When to Apply the KX Modifier for Rehab Therapy Services

When to Apply the KX Modifier for Rehab Therapy Services

The KX modifier plays a critical role in rehab therapy billing processes under Medicare. When the needs of an outpatient rehab therapy patient surpass predefined financial limits set by the Centers for Medicare and Medicaid Services (CMS), the KX modifier on Medicare claims denotes that treatments were medically necessary and, therefore, should be covered under…

What Is a GP Modifier?

What Is a GP Modifier?

Within the billing process, physical therapy modifiers are important to ensure accurate billing. GP modifiers themselves are simple to use, but knowing when and why to use them can be more complex. Integrating Electronic Health Records (EHR) with billing tools can streamline the insurance billing process, reduce errors, and ensure proper reimbursement for services provided….

Physical Therapy Billing Units: A Comprehensive Guide

Physical Therapy Billing Units: A Comprehensive Guide

Along with treating patients and improving quality of life, physical therapists (PTs) represent the tip of the iceberg when it comes to the intricate tasks of documentation, billing, and coding—all of which are essential in ensuring clinics are properly reimbursed by private and public payers. At the heart of this effort are physical therapy billing…

The Critical Role of Patient-Reported Outcome Measures in Rehab Therapy

The Critical Role of Patient-Reported Outcome Measures in Rehab Therapy

By Judith Holder FOTO Analytics Account Executive, Net Health One of my favorite stories illustrating the critical role patient-reported outcomes play in rehab therapy has to do with climbing stairs. As nearly any rehab therapist will attest, the ability of a patient to climb stairs safely and successfully is often directly related to her or…

Become a Healthcare Ally: Create a Positive Rehab Therapy Experience for LGBTQ+ Patients

Become a Healthcare Ally: Create a Positive Rehab Therapy Experience for LGBTQ+ Patients

We talk about the importance of creating optimal patient experiences throughout all areas of healthcare—how creating these positive experiences can increase compliance and improve patient outcomes while enhancing your bottom line—but it’s important to remember that achieving this is an active and ongoing process. It’s a process that requires continued and honest reflection as you…

CMS Final Rule: Physical Therapy Medicare Guidelines for 2024

CMS Final Rule: Physical Therapy Medicare Guidelines for 2024

Last year’s release of the 2024 Final Rule by the Centers for Medicare and Medicaid Services (CMS) introduced notable updates and adjustments to reimbursement rates, telehealth coverage, supervision rules, and value-based care initiatives that directly impact physical therapists across the United States. Implemented as part of CMS’s annual effort to enhance patient care, streamline provider…

Understanding NCCI and NCCI Edits in Healthcare

Understanding NCCI and NCCI Edits in Healthcare

The healthcare industry is a complex ecosystem where accurate documentation, coding, and compliance are essential in ensuring resources and payments are properly allocated. The National Correct Coding Initiative (NCCI), which developed and implemented NCCI edits, plays a pivotal role in this process. NCCI was established by the Centers for Medicare and Medicaid Services (CMS) in…

The 5 Benefits of Interoperability in Healthcare

The 5 Benefits of Interoperability in Healthcare

Interoperability in healthcare is a vital lifeline that enhances patient care as data is shared across a variety of medical environments and care settings. It’s often thought of as simply a branch of health information technology, but it’s more than that; it involves the integration of various information systems. The seamless exchange of information and…

Panel Discusses the Future of Rehab Therapy Tech at NEXT Customer Conference

Panel Discusses the Future of Rehab Therapy Tech at NEXT Customer Conference

The inaugural Net Health NEXT Customer Conference underscored the importance of technology and partnership Technology was the topic du jour during the Rehab Therapy Breakout Session at the first annual Net Health NEXT Customer Conference in early May, during which six panelists discussed how change and innovation are shaping the industry today while looking ahead…