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

WebPT + Billing Software - Regular BannerWebPT + Billing Software - Small Banner
  • 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 …

  • 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 …

  • Common Questions from Our PT Billing Open Forum Image

    articleAug 18, 2018 | 34 min. read

    Common Questions from Our PT Billing Open Forum

    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 …

  • Common Questions from Our Medicare Open Forum Webinar Image

    articleOct 25, 2018 | 43 min. read

    Common Questions from Our Medicare Open Forum Webinar

    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 …

  • 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.    

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

    articleJul 6, 2018 | 5 min. read

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

    Physical therapists (PTs) enjoy being part of a profession known for compassion. The vast majority of PTs enter the field eager to help patients achieve their full functional abilities. That said, a PT clinic is still a business, and if you aren’t billing properly, it’s hard to keep your clinic afloat so you can improve the lives of the very patients you set out to help. Luckily, there are plenty of ways to bill in a way …

  • 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 …

  • 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 …

  • 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 …

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