What billing & EMR companies fail to share during the “sales process” are all of the add-on fees that will be tacked on to your monthly invoice. When researching your options, make sure you use the following checklist to spare yourself from any feature limitations or invoicing surprises down the road.
Many physical therapy billing and EMR companies have means in which feature requests can be suggested. Some use a community message board, while others ask you to send an email to an address that is so generic you wonder if it has even been received. Then you have others that well…simply just don’t want to hear your request at all.
All of our employees from tech support to billing specialists are located in the US. We don’t outsource overseas and never will. Our clients deserve US-based support and shouldn’t have to worry if it’s raining in Uzbekistan!
If you are reading this blog, there is a pretty good chance you are considering starting your own physical therapy clinic. You are probably slightly apprehensive and uneasy as to where to even begin. You have extensive clinical education under your belt and you can treat a patient that just suffered a devastating injury but… Continue Reading
We get it! In the outpatient physical therapy industry, there are so many things to keep track of. With each insurance payer intentionally developing different rules and regulations, it seems almost impossible to keep up with the ever-changing tactics that they throw at you in an attempt to deny claims. How would you answer the following? 1.) How… Continue Reading
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… Continue Reading
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. Medicare will start issuing beneficiaries new Medicare numbers on April 1, 2018. The transition to these numbers will occur over the next 1.5 years… Continue Reading
Changes to the 2018 Medicare Fee Schedule – How will it impact your reimbursement? Use the StrataPT Calculator to find out!
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:… Continue Reading
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,… Continue Reading
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 above this cap expires on December 31, 2017. Without extension, any treatment above $2,010 will be the beneficiary’s… Continue Reading
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… Continue Reading
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 complementation claims place a huge dent in the already low reimbursement. If you are performing your billing in-house, I would say that you or your biller… Continue Reading
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… Continue Reading
From the Desk of Kim Peacock – Owner, StrataPT: I could preach on this topic until I was blue in the face as to how near and dear I hold this component of my business to my heart. As business owners, most of us lay out goals outlining our hopes and dreams as to what… Continue Reading
Outpatient Physical Therapy Billing: How to ensure that your patient has been discharged from Medicare Part A services?
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… Continue Reading
If you have not already read our customer service blog, I encourage you to do so prior to reading this blog. The take away from that blog should be an understanding that we put our client’s best interest at the forefront ahead of our own. Before I started StrataPT, I worked in the outpatient industry… Continue Reading
Our prior focus in our blog, “The Misperception of a Physical Therapy Re-Evaluation (97002)” continues to be a very hot topic in the physical and occupational therapy industry. Since publishing that blog several years ago, the physical and occupational evaluation codes have changed. The edit specific to revaluations is that the original CPT code of… Continue Reading
As a health and movement advocate who happens to also have a desk job, I understand that healthy can be hard. We live in a fast paced world with more and more conveniences being thrown our way in order to keep up. As obesity and diabetes rates continue to rise and cancer diagnosis reach record highs, the facts… Continue Reading
“So what do you do for a living?” That very basic question is one that everyone has or will be asked at some point in their life. It’s a conversation starter and often a measurement of your status and potential in the eyes of others. My usual response to this inquiry is, “I handle billing and credentialing… Continue Reading
Efficiently running a physical therapy practice is no easy task that requires you to wear a number of different hats. Some hats may fit with ease and prove to be something you are comfortable with, while other hats are ill-fitting and end up draining you of your original inspiration to start your own practice. As… Continue Reading
Whether it is a physical therapy practice or a fast food restaurant, efficient systems are the lifeblood of any successful business. Let’s use the phenomenal story of the leading fast food restaurant in the world; McDonald’s as an example. The McDonald’s story all started back in 1948 when a set of brothers founded McDonald’s after… Continue Reading
How many times have you hung up the phone or read an email from a company and thought to yourself, “Wow that was awesome customer service!”? Unfortunately, in today’s environment, we often times find ourselves experiencing the complete opposite. It is a sad reality but I can name on one hand how many companies I… Continue Reading
When should I bill for a physical therapy re-evaluation (97002)? This has been a hot topic in many billing and coding seminars, discussions, and forums as there seems to be a very common misunderstanding as to when a physical therapy re-evaluation should be performed and billed. With that being said, I wanted to take a… Continue Reading
Whether you are a physical therapy practice owner, a physical therapy billing employee or an outsourced physical therapy billing provider, most would agree that getting a claim to pay is considered a victory. To achieve this victory as quickly as possible, it is very important for claims to be submitted “clean.” The term “clean” in… Continue Reading
From co-payments to deductibles, more and more patients are becoming responsible for a higher percentage of their total healthcare bill. With this in mind, how can you ensure that your patients are paying for these bills so that it doesn’t impact your revenue? Below are some practical and simple proactive strategies that we have found… Continue Reading
Whether you are interested in opening your own physical therapy clinic or you are just looking to expand your current practice, physical therapy house calls may be the solution to help you get started or increase your revenue. With a steady growth in our senior and baby boomer population, the healthcare community has also experienced a… Continue Reading
Are you ready for the new HIPAA 5010 Requirements and ICD-10 Coding standards that are quickly approaching? For those of you that who handle medical claims, you are probably aware of the many changes that we will soon be facing in the medical billing industry. With the first deadline of January 1, 2012 right around… Continue Reading
Have you ever found yourself shocked in disbelief after opening a bill from one of your medical providers? You have insurance and you pay a monthly premium but your insurance company still did not cover the services that you were provided. Sound familiar? Unfortunately, many patients do not have a good understanding when it comes… Continue Reading