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Understanding the Medicare Physical Therapy Cap 2024

WEBThe therapy threshold for Calendar Year (CY) 2024 is $2,330 for physical therapy and speech-language pathology services combined and $2,330 for occupational therapy …

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2024 Physical Therapy Reimbursement Rates

WEBThe final rule for 2024 introduces a 3.4% reduction in the conversion factor, a key element used in calculating final payment amounts for various codes. This decrease, from the …

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4 Easy Ways to Check Patient Insurance Eligibility

WEBInsurance Websites. One of the simplest methods is to go directly to payer portals and sites. Insurance companies like Blue Cross Blue Shield, Aetna, or United Healthcare allow …

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Understanding the Nuances: Habilitative Care vs. Rehabilitative …

WEBIn the dynamic and evolving field of physical therapy, professionals often encounter diverse cases that require tailored approaches to address patients' unique needs. Two key …

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Decoding Physical Therapy CPT Codes

WEBThe three most common types of physical therapy CPT codes are therapeutic exercise (97110), neuromuscular re-education (97112), and gait training (97116). Here is a list …

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Understanding the GP Modifier for Physical Therapy Billing in 2024

WEBThe GP modifier is a two-character code appended to Current Procedural Terminology (CPT) codes to indicate that the services provided are related to physical therapy. It …

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How to Negotiate Physical Therapy Reimbursement Rates and …

WEBThe world of physical therapy has seen dramatic shifts in recent years. One of the most challenging aspects facing private practice owners has been the steady decline in …

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The Comprehensive Guide to Physical Therapy Modifiers

WEBThere are several other modifiers used in PT billing, including: Modifier -22: Applied when the service provided is significantly above the average. Modifier -52: Used when the …

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Urgent Need for EHRs: Major Perks You Need to Know

WEBU.S. healthcare providers waste over $80 billion annually and overwhelm office staff through continued use of paper records. Learn how electronic health records can help your …

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Physical therapy ICD-10 codes to get you paid swiftly

WEBHIPAA-covered healthcare providers, including physical therapists, transitioned from ICD-9 to ICD-10 in 2015. Among the ICD-10 codes for physical therapy, there are two: ICD-10 …

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Mastering the Art of Marketing Physical Therapy: A …

WEBTraditional Marketing Strategies that Can Build Your Physical Therapy Brand: 1. Community Engagement and Partnerships: - Host workshops or seminars in the local community on …

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12 Need to Know Key Performance Indicators (KPIs) for Physical …

WEBUnderstanding and tracking your Key Performance Indicators (KPIs) is crucial for optimizing your operations and financial health. These benchmarks provide valuable insights into …

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How to Write The Perfect Physical Therapy SOAP Note + Examples …

WEBUnderstanding and effectively utilizing SOAP notes is essential. This structured documentation method is crucial for tracking patient progress and facilitating clear …

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HIPAA and Patient Authorization in a Digital World

WEBThe Patient Authorization Form must be completed by all patients who are 16 years old or older prior to any disclosure of PHI in order for it not to violate HIPPA privacy laws. – …

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Pre-Authorization Best Practices You Need to Know, How to …

WEBUse electronic pre-authorization software. A 2019 AMA study found that 64 percent of healthcare providers say they have to wait a full business day to receive pre …

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Physical Therapy Evaluation Template [Free Download]

WEBClick here to get your FREE customizable Physical Therapy Evaluation Template. A physical therapy evaluation is a crucial step in providing effective treatment and ensuring …

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Out-of-Network Billing for Physical Therapy: A Comprehensive Guide

WEBTo get a full picture out-of-network billing in physical therapy you must first familiarize yourself with patient insurance and benefits. Specifically, a practice will need to interpret …

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Understanding CO-197 Denial Code in Physical Therapy Billing

WEBCO-197 is a denial code used in medical billing to indicate the absence of pre-authorization or notification for a specific service or procedure. In the context of physical therapy …

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The Physical Therapy Billing Guide: A Checklist to a Healthy …

WEB97110: Therapeutic Exercise. CPT Code 97110 refers to strength, endurance, flexibility, and range of motion exercises, billed in 15-minute increments after 8 minutes of service. The …

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