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With April 1st right around the corner, Medicare will start sending beneficiaries their new Medicare cards. CMS will continue to issue the new cards in several waves over the coming months. Below is a quick overview of what states are included in each wave and a general timeline of when you can expect your patients […]

In the coming weeks, CMS will start rolling out new Medicare numbers for each beneficiary. If you provide physical therapy services to Medicare patients, below are the top 5 things you should know. So in conclusion, we recommend that all physical therapy providers start requesting a copy of the most recent Medicare card issued to their patients […]

There were multiple changes made to the 2018 Medicare fee schedule – some that will work in your favor and another that will not. Let’s start with a simple breakdown on how the Medicare fee schedule is determined: Payment = Conversion Factor * (RVU [Practice Expense] + RVU [Work Expense] + RVU [Malpractice])  Conversion Factor: […]

Every Medicare beneficiary has an annual deductible that must be met prior to Medicare making payment for services. The deductible amount for 2018 is $183. What Does this Mean? This means that a beneficiary must receive $183 worth of services before Medicare will make payment to a provider. This service doesn’t necessarily need to be physical therapy visits, […]

Click Here to read the most recent update! For physical and speech therapy combined, the therapy cap is $2,010. For occupational therapy, the therapy cap is $2,010. The exceptions process (appendage of the KX modifier) allowing payment abovethis cap expires on December 31, 2017. Without extension, any treatment above $2,010 will be the beneficiary’sresponsibility. However, […]

But what if you didn’t have to pick? As a business owner and a mom to two very young children, I understand the struggle of wanting to build a business yet still be a very present parent. My entrepreneurial side yearns to grind it out, generate jobs around the country, and provide a phenomenal product […]

If you accept any type of workers compensation insurance, you understand the labor-intensive burden it can place on your practice. It’s pretty fair to say that the administrative costs involved with workers compensation claims place a huge dent in the already low reimbursement. If you are performing your billing in-house, I would say that you […]

As a physical therapy billing and software company that works with both new and established practice owners in the physical/occupational therapy industry, we are often questioned as to what areas of our great nation have the highest reimbursement. Our social media walls are often filled with articles that advertise the “Top 10 beach resorts in the U.S.” or […]

Have you ever treated a Medicare patient only to find out later that the patient was also being treated under a Home Health “Episode of Care”? If so, you either do not receive payment at all or the payment that you did receive for your time and services was later recouped by Medicare. This type […]