We all know them, and mostly love them. They are the team members who make your business dreams a reality. This week we’ll take a look at some of the generic personality types of the therapists who make up your amazing teams. Find out what type of therapist you work…
Read MoreIn this week’s article we wanted to highlight and discuss the proper usage of some of the more common Modifiers on pediatric ST/OT/PT claims. A Modifier is a two-character code that is added on claims after the CPT Code. The purpose of the Modifier is to communicate one of three things to the insurance company: 1. Pricing, 2. Payment, and/or 3. Location.
Read MoreI talk to a lot of Owners who are asking great questions about how to grow and scale their business. Questions like “When do I hire someone at the front desk?”, “How big should my office space be?”, “Can I afford an outside recruiter or biller?” All good questions but how do you know when to take the leap?
Read MoreIf you’ve been in business for longer than a few months, odds are you just cringed when I mentioned patients with a Third-Party Liability (TPL). TPLs are notoriously difficult to collect payment for and can take months to finalize even when you’ve done everything correctly.
Read MoreWhere do we go from here? Could the Coronavirus pandemic be one of those major shifts that will fundamentally change the way we do Therapy? Or will its effects be here today and gone tomorrow?
Read MoreHave you ever been frustrated to learn that an insurance isn’t going to pay your therapy claim? “But why?” we ask “I called and they told me Therapy was a covered benefit”. And then that snarky person on the other end of the line says something like “the patient’s diagnosis is excluded for coverage.” ARE YOU KIDDING ME?! That would have been nice to know when I called last time.
Read MoreThis is the news we’ve been waiting for! A study released today by the Foundation for American Kid Experiments (F.A.K.E.) links a sharp decline in shark bites around the state of Florida over the past few weeks to a combination of Speech, Occupational, and Physical Therapy performed via Teletherapy.
Read MoreWe’ve been working feverishly to gather information from each payor regarding their specific Telehealth Policies since we know each one can be different. After days of effort collecting information and speaking with provider representatives, I wanted to share the information we have at this time.
Read MoreGREAT NEWS for the Speech Therapy Businesses and SLPAs! The day has finally arrived! The Florida Board of Speech-Language Pathology & Audiology has approved and implemented the rule change allowing SLPA’s to treat patients without an SLP on site. This is a game-changer for Therapy businesses!
Read MoreThe Coronavirus is here and ready or not, it’s time to talk about TeleMedicine. You may be one of a number of providers who are considering closing their doors until the threat has passed. But of course, as a business owner, it’s prudent to look into ways to continue therapy regardless. One option is to treat some patients using the TeleMedicine approach.
Read MoreIn this week’s article we wanted to discuss a couple of on-going issues that we’re seeing with WellCare claims processing. There was a system error this past week that caused a number of underpayments and there is another issue we see crop up from time to time that has a very simple fix.
Read MoreAs expected, the CMS transition has come with a number of claims and billing-related issues; although none are impossible if you follow some simple steps/rules. In this article we’ll discuss some common ICD-10 diagnosis (DX) code conflicts that will cause denials by WellCare and how to quickly fix your WellCare claims online to get them corrected and paid ASAP!
Read MoreThis article is a follow-up to our previous article about preparing for the CMS/Wellcare transition in Florida. We’ve learned a lot over the past 60 days and we wanted to post an update since some of the information has changed.
Read MoreIf you haven’t heard by now then I’m sorry to say it’s going to be a rough couple of months for your practice. WellCare/Staywell won the contract to manage Florida’s statewide CMS program and will assume all responsibility on February 1st, 2019.
Read MoreThis article is Part 2 of our tips for Prestige Health Choice. If you haven’t already read Part 1, you might want to stop and do so. Part 2 will review Prestige Authorizations. Even if you’re a seasoned expert with Prestige, there are some tips that you might find helpful.
Read MoreHaving Prestige troubles? Seems like they really pulled a fast one everyone by asking for the referring physician as part of their claims. This isn’t the only issue I’ve seen over the past few months as they assumed a much larger role as a FL Region 9 Medicaid MMA. I’m hearing a lot of concerns about missing payments, denied claims, authorization reductions, etc.
Read MoreThis is a potential “game-changer” for Therapy businesses that offer Speech and Language therapy. I hear from owners every day who struggle to find supervisory coverage for their Speech and Language Pathology Assistants (SLPAs). All that could be about to change!
Read MoreWe need to get this message out to as many providers as possible before July 1st, 2017. Molina Healthcare will begin requiring prior authorizations for all OT/PT/ST services beyond 7/1/2017.
Read MoreHow does your practice measure up?
Read MoreThere are a number of ways to measure the health of your therapy business such as conversion rate, cancellation rate, or average visits per discharged case but those measures can require intense data collection and analysis.
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