• Break-Even Analysis and Why It is Important

    Medical Necessity Documentation for Physical and Occupational Therapy

    We recently published an article on how to make your documentation defensible. Therapists must also understand what constitutes a medically necessary claim. CMS defines a medically necessary service or supply as: “needed to prevent, diagnose, or treat an [...]

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    Defensible Documentation for Physical Therapy Businesses

    The healthcare insurance industry today is moving toward value-based payments. Auditing systems are being used to ensure that clinics are strictly following CPT (Current Procedural Terminology) and National Correct Coding Initiative (NCCI) rules. To protect [...]

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    The Future of Medicare for PTs and OTs: MIPS Update 2018

    On January 1st, 2017, the Centers for Medicare and Medicaid Services (CMS) made changes in order to improve its payment for quality programs. It combined several programs into one Merit-based Incentive Payment System (MIPS). We touched on the basics of these [...]

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    Medicare Documentation Requirements for Physical/Occupational Therapy

    To receive payment from any insurer for occupational or physical therapy services, the documentation must accurately report medically necessary service. It must also support the charges submitted on the claim. Medicare, however, has some other rules that [...]

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    Physical Therapy Patient Engagement Framework

    Keeping your patients engaged is more important in today’s health environment than it has been in previous decades. High deductibles mean that more patients are paying out-of-pocket expenses. In turn, they want to feel as if they are a decision-maker for [...]

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    3 Crucial Steps for Marketing Physical Therapy Private Clinics

    In previous blogs, we have discussed productivity, break-even, billing practices, and accounts receivable. But none of those really matter if you don’t have patients coming through your door. So, how do you get them there? Let’s take a brief look at [...]

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    5 Accounts Receivable Performance Metrics for a Thriving PT Clinic

    Keeping patients healthy is a physical therapist’s number one priority, but a physical therapy owner’s priority is the bottom line. There are five essential accounts receivable metrics to monitor as part of your revenue cycle management best practices. [...]

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