OUTPATIENT THERAPY

We’ve got you. Our all-encompassing solution handles every aspect of the outpatient therapy business. WebPT is fully HIPAA-secure, and with our integrated functional limitation and MIPS reporting, KX modifier and NCCI edit alerts, and 8-minute rule features, you’ll stay compliant while reducing errors and improving claim acceptance.

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Enter your username below. We'll email you a link to a page where you can easily create a new password. Username: Return to login. If you don't get an email from us within a few minutes, please check your spam filter. The email will be from no-reply@webpt.com. Change

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7 BIGGEST PHYSICAL THERAPY TRENDS IN 2020 13 PHYSICAL THERAPY INSERVICE IDEAS 16 CREATIVE PHYSICAL THERAPY CLINIC NAMES 2. Lyttle Fox Therapy. This pediatric clinic’s name is as endearing as the population it serves. “Lyttle Fox” is an amalgam of the two owners’ last names, and it’s made our list because it’s not only memorable, but also unique. 3. C.A.R.E. Physical Therapy. HOW TO DOCUMENT AND BILL FOR PHYSICAL THERAPY ON DIFFERENT Both therapists may document separately while noting the services took place alongside the other discipline. However, when billing for these services, the therapists would bill for a total of 30 minutes of therapeutic activities and apply the appropriate therapy modifiers as follows: GP: 97530, 1 unit. GO: 97530, 1 unit. ONE-ON-ONE SERVICES VS GROUP SERVICES 11 HOT TOPICS IN PHYSICAL THERAPY Here are 11 of the hottest physical therapy topics from 2018: 1. Burnout. Burnout certainly isn’t unique to physical therapists. In fact, in recent years, we’ve seen countless reports chronicling the burnout experienced across a wide swath of medical professionals. But, in the case of physical therapists particularly, the last few years CHARGING DIFFERENT RATES FOR SAME SERVICE Varied Payer Service Rates. In 2015, the APTA published an article that endorsed charging payers different service rates if it helped keep a practice in business: “APTA’s Judicial Committee reviewed this issue and concluded that such a method is ethical, as long as all fees charged are reasonable. Some insurers reimburse at rates below

the

DOUBLE DUTY: HOW TO BILL FOR PT AND OT ON THE SAME DAY Instead, they must divide up their minutes based on the services each therapist provided. For example, if an OT and PT co-treat from 10:30 AM to 11:30 AM, the OT can bill for his or her portion of the hour (e.g., 10:30-11:00 AM) under OT codes, while the PT can bill for his or her portion (e.g., 11:00-11:30 AM) under PT codes.

OUTPATIENT THERAPY

We’ve got you. Our all-encompassing solution handles every aspect of the outpatient therapy business. WebPT is fully HIPAA-secure, and with our integrated functional limitation and MIPS reporting, KX modifier and NCCI edit alerts, and 8-minute rule features, you’ll stay compliant while reducing errors and improving claim acceptance.

LOGIN - WEBPT

Enter your username below. We'll email you a link to a page where you can easily create a new password. Username: Return to login. If you don't get an email from us within a few minutes, please check your spam filter. The email will be from no-reply@webpt.com. Change

Password.

7 BIGGEST PHYSICAL THERAPY TRENDS IN 2020 13 PHYSICAL THERAPY INSERVICE IDEAS 16 CREATIVE PHYSICAL THERAPY CLINIC NAMES 2. Lyttle Fox Therapy. This pediatric clinic’s name is as endearing as the population it serves. “Lyttle Fox” is an amalgam of the two owners’ last names, and it’s made our list because it’s not only memorable, but also unique. 3. C.A.R.E. Physical Therapy. HOW TO DOCUMENT AND BILL FOR PHYSICAL THERAPY ON DIFFERENT Both therapists may document separately while noting the services took place alongside the other discipline. However, when billing for these services, the therapists would bill for a total of 30 minutes of therapeutic activities and apply the appropriate therapy modifiers as follows: GP: 97530, 1 unit. GO: 97530, 1 unit. ONE-ON-ONE SERVICES VS GROUP SERVICES 11 HOT TOPICS IN PHYSICAL THERAPY Here are 11 of the hottest physical therapy topics from 2018: 1. Burnout. Burnout certainly isn’t unique to physical therapists. In fact, in recent years, we’ve seen countless reports chronicling the burnout experienced across a wide swath of medical professionals. But, in the case of physical therapists particularly, the last few years CHARGING DIFFERENT RATES FOR SAME SERVICE Varied Payer Service Rates. In 2015, the APTA published an article that endorsed charging payers different service rates if it helped keep a practice in business: “APTA’s Judicial Committee reviewed this issue and concluded that such a method is ethical, as long as all fees charged are reasonable. Some insurers reimburse at rates below

the

DOUBLE DUTY: HOW TO BILL FOR PT AND OT ON THE SAME DAY Instead, they must divide up their minutes based on the services each therapist provided. For example, if an OT and PT co-treat from 10:30 AM to 11:30 AM, the OT can bill for his or her portion of the hour (e.g., 10:30-11:00 AM) under OT codes, while the PT can bill for his or her portion (e.g., 11:00-11:30 AM) under PT codes. HOW TO START A PHYSICAL THERAPY CLINIC So, the old saying is true: two heads are better than one. Well, most of the time anyway. There are some definite risks associated with forming a partnership, like loss of control (as the APTA points out), differences of opinion, and the dangers of mixing business and pleasure (if you go into business with a friend or family member, that is).That’s why entering into a partnership is not HOW TO DOCUMENT AND BILL FOR PHYSICAL THERAPY ON DIFFERENT Both therapists may document separately while noting the services took place alongside the other discipline. However, when billing for these services, the therapists would bill for a total of 30 minutes of therapeutic activities and apply the appropriate therapy modifiers as follows: GP: 97530, 1 unit. GO: 97530, 1 unit. ONE-ON-ONE SERVICES VS GROUP SERVICES Each patient receives 8 minutes of direct one-on-one contact with you for the first 24 minutes. Then, you work directly with Moe for an additional 10 minutes, Larry for 5 minutes, and Curly for 6 minutes. So, the total amount of direct one-on-one time 3 REASONS TO ADOPT A TEAM TREATMENT SYSTEM IN YOUR PT 1. Team treatment systems can create an excellent patient experience. It’s not uncommon for patients—or even providers—to assume that more one-on-one time with a single provider will lead to the best

outcomes.

9 THINGS PHYSICAL THERAPISTS CAN BILL FOR—AND 5 THEY CAN’T Physical therapists can bill for: 1. Telehealth. As of the publication date of this article, many states have allowed PTs to provide virtual services—if only temporarily. Furthermore, CMS has provisionally added PTs to its list of telehealth-eligible providers for the duration of the public health emergency period. HOW TO BE A PT AND WORK REMOTELY Types of Remote PT Jobs Telehealth. Thanks to temporary relaxations on CMS and HIPAA regulations—and expanded private payer coverage of remote care—telehealth physical therapy companies are actively hiring PTs. If you’re committed to remaining with your brick-and-mortar employer, consider stepping up to be the telehealth lead, and start exploring all the latest and greatest platforms THE STATE OF REHAB THERAPY IN 2021 Chow down on some sizzling hot takes as our webinar hosts discuss the fresh-off-the-grill data gleaned from our survey of 6,000+ rehab therapy professionals. HOW TO BILL FOR PT ASSISTANTS PROVIDING PHYSICAL THERAPY This post comes from PT Compliance Group compliance officer Tom Ambury, PT, and WebPT President Heidi Jannenga, PT, DPT, ATC/L.. We get a lot of questions when it comes to billing for private practice PT services. One of the most common has to do with billing for licensed PTAs—especially when Medicare and state practice acts have different requirements when it comes to HAZARD AHEAD: 8 WORKERS' COMP BILLING TIPS FOR PTS 6. Be cautious when billing for work hardening. Despite being a common treatment for workers’ comp patients, work hardening can be tricky when it comes to proper coding. When billing for work hardening (or work conditioning), there are two codes a provider or coder can choose from: 97545: work hardening/conditioning; initial 2 hours. 3 TIMES WHEN YOU ABSOLUTELY MUST ISSUE A PATIENT REFUND 3. You collected the wrong copay amount. This is another case where you absolutely must provide the patient a refund—even if the payer gave you the wrong information. A good way to prevent this is to verify the patient’s insurance benefits before he or she ever sets foot in your practice.

OUTPATIENT THERAPY

We’ve got you. Our all-encompassing solution handles every aspect of the outpatient therapy business. WebPT is fully HIPAA-secure, and with our integrated functional limitation and MIPS reporting, KX modifier and NCCI edit alerts, and 8-minute rule features, you’ll stay compliant while reducing errors and improving claim acceptance.

LOGIN - WEBPT

Enter your username below. We'll email you a link to a page where you can easily create a new password. Username: Return to login. If you don't get an email from us within a few minutes, please check your spam filter. The email will be from no-reply@webpt.com. Change

Password.

ONE-ON-ONE SERVICES VS GROUP SERVICES HOW TO BILL FOR PT ASSISTANTS PROVIDING PHYSICAL THERAPY This post comes from PT Compliance Group compliance officer Tom Ambury, PT, and WebPT President Heidi Jannenga, PT, DPT, ATC/L.. We get a lot of questions when it comes to billing for private practice PT services. One of the most common has to do with billing for licensed PTAs—especially when Medicare and state practice acts have different requirements when it comes to EVERYTHING PTS NEED TO KNOW ABOUT 99072 Billing this code is relatively straightforward. To our knowledge, it doesn’t require any modifiers, and it can be billed with any diagnosis code. 99072 is an untimed unit, and outpatient providers can bill it “once per in-person encounter.”. In other words, providers will only ever bill one unit of

WEBPT AUTH - PRM

Why do we need this? If you use the WebPT EMR, you can use your same username and password to log in to the app. If you use another EMR, you’ll use a different login to access the app. Select "Remember My Choice" to not see this page again."Remember My Choice" to not see

this page again.

THE DANGERS OF FREE PHYSICAL THERAPY CEUS Erica McDermott. MA, CNC. Senior Writer. There are a lot of great things in life that are free: watching a sunrise, seeing a baby smile, strolling on the beach, petting a puppy, and stargazing on a clear night—just to name a few. But, one thing you won’t ever find on this list is CEUs. That’s because free physical therapy CEUs have a 5 LEGAL PITFALLS IN PT MARKETING (AND HOW TO AVOID THEMSEE MORE ON

WEBPT.COM

CAN PTAS DO PROGRESS NOTES? (AND OTHER PTA AND OTA Recently, we’ve received a whole lot of questions about what physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) can and cannot do in practice—likely because many practice owners are re-evaluating staff roles and clinic operations in preparation of the Medicare reimbursement reduction for assistant-provided services, which takes effect in 2022. 5 REASONS NOT TO SET PRODUCTIVITY GOALS 2. Your facility starts to feel like a patient mill. When productivity is at the forefront of your therapists’ minds, they’ll stop considering whether a patient really needs three sessions a week for eight weeks—or whether spending 10 minutes on the stationary bike is really necessary for every knee patient.

OUTPATIENT THERAPY

We’ve got you. Our all-encompassing solution handles every aspect of the outpatient therapy business. WebPT is fully HIPAA-secure, and with our integrated functional limitation and MIPS reporting, KX modifier and NCCI edit alerts, and 8-minute rule features, you’ll stay compliant while reducing errors and improving claim acceptance.

LOGIN - WEBPT

Enter your username below. We'll email you a link to a page where you can easily create a new password. Username: Return to login. If you don't get an email from us within a few minutes, please check your spam filter. The email will be from no-reply@webpt.com. Change

Password.

ONE-ON-ONE SERVICES VS GROUP SERVICES HOW TO BILL FOR PT ASSISTANTS PROVIDING PHYSICAL THERAPY This post comes from PT Compliance Group compliance officer Tom Ambury, PT, and WebPT President Heidi Jannenga, PT, DPT, ATC/L.. We get a lot of questions when it comes to billing for private practice PT services. One of the most common has to do with billing for licensed PTAs—especially when Medicare and state practice acts have different requirements when it comes to EVERYTHING PTS NEED TO KNOW ABOUT 99072 Billing this code is relatively straightforward. To our knowledge, it doesn’t require any modifiers, and it can be billed with any diagnosis code. 99072 is an untimed unit, and outpatient providers can bill it “once per in-person encounter.”. In other words, providers will only ever bill one unit of

WEBPT AUTH - PRM

Why do we need this? If you use the WebPT EMR, you can use your same username and password to log in to the app. If you use another EMR, you’ll use a different login to access the app. Select "Remember My Choice" to not see this page again."Remember My Choice" to not see

this page again.

THE DANGERS OF FREE PHYSICAL THERAPY CEUS Erica McDermott. MA, CNC. Senior Writer. There are a lot of great things in life that are free: watching a sunrise, seeing a baby smile, strolling on the beach, petting a puppy, and stargazing on a clear night—just to name a few. But, one thing you won’t ever find on this list is CEUs. That’s because free physical therapy CEUs have a 5 LEGAL PITFALLS IN PT MARKETING (AND HOW TO AVOID THEMSEE MORE ON

WEBPT.COM

CAN PTAS DO PROGRESS NOTES? (AND OTHER PTA AND OTA Recently, we’ve received a whole lot of questions about what physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) can and cannot do in practice—likely because many practice owners are re-evaluating staff roles and clinic operations in preparation of the Medicare reimbursement reduction for assistant-provided services, which takes effect in 2022. 5 REASONS NOT TO SET PRODUCTIVITY GOALS 2. Your facility starts to feel like a patient mill. When productivity is at the forefront of your therapists’ minds, they’ll stop considering whether a patient really needs three sessions a week for eight weeks—or whether spending 10 minutes on the stationary bike is really necessary for every knee patient. ONE-ON-ONE SERVICES VS GROUP SERVICES Each patient receives 8 minutes of direct one-on-one contact with you for the first 24 minutes. Then, you work directly with Moe for an additional 10 minutes, Larry for 5 minutes, and Curly for 6 minutes. So, the total amount of direct one-on-one time THE 8-MINUTE RULE: WHAT IT IS AND HOW IT WORKS IN WEBPT Per the 8-Minute Rule, you would first calculate the total treatment time: 30 min + 15 min + 8 min + 30 min = 83 total minutes. According to the chart, you could bill a maximum of 6 units. However, in this case, when adding up your direct time (time-based) codes, it equals 53

minutes.

13 PHYSICAL THERAPY INSERVICE IDEAS PT, DPT. Physical therapy inservices are always enjoyable. If you’re in the audience, you get to learn new skills, bond with coworkers, and collaborate as a team to provide better patient care. But, when you’re the one on the hook to actually present an inservice, it can be a little stressful! We PTs are used to educating patients on a one PHYSICAL THERAPY AND THE MEDICARE 8 MINUTE RULE Enter the 8-Minute Rule. For time-based codes, you must provide direct treatment for at least eight minutes in order to receive reimbursement from Medicare. Basically, when calculating the number of billable units for a particular date of service, Medicare adds up the total minutes of skilled, one-on-one therapy and divides that total by 15. 5 REASONS NOT TO SET PRODUCTIVITY GOALS 2. Your facility starts to feel like a patient mill. When productivity is at the forefront of your therapists’ minds, they’ll stop considering whether a patient really needs three sessions a week for eight weeks—or whether spending 10 minutes on the stationary bike is really necessary for every knee patient. 4 COMMON PHYSICAL THERAPY BILLING MODIFIERS The GP modifier indicates that a physical therapist’s services have been provided. It’s commonly used in inpatient and outpatient multidisciplinary settings. It’s also used for functional limitation reporting (FLR), as physical therapists must report G-codes, severity modifiers, and therapy modifiers. Be aware that some payers require

use

THE PHYSICAL THERAPISTS GUIDE TO INCIDENT-TO BILLING Assistants may only bill incident to providers within the same discipline. Per CMS, PTs must supervise PTAs, OTs must supervise OTAs, and SLPs must supervise SLPAs. In other words, therapist assistants may only bill incident to therapists within the same discipline. So there you have it: the essentials of incident-to billing in outpatient

rehab

7 THINGS TO KNOW BEFORE BUYING A PT PRACTICE With that in mind, here are a few things to ponder before you purchase a PT practice: 1. An amicable transition is invaluable. John Baio, PT, DPT, owner of Martino Physical Therapy, strongly advises that anyone purchasing a PT clinic do everything possible to keep things amicable during the transition. He notes that it’s always preferable to

MODIFIER 59 IN 2020

Modifier 59 is predominantly intended for surgical procedures. The CPT Manual defines modifier 59 as the following: “Under certain circumstances, the physician may need to indicate that a procedure or service was distinct or independent from other services performed on

the same day.

PERFORMANCE-BASED INCENTIVE PROGRAMS IN REHAB THERAPY The concept of pay-for-performance (PFP)—that is, the idea that an individual receives payment based on what he or she produces—seems very American to me and is certainly part of our capitalistic society. To use a sports analogy, a professional athlete who is one of the top performers in his or her sport commands higher compensation than an

OUTPATIENT THERAPY

We’ve got you. Our all-encompassing solution handles every aspect of the outpatient therapy business. WebPT is fully HIPAA-secure, and with our integrated functional limitation and MIPS reporting, KX modifier and NCCI edit alerts, and 8-minute rule features, you’ll stay compliant while reducing errors and improving claim acceptance.

LOGIN - WEBPT

Enter your username below. We'll email you a link to a page where you can easily create a new password. Username: Return to login. If you don't get an email from us within a few minutes, please check your spam filter. The email will be from no-reply@webpt.com. Change

Password.

ONE-ON-ONE SERVICES VS GROUP SERVICES HOW TO BILL FOR PT ASSISTANTS PROVIDING PHYSICAL THERAPY This post comes from PT Compliance Group compliance officer Tom Ambury, PT, and WebPT President Heidi Jannenga, PT, DPT, ATC/L.. We get a lot of questions when it comes to billing for private practice PT services. One of the most common has to do with billing for licensed PTAs—especially when Medicare and state practice acts have different requirements when it comes to EVERYTHING PTS NEED TO KNOW ABOUT 99072 Billing this code is relatively straightforward. To our knowledge, it doesn’t require any modifiers, and it can be billed with any diagnosis code. 99072 is an untimed unit, and outpatient providers can bill it “once per in-person encounter.”. In other words, providers will only ever bill one unit of

WEBPT AUTH - PRM

Why do we need this? If you use the WebPT EMR, you can use your same username and password to log in to the app. If you use another EMR, you’ll use a different login to access the app. Select "Remember My Choice" to not see this page again."Remember My Choice" to not see

this page again.

THE DANGERS OF FREE PHYSICAL THERAPY CEUS Erica McDermott. MA, CNC. Senior Writer. There are a lot of great things in life that are free: watching a sunrise, seeing a baby smile, strolling on the beach, petting a puppy, and stargazing on a clear night—just to name a few. But, one thing you won’t ever find on this list is CEUs. That’s because free physical therapy CEUs have a 5 LEGAL PITFALLS IN PT MARKETING (AND HOW TO AVOID THEMSEE MORE ON

WEBPT.COM

CAN PTAS DO PROGRESS NOTES? (AND OTHER PTA AND OTA Recently, we’ve received a whole lot of questions about what physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) can and cannot do in practice—likely because many practice owners are re-evaluating staff roles and clinic operations in preparation of the Medicare reimbursement reduction for assistant-provided services, which takes effect in 2022. 5 REASONS NOT TO SET PRODUCTIVITY GOALS 2. Your facility starts to feel like a patient mill. When productivity is at the forefront of your therapists’ minds, they’ll stop considering whether a patient really needs three sessions a week for eight weeks—or whether spending 10 minutes on the stationary bike is really necessary for every knee patient.

OUTPATIENT THERAPY

We’ve got you. Our all-encompassing solution handles every aspect of the outpatient therapy business. WebPT is fully HIPAA-secure, and with our integrated functional limitation and MIPS reporting, KX modifier and NCCI edit alerts, and 8-minute rule features, you’ll stay compliant while reducing errors and improving claim acceptance.

LOGIN - WEBPT

Enter your username below. We'll email you a link to a page where you can easily create a new password. Username: Return to login. If you don't get an email from us within a few minutes, please check your spam filter. The email will be from no-reply@webpt.com. Change

Password.

ONE-ON-ONE SERVICES VS GROUP SERVICES HOW TO BILL FOR PT ASSISTANTS PROVIDING PHYSICAL THERAPY This post comes from PT Compliance Group compliance officer Tom Ambury, PT, and WebPT President Heidi Jannenga, PT, DPT, ATC/L.. We get a lot of questions when it comes to billing for private practice PT services. One of the most common has to do with billing for licensed PTAs—especially when Medicare and state practice acts have different requirements when it comes to EVERYTHING PTS NEED TO KNOW ABOUT 99072 Billing this code is relatively straightforward. To our knowledge, it doesn’t require any modifiers, and it can be billed with any diagnosis code. 99072 is an untimed unit, and outpatient providers can bill it “once per in-person encounter.”. In other words, providers will only ever bill one unit of

WEBPT AUTH - PRM

Why do we need this? If you use the WebPT EMR, you can use your same username and password to log in to the app. If you use another EMR, you’ll use a different login to access the app. Select "Remember My Choice" to not see this page again."Remember My Choice" to not see

this page again.

THE DANGERS OF FREE PHYSICAL THERAPY CEUS Erica McDermott. MA, CNC. Senior Writer. There are a lot of great things in life that are free: watching a sunrise, seeing a baby smile, strolling on the beach, petting a puppy, and stargazing on a clear night—just to name a few. But, one thing you won’t ever find on this list is CEUs. That’s because free physical therapy CEUs have a 5 LEGAL PITFALLS IN PT MARKETING (AND HOW TO AVOID THEMSEE MORE ON

WEBPT.COM

CAN PTAS DO PROGRESS NOTES? (AND OTHER PTA AND OTA Recently, we’ve received a whole lot of questions about what physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) can and cannot do in practice—likely because many practice owners are re-evaluating staff roles and clinic operations in preparation of the Medicare reimbursement reduction for assistant-provided services, which takes effect in 2022. 5 REASONS NOT TO SET PRODUCTIVITY GOALS 2. Your facility starts to feel like a patient mill. When productivity is at the forefront of your therapists’ minds, they’ll stop considering whether a patient really needs three sessions a week for eight weeks—or whether spending 10 minutes on the stationary bike is really necessary for every knee patient. HOW TO WRITE THE BEST PHYSICAL THERAPY JOB DESCRIPTION It’s hiring season! The PT industry is on the road to recovery, and many clinics (roughly a quarter, in fact) are seeing the same patient volumes they did prior to COVID-19.And greater patient volume means that some clinics—especially those that were forced to make personnel changes last year—are in the perfect position to bring new therapists on board. ONE-ON-ONE SERVICES VS GROUP SERVICES Each patient receives 8 minutes of direct one-on-one contact with you for the first 24 minutes. Then, you work directly with Moe for an additional 10 minutes, Larry for 5 minutes, and Curly for 6 minutes. So, the total amount of direct one-on-one time 13 PHYSICAL THERAPY INSERVICE IDEAS PT, DPT. Physical therapy inservices are always enjoyable. If you’re in the audience, you get to learn new skills, bond with coworkers, and collaborate as a team to provide better patient care. But, when you’re the one on the hook to actually present an inservice, it can be a little stressful! We PTs are used to educating patients on a one THE 8-MINUTE RULE: WHAT IT IS AND HOW IT WORKS IN WEBPT Per the 8-Minute Rule, you would first calculate the total treatment time: 30 min + 15 min + 8 min + 30 min = 83 total minutes. According to the chart, you could bill a maximum of 6 units. However, in this case, when adding up your direct time (time-based) codes, it equals 53

minutes.

4 COMMON PHYSICAL THERAPY BILLING MODIFIERS The GP modifier indicates that a physical therapist’s services have been provided. It’s commonly used in inpatient and outpatient multidisciplinary settings. It’s also used for functional limitation reporting (FLR), as physical therapists must report G-codes, severity modifiers, and therapy modifiers. Be aware that some payers require

use

PHYSICAL THERAPY AND THE MEDICARE 8 MINUTE RULE Enter the 8-Minute Rule. For time-based codes, you must provide direct treatment for at least eight minutes in order to receive reimbursement from Medicare. Basically, when calculating the number of billable units for a particular date of service, Medicare adds up the total minutes of skilled, one-on-one therapy and divides that total by 15. THE PHYSICAL THERAPISTS GUIDE TO INCIDENT-TO BILLING Assistants may only bill incident to providers within the same discipline. Per CMS, PTs must supervise PTAs, OTs must supervise OTAs, and SLPs must supervise SLPAs. In other words, therapist assistants may only bill incident to therapists within the same discipline. So there you have it: the essentials of incident-to billing in outpatient

rehab

7 THINGS TO KNOW BEFORE BUYING A PT PRACTICE With that in mind, here are a few things to ponder before you purchase a PT practice: 1. An amicable transition is invaluable. John Baio, PT, DPT, owner of Martino Physical Therapy, strongly advises that anyone purchasing a PT clinic do everything possible to keep things amicable during the transition. He notes that it’s always preferable to 5 REASONS NOT TO SET PRODUCTIVITY GOALS 2. Your facility starts to feel like a patient mill. When productivity is at the forefront of your therapists’ minds, they’ll stop considering whether a patient really needs three sessions a week for eight weeks—or whether spending 10 minutes on the stationary bike is really necessary for every knee patient.

MODIFIER 59 IN 2020

Modifier 59 is predominantly intended for surgical procedures. The CPT Manual defines modifier 59 as the following: “Under certain circumstances, the physician may need to indicate that a procedure or service was distinct or independent from other services performed on

the same day.

OUTPATIENT THERAPY

Stay organized and compliant with the leading physical therapy software. More than 10,000 clinics, and 70,000 Members trust WebPT every day. See why, here

LOGIN - WEBPT

If you don't get an email from us within a few minutes, please check your spam filter. The email will be from no-reply@webpt.com. HOW TO BILL FOR PT ASSISTANTS PROVIDING PHYSICAL THERAPY This post comes from PT Compliance Group compliance officer Tom Ambury, PT, and WebPT President Heidi Jannenga, PT, DPT, ATC/L.. We get a lot of questions when it comes to billing for private practice PT services. One of the most common has to do with billing for licensed PTAs—especially when Medicare and state practice acts have different requirements when it comes to ONE-ON-ONE SERVICES VS GROUP SERVICES EVERYTHING PTS NEED TO KNOW ABOUT 99072 When and how do I bill CPT code 99072? When to Bill 99072. Per the AMA, providers can bill 99072 “with an in-person patient encounter for an office visit or other non-facility service, in which the implemented guidelines related to mitigating the transmission of the respiratory disease for which the PHE was declared are required.”. Put simply, that means providers can bill this code: 5 LEGAL PITFALLS IN PT MARKETING (AND HOW TO AVOID THEMSEE MORE ON

WEBPT.COM

WEBPT AUTH - PRM

Why do we need this? If you use the WebPT EMR, you can use your same username and password to log in to the app. If you use another EMR, you’ll use a different login to access the app. Select "Remember My Choice" to not see this page again."Remember My Choice" to not see

this page again.

CAN PTAS DO PROGRESS NOTES? (AND OTHER PTA AND OTA Recently, we’ve received a whole lot of questions about what physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) can and cannot do in practice—likely because many practice owners are re-evaluating staff roles and clinic operations in preparation of the Medicare reimbursement reduction for assistant-provided services, which takes effect in 2022. THE DANGERS OF FREE PHYSICAL THERAPY CEUS The people putting it on may not be giving it their all. Developing content, structuring a curriculum, and designing supplementary materials for continuing education courses is time- and

resource-consuming.

5 REASONS NOT TO SET PRODUCTIVITY GOALS 2. Your facility starts to feel like a patient mill. When productivity is at the forefront of your therapists’ minds, they’ll stop considering whether a patient really needs three sessions a week for eight weeks—or whether spending 10 minutes on the stationary bike is really necessary for every knee patient.

OUTPATIENT THERAPY

Stay organized and compliant with the leading physical therapy software. More than 10,000 clinics, and 70,000 Members trust WebPT every day. See why, here

LOGIN - WEBPT

If you don't get an email from us within a few minutes, please check your spam filter. The email will be from no-reply@webpt.com. HOW TO BILL FOR PT ASSISTANTS PROVIDING PHYSICAL THERAPY This post comes from PT Compliance Group compliance officer Tom Ambury, PT, and WebPT President Heidi Jannenga, PT, DPT, ATC/L.. We get a lot of questions when it comes to billing for private practice PT services. One of the most common has to do with billing for licensed PTAs—especially when Medicare and state practice acts have different requirements when it comes to ONE-ON-ONE SERVICES VS GROUP SERVICES EVERYTHING PTS NEED TO KNOW ABOUT 99072 When and how do I bill CPT code 99072? When to Bill 99072. Per the AMA, providers can bill 99072 “with an in-person patient encounter for an office visit or other non-facility service, in which the implemented guidelines related to mitigating the transmission of the respiratory disease for which the PHE was declared are required.”. Put simply, that means providers can bill this code: 5 LEGAL PITFALLS IN PT MARKETING (AND HOW TO AVOID THEMSEE MORE ON

WEBPT.COM

WEBPT AUTH - PRM

Why do we need this? If you use the WebPT EMR, you can use your same username and password to log in to the app. If you use another EMR, you’ll use a different login to access the app. Select "Remember My Choice" to not see this page again."Remember My Choice" to not see

this page again.

CAN PTAS DO PROGRESS NOTES? (AND OTHER PTA AND OTA Recently, we’ve received a whole lot of questions about what physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) can and cannot do in practice—likely because many practice owners are re-evaluating staff roles and clinic operations in preparation of the Medicare reimbursement reduction for assistant-provided services, which takes effect in 2022. THE DANGERS OF FREE PHYSICAL THERAPY CEUS The people putting it on may not be giving it their all. Developing content, structuring a curriculum, and designing supplementary materials for continuing education courses is time- and

resource-consuming.

5 REASONS NOT TO SET PRODUCTIVITY GOALS 2. Your facility starts to feel like a patient mill. When productivity is at the forefront of your therapists’ minds, they’ll stop considering whether a patient really needs three sessions a week for eight weeks—or whether spending 10 minutes on the stationary bike is really necessary for every knee patient. HOW TO WRITE THE BEST PHYSICAL THERAPY JOB DESCRIPTION It’s hiring season! The PT industry is on the road to recovery, and many clinics (roughly a quarter, in fact) are seeing the same patient volumes they did prior to COVID-19.And greater patient volume means that some clinics—especially those that were forced to make personnel changes last year—are in the perfect position to bring new therapists on board. ONE-ON-ONE SERVICES VS GROUP SERVICES Each patient receives 8 minutes of direct one-on-one contact with you for the first 24 minutes. Then, you work directly with Moe for an additional 10 minutes, Larry for 5 minutes, and Curly for 6 minutes. So, the total amount of direct one-on-one time 13 PHYSICAL THERAPY INSERVICE IDEAS PT, DPT. Physical therapy inservices are always enjoyable. If you’re in the audience, you get to learn new skills, bond with coworkers, and collaborate as a team to provide better patient care. But, when you’re the one on the hook to actually present an inservice, it can be a little stressful! We PTs are used to educating patients on a one THE 8-MINUTE RULE: WHAT IT IS AND HOW IT WORKS IN WEBPT Per the 8-Minute Rule, you would first calculate the total treatment time: 30 min + 15 min + 8 min + 30 min = 83 total minutes. According to the chart, you could bill a maximum of 6 units. However, in this case, when adding up your direct time (time-based) codes, it equals 53

minutes.

PHYSICAL THERAPY AND THE MEDICARE 8 MINUTE RULE Enter the 8-Minute Rule. For time-based codes, you must provide direct treatment for at least eight minutes in order to receive reimbursement from Medicare. Basically, when calculating the number of billable units for a particular date of service, Medicare adds up the total minutes of skilled, one-on-one therapy and divides that total by 15. 4 COMMON PHYSICAL THERAPY BILLING MODIFIERS The GP modifier indicates that a physical therapist’s services have been provided. It’s commonly used in inpatient and outpatient multidisciplinary settings. It’s also used for functional limitation reporting (FLR), as physical therapists must report G-codes, severity modifiers, and therapy modifiers. Be aware that some payers require

use

THE PHYSICAL THERAPISTS GUIDE TO INCIDENT-TO BILLING Assistants may only bill incident to providers within the same discipline. Per CMS, PTs must supervise PTAs, OTs must supervise OTAs, and SLPs must supervise SLPAs. In other words, therapist assistants may only bill incident to therapists within the same discipline. So there you have it: the essentials of incident-to billing in outpatient

rehab

7 THINGS TO KNOW BEFORE BUYING A PT PRACTICE With that in mind, here are a few things to ponder before you purchase a PT practice: 1. An amicable transition is invaluable. John Baio, PT, DPT, owner of Martino Physical Therapy, strongly advises that anyone purchasing a PT clinic do everything possible to keep things amicable during the transition. He notes that it’s always preferable to 5 REASONS NOT TO SET PRODUCTIVITY GOALS 2. Your facility starts to feel like a patient mill. When productivity is at the forefront of your therapists’ minds, they’ll stop considering whether a patient really needs three sessions a week for eight weeks—or whether spending 10 minutes on the stationary bike is really necessary for every knee patient.

MODIFIER 59 IN 2020

Modifier 59 is predominantly intended for surgical procedures. The CPT Manual defines modifier 59 as the following: “Under certain circumstances, the physician may need to indicate that a procedure or service was distinct or independent from other services performed on

the same day.

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