The GN modifier is applicable to a range of services in the area of speech-language pathology. Discover its importance and when to use it in our blog....

Upcoding and downcoding are terms encountered in therapy billing. Learn how they could have an impact on a therapist’s revenue and professional standing....

Excludes 1 notes in ICD-10 indicate that two diagnoses are mutually exclusive and should not be billed together. Learn which therapy codes fall into Excludes 1....

Lymphedema ICD 10 codes in therapy notes allow for a clear diagnosis, tracks treatment and allows for proper reimbursement. Get tips for using these codes....

Therapy payment thresholds are preset limits on therapy services that define the maximum treatment coverage within a specified timeframe. Discover more in our blog....

Telehealth insurance requires a little diligence to ensure you understand what's covered and excluded. Read our blog to help potential telehealth clients....

Learn actionable tips for improving billing practices, reducing errors, and maximizing revenue in your group therapy practice....

NPI Lookup tool is a valuable resource for therapists as they can verify credentials and ensure accurate billing. Get tips on using the NPI Lookup tool....

An insurance clearinghouse is an intermediary between therapists and payers to streamline the claims process. See how clearinghouses can help practice owners....

HSA vs FSA vs HRA are important billing options for therapists to know for the benefit of the client and their business. Learn about HSAs vs FSAs vs HRAs. ...

GT modifier is modifier indicating services were provided through telehealth using real-time interactive audio and video. Learn how best use the GT modifier....

Physical therapy private practices require financial savvy. Get tips on billing insurance, cash-pay and strategies for marketing your business in our blog....

92521 CPT code refers to evaluating speech fluency. Understand the code's purpose, appropriate use, and best practices for proper documentation and billing....

Claims processing involves accurately submitting claims to insurance companies for payment. Get tips for group practices and how to leverage technology....

CMS proposed rule 2025 can impact the financial health of private therapy practices. See details on the CMS proposed rule to make informed financial decisions....

97116 CPT code is used to bill for a moderate-complexity evaluation for occupational therapy clients. Get tips for using this code and see examples....

97165 CPT code is used in billing by occupational therapists and refers to an evaluation requiring low-complexity decision-making. See an example and tips....

CMS 1500 is the industry-standard form for filing insurance claims. Get tips for filling out this form created by the Centers for Medicare and Medicaid (CMS)....

96112 CPT code plays a role in occupational therapy by allowing for standardized developmental assessments for kids. Learn how to best use the 96112 CPT code....

Occupational therapy CPT codes are based on client need and summarize services in a way that is reimbursable. Learn the nuances of CPT codes to get paid sooner....

96110 CPT code is the billing code for developmental screenings with scoring and documentation, per standardized instrument. See tips for using this code....

97150 CPT code describes occupational therapy group sessions. See components of the 97150 CPT code, an example and billing mistakes to avoid in our blog....

97168 CPT code in occupational therapy refers to re-evaluating an established care plan. Get tips for using this code and see examples of how to use 97168....

Hiring an insurance biller can benefit a group practice by improving its financial health and overall operations. Find out what to look for in a candidate....

KX modifier use at the right time is needed to prevent insurance claim denials. See caps for the last 3 years and see tips for proper documentation....

Taxonomy codes are a 10-digit alphanumeric identifier used to describe the scope of your practice. Learn about the concerns in using these codes as therapists....

Simple Practice vs TheraNest vs TheraPlatform are EHR, practice management and teletherapy software for therapists. See which EHR is best for your practice....

CPT code 97113 is the code for aquatic therapy with therapeutic exercises to one or more body areas for one unit every 15 minutes. Learn more about CPT 97113....

CPT code 97139 bills for specific therapeutic procedures not found in the current CPT code set. Understand the specific instances where OTs can use this code....

97124 CPT code is used for therapeutic massage over muscles and tissues to stimulate the circulatory system. Learn more for better billing and reimbursement....

97116 CPT code for Gait Training, describes an intervention that trains a client in specific functional activities. Learn when and how to bill for this code....

CPT code 97535 is used by occupational therapists to indicate billing for training for self-care and ADLs. Avoid common billing mistakes and claim denials....

CPT code 97112 is used to bill skilled occupational therapy interventions that aim to improve overall motor function. Learn how to maximize for reimbursement....

CPT code 97530 is Therapeutic Activity or the use of a skilled activity to improve a patient’s overall health or capacity. Learn how to best use this code....

CPT code 97140 defines techniques involving hands-on manipulation, lymphatic drainage, mobilization, and traction. Learn how to best bill with this code....

Occupational therapy billing units vary across settings and requirements are updated annually. Discover the best way to bill in this ever-changing environment....

CPT code 97110 is a therapy procedure using exercise to boost or maintain strength, endurance, flexibility, or range of motion. Learn proper billing techniques....

92522 CPT code is used for speech and language evaluation services by SLPs and insurance agencies. Learn about its definition, usage and billing guidelines. ...

Home health CPT codes are part of a physical therapy program and are important in the landscape of rehabilitation. Use these codes correctly in your practice....

CPT code 92626 is important for audiologists and SLPs who work with clients with hearing loss to know. Discover best practices for billing using this code....

CPT code 92607 is used by speech therapists working with Augmentative and Alternative Communication (AAC) clients. Learn how to bill correctly using this code....

CPT code 92523 can be used by speech language therapists to bill for apraxia, lisp and dysarthric speech. Find out when you can’t use this code....

92610 CPT code is a good code for speech language pathologists who specialize in Dysphagia to know. Learn how to bill 92610 CPT code to ensure reimbursement....

CPT code 92526 is the treatment of swallowing dysfunction and/or oral feeding function. Learn who can use this code and when and what services it includes....

CPT code 92507 is one of the most important, comprehensive codes for speech language pathologists. Learn how to use it properly in your private practice....

Physical therapy billing includes verifying benefits, selecting CPT codes, submitting claims, posting/reconciling payments and preparing for audits. Learn how....

Physical therapy billing units are important for PTs practicing outside of a cash-based practice. Learn the best methods and coding practices for payment....

Insurance verification is an essential part of any therapist’s job. Discover tips for completing this process accurately and quickly through insurance verification forms. ...

Electronic claims submission is cost effective, time efficient way to accurately submit claims for faster reimbursement. Find out more about electronic claims....

Electronic remittance advice is an explanation sent to a provider from a health plan about claims. Learn about the pros and cons of going electric with ERAs. ...

Speech therapy CPT codes can seem complicated, which is why we’re helping you simplify them. Read our latest blog....

SimplePractice, TherapyNotes and TheraPlatform, which provide EMR and telehealth for solo and group private practices, are compared for features and pricing....

Mental health billing is when social workers, psychologists and psychiatrists use codes to file health insurance claims with carriers and governmental entities....

The 8-minute rule allows therapists to bill for a specific timed service. Learn when it starts, how it works, and time-based vs. service-based codes....

The No Surprises Act aims to protect consumers from high medical bills by asking providers to present consumers with an estimate of potential prices....

Credentialing means going through the process of becoming a member of an insurance panel. The ultimate goal is to be listed as an in-network therapist by a specific insurance company. Unfortunately, you can’t apply to one place and be credentialed with every insurance company all at once....

Occupational therapy CPT codes are based on client need and summarize services in a way that is reimbursable. Learn the nuances of CPT codes to get paid sooner....

Automatic credit card processing and invoicing are available in TheraPlatform! Save time creating and sending invoices and superbills and posting payments....

Insurance billing for therapists requires preparation. Get step-by-step details on how to file a clean claim and avoid claims denials....

A superbill is an invoice that itemizes specific therapy services. Learn the required information for creating a Superbill, how to use one and its pros and cons....

HIPAA-compliant video conferencing is a great first step in launching teletherapy. The next question to ask is "How will I get paid?"...