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.

Webinar Presenters

Download the slides

9 Most Common Medicare Misconceptions for PTs, OTs, and SLPs - Regular Banner9 Most Common Medicare Misconceptions for PTs, OTs, and SLPs - Small Banner
  • Do You Know Your Modifiers? [Quiz] Image

    articleJul 29, 2015 | 1 min. read

    Do You Know Your Modifiers? [Quiz]

    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.    

  • Should PTs, OTs, and SLPs use the New X Modifiers? Image

    articleDec 7, 2016 | 4 min. read

    Should PTs, OTs, and SLPs use the New X Modifiers?

    In the world of rehab therapy, determining—and billing—the right codes and modifiers can be one of your biggest challenges. That’s certainly true when it comes to properly using modifier 59—and the blog posts we’ve previously written on this topic have generated a lot of reader questions. To complicate matters even more, back in January 2015, CMS rolled out four new HCPCS modifiers for healthcare practitioners to use in lieu of modifier 59—thus giving providers a way to …

  • What's the Deal with the New Modifiers? Image

    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 …

  • Most Commonly Used CCI Edits for PT, OT, and SLP Private Practice Settings Image

    downloadDec 22, 2016

    Most Commonly Used CCI Edits for PT, OT, and SLP Private Practice Settings

    Some things go better together: peanut butter and jelly, chips and salsa, fish and chips. Likewise, rehab therapists often perform certain procedures that are similar to one another—but they might not know that two or more specific therapy types form “edit pairs.” Subsequently, they’re left in the dark about collecting a bigger portion of Medicare’s payment pie. So how can you, the rehab therapist, determine which therapy services are mutually exclusive? It’s as simple as identifying one …

  • Common Questions from our Modifier Open Forum Image

    articleJul 7, 2014 | 10 min. read

    Common Questions from our Modifier Open Forum

    Should I have my patients sign an advance beneficiary notice of noncoverage (ABN) just in case Medicare doesn’t pay? No, by having your patient sign an ABN, you are acknowledging that you do not believe that the services you are providing are either medically necessary or covered by Medicare. If you have an ABN on file, you should include a modifier GA or GX modifier on your claim so Medicare knows to deny the claim and assign …

  • Founder Letter: 97002 and 97004 (Re-Evaluation) Myths Debunked Image

    articleJun 3, 2014 | 4 min. read

    Founder Letter: 97002 and 97004 (Re-Evaluation) Myths Debunked

    Let’s start off with a hypothetical example: You’re working with a Medicare patient. It’s the tenth visit and you need to conduct a routine reassessment, so you complete a progress note. Your boss then asks why you didn’t bill for a re-evaluation. Should you have? This scenario happens daily. If it’s not your boss questioning you, then maybe it’s yourself asking, “Should I bill a re-evaluation code for the time spent completing my reassessment of this patient?” …

  • MAC Madness: When and How to Contact Your Medicare Contractor Image

    articleNov 4, 2016 | 4 min. read

    MAC Madness: When and How to Contact Your Medicare Contractor

    Medicare providers have a lot of challenges to contend with—and meeting those challenges can be tough. But, you don’t always have to go it alone, because while you can’t always count on CMS to provide clear guidance on how to comply with all the regulations that apply to you, you do have other resources at your disposal when you need answers—quick. Let’s talk about one such resource: your Medicare Administrative Contractor (MAC). Your Medicare Go-To Even if …

  • Using the 59 Modifier in 2014 Image

    articleJun 19, 2014 | 4 min. read

    Using the 59 Modifier in 2014

    Greetings, WebPTers! First, let me say thank you for the opportunity to chat with you today about appropriate use of the 59 modifier in 2014.  Even though we’ve been using the 59 modifier for some time now, there is still plenty of confusion and misunderstanding about when and how to use it. In fact, when we created our compliance plan, we listed use of the 59 modifier as a risk to be assessed and monitored. [webform:1227:inline yellow] …

  • The Complete PT Billing FAQ Image

    articleMay 24, 2016 | 25 min. read

    The Complete PT Billing FAQ

    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. Questions related to: • WebPT • Modifier 59 • Other Modifiers • Coding • ICD-10 • …

Achieve greatness in practice with the ultimate EMR for PTs, OTs, and SLPs.