: while the scenarios and …

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