• How to BEAT a Medicare Audit with Dr. Joshua Cohen

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    Joe: Hello everyone, welcome to this episode of the Private Practice Business Academy. I am your host, Dr. Joe Simon. On the phone with us today is a very special guest. We have Josh Cohen. He’s an entrepreneur, physical therapist and, above all, he is a designer. A designer of what? He is the owner of TheraGo and if you do not know what TheraGo is well, that’s why Josh is on the phone with me today. Josh is going to talk all about it but Josh I gave a quick introduction on who you are but feel free.

    Josh: Great.

    Joe: Let’s talk to the audience some more and fill them in man.

    Josh: Excellent. Well, in short my background is I have a Bachelor’s in Physical Therapy, and then from there I went on and got a Master’s in Bio-
    Mechanics and Human Movement Science, with a Minor in Product Design from University of Chapel Hill, North Carolina. I’ve worked in multiple settings as a rehab manager at different places and lots of sniffs and CCRC’s. Then I decided to branch out one day and I said, “There’s got to be a better way to do all of this.” And I got sort of fed up with all the productivity requirements and all that jazz. I started Mobile Rehab which is essentially an in-home outpatient physical therapy business that takes care of seniors and helps them stay independent in their home settings and is billed under Medicare Part B as well as other insurances, private and advantaged plans.

    Along that way, just to give a brief synopsis, I thought of a creative way to expand Mobile Rehab and to diversify into different regions. In order to do that, I had to create what is now TheraGo at TheraGo.com. Like therapy and go, Therago. It’s a web-based practice application, documentation and charge entry that ensures that my therapists are documenting appropriately and completing the correct Medicare reporting requirements when they’re necessary.

    Joe: Okay, I just want to make sure I got this correct Josh. So, you started a Mobile Rehab. Is this a franchise or is this your own personal business?

    Josh: It’s just my own thing. Later on I realized that other people in different parts of the country had started similar businesses, in-home outpatient physical therapy is what it’s generally called, but I sort of came up with my own little vacuum out here. I started on my own and figured out every step of the process, on my own at the time. I didn’t find any other resources to really help me along the way, so I might have reinvented the wheel a few times, but I eventually got there.

    Joe: I think we all go through that process of reinventing the wheel.

    Josh: Yeah.

    Joe: PT’s in general, I guess a little hard=headed that way. Want to learn it the hard way, right?

    Josh: Yeah.

    Joe: But that’s interesting, man. So you found a need for the mobile kind of PT space of how to be the at home therapist or the traveling therapist. You found a need with that and you created TheraGo out of that, but I’m just thinking out of the box. What I love about the show is we kind of brainstorm at the same time, but I’m thinking Mobile Rehab, man. That could be a great franchise opportunity where new PT’s coming up might would say hey, this is a great way to learn how to create my own traveling PT and have TheraGo attached to it, because it seems like you’ve created this and you’ve kind of worked out all of the bugs with it or are you still working out the bugs?

    Josh: Well, no I feel like the procedure that I’ve set up and the policies and all that jazz, that is pretty streamlined and it works well for a lot of people. Actually, with TheraGo, we actually have been helping a lot of individual therapists get set up, started and get everything in place that they need to start billing and treating patients within their community quickly and efficiently. I’m really actually happy to say that it’s worked out very well for our customers so far, as opposed to other stories that I’ve heard along my way where people tried to do what I did, reinvent everything themselves. Sometimes it works out and often times it doesn’t because there’s just a lot of paperwork and red tape to get through to get to where you want to be. And I’m trying to make that easier for everybody and make it affordable and just make the process a lot more pain-free.

    Joe: You’re a good guy Josh for doing that. That is great. We’re going to dive deep into TheraGo later on in the show, but let’s talk a little bit more about how you found that need. Let’s take it back and let’s talk about you were in that Mobile Rehab space. What was that turning point for you?
    When did you think that, hey I need? What happened that changed that way of thinking for you?

    Josh: Well, from the beginning the first pain point was before I came up with Mobile Rehab was that I had been working in the clinics and I saw that the Medicare documentation issues, the reimbursement issues, the productivity issues that every therapist was struggling with. It was just causing burn out, and no one wanted to have to evaluate their productivity at the end of every day and so I came up with this way. I was like, I’m going to pay therapists by what they produce and everything like that and the therapists love the flexibility of Mobile Rehab and I try to place them within places in the community. So, they’re taking care of seniors in their own community. They’re not driving all across the country, so you got all that.

    Then I was like, “Well what happens if something happens to one therapist in one location? What if a location gets a lot of competition there?” I want to spread out, to diversify, just like any investment and I decided that I wanted to spread out therapists across different counties, but at the time there weren’t any good options for me to have a system to collect all the documentation and to make sure that all the therapists were doing things appropriately. It would take up all my days driving from place to place. So, when I had to come up with a web-based system to do that and at the time it’s sort of a common story nowadays, but I proposed the idea to a software development company and we partnered up and we developed TheraGo, or what is now TheraGo.

    It’s been many years in development, but the plan all along is to make it as intuitive and simple to use as possible so that when a therapist logs on they know where to go. It’s laid out like most therapists charts. It’s sort of chronologically, evaluation through discharge. It’s very simple. The things that are complicated are all built into it so you don’t have to remember when to report G codes or PQRS or when to do a progress note. It just tells you when to do it and it’s there. It reminds you about everything you need to do when recertifications are due.

    So, that’s the sort of feedback we’ve been getting about it. It’s how it just appears simple to use and people say it’s just real easy to use, but it took a lot of work to make the user interface that stream lined and that’s what I’m proud of that. It’s sort of like Google of therapy documentation. It’s just like you know how to use it when you log on.

    Joe: That’s great, Josh. I don’t think most people understand how long it takes for a programmer to create something. How long did it take you to get where you are today with it? Not for day one, but how long did it take?

    Josh: Yeah.

    Joe: How many hours or how many years? What was that time frame like?

    Josh: It’s been about four or five years in development and it’s been a long process, but the current system we’ve got going I’m very excited about it. We’re working with a very great developer right now and it’s based on a strong platform that’s very flexible and I’ve learned stuff. I actually really enjoy the computer side of it, so the more I am to that I can get the better. I love everything about user interface and design and I’m interested to learn more about database development. So, I’m sort of a unique physical therapist, that I have a ton of strange interests that other people usually don’t get into.

    Joe: I think that works out very well Josh. I think that for…

    Josh: Yeah.

    Joe: …you and your passion for TheraGo, obviously and programming just really comes through, but you know what I want to touch base on is let’s get to that documentation that you discussed about. You found that was a weakness and that’s where you said, you know what? You found something that you could actually add to or you could grow or you could fix. I recently just spoke to Dr. Lynn Stelts. She made a great comment and I’ve been saying this comment for weeks now.

    If a physical therapist did the correct documentation, a staff physical therapist did the correct documentation, they would make their practice owner easily an extra $12,000 a month. This is all because most physical therapists do not document everything….

    Josh: True.

    Joe: ...that they do because you know, obviously I think a lot of my therapists and therapists that I’ve partnered with, they are great therapists but when it comes down to documenting exactly what they did, they struggled with that and that is a big problem that everyone is facing especially practice owners because when you submit notes before medical necessity or to Medicare, the response is usually pretty bad, because it comes back saying, “Well, you didn’t do all of that, that you’re billing for,” and sometimes it requires refunds and sometimes it delays payments. Sometimes you do not get a payment at all and all that work is lost.

    It was a great comment. What Lynn Stelts basically said was that if you did not want to do the documentation, you should have been a physical therapy assistant. I’m paraphrasing what she said, but I was actually you know, I was like, wow! That was a great comment because we therapists, in general, and I’m horrible with notes. I’ll be the first one to admit it, but once I realized that I’m getting paid for my notes all of a sudden my notes are very detailed and goal oriented. So, what did you find? What documentation issues that you found that you said, “Hey, I see a need in this area. What did you find that made you say, “This is going to be the change?”

    Josh: Well, I actually want to say I heard that interview that you had with Dr. Lynn as you just mentioned and I thought it was excellent and I encourage other people to listen to that one too. As far as documentation, I’ve had that opportunity and I feel sort of lucky to be able to have seen a lot of different physical therapist documentation. I’ve noticed that there is a lot of diversity among therapists and what they document, but I do have some sort of strong views on what makes appropriate documentation. I’ve always stuck by the old rule of thumb that you should document as though another therapist could step in and take over that patient and understand what’s going on.

    So, that’s a pretty straightforward way to look at it, but as far as in developing TheraGo, I wanted to allow the therapist to document in a more narrative manner as opposed to some of the other documentation programs that sort of box therapists into boiler plate comments and things like that. My personal view is I don’t think those stand up very well to audits, especially when they start asking if you see a patient for a long episode of care. They could essentially audit every treatment episode, every treatment day, every date of service for that. So, if you’re using a lot of boiler plate documentation on each note, they’re going to compare those dates of services and they’re going to see through that documentation system pretty quickly. They’re going to be like, “There’s nothing unique about each note here.”

    So, we’ve set up TheraGo in such a manner that, although it allows a lot of narrative typing text, it has soap notes in there and stuff like that. Sorting boxes do get carried forward so you can change what’s appropriate so you don’t have to be retyping everything, but it’s really important to look at each date of service as an individual entity and to make that one standout and to say why did that patient require that skilled service on that date of care, but it’s worked out and as we were speaking earlier I have been audited by Medicare, the RACs especially, because we tend to work with the old or old in my business, Mobile Rehab.

    So, it’s especially important for us to have documentation that can stand up to these audits. I’d say like 95% or plus of our caseload is Medicare patients. So, we have to deal with quite a bit of this, and I’m very glad to say that we’ve passed pretty much all of the audits so far. There was a couple that fell through because they said they didn’t get the documentation which is actually a very common complaint with the RAC audits nowadays, even if you’ve faxed in your documentation and you have the fax receipt, which is super important because that way you’ll be able to back it up and you can ask for an audit of the missing faxes, which is what I had to do.

    People have had a lot of trouble with RACs because they’ve been rather disorganized so far. So that’s another reason why it’s so important to have just really clear documentation, to have good organized notes, to keep track of what you’re sending to the RAC auditors and to follow up on stuff and that has gotten me through this mess so far.

    Joe: So, let me see if I understand. I’m going to recap this because I think a lot of people are going through this and dealing with the RACs if you have a Medicare clientele or the older population. So basically, you’re looking at each date of service and seeing if you would get paid basically on your notes, would you get paid for this date of service? So, that’s number one.

    Josh: Yes.

    Joe: Number two basically, when you send out this fax of all this paperwork now you obviously keep the confirmation and then do you ask for an audit of the pages that you send them? Is that what you said?

    Josh: Well, if they come back to you and they say, “Hey, we didn’t receive this page or we didn’t get the signed plan of care,” but you have your receipt that you faxed and that they received it, it was a successful fax transmission, you can request that they do an inspection or an audit of that fax.

    Joe: Okay.

    Josh: It will delay the denial and they’ll be forced to look for it. Actually, both times they’ve found the faxes and it was approved.

    Joe: Okay. I also want to mention that you mentioned. How many audits did you go through Josh? You mentioned to me and I was blown away by this number. How many times have you been audited?

    Josh: It’s over 40 now.

    Joe: Over 40 times. So…

    Josh: Yeah.

    Joe: I’m going to say you have some experience in this world, so…

    Josh: Yeah.

    Joe: Everyone that’s listening, if you’re dealing with an audit of every time, here’s somebody that’s gotten past. What’s your percentage Josh? What are you batting?

    Josh: I’m scared to say, but so far, it’s like 100%.

    Joe: Excellent, man. That is awesome. I’m blown away by that. I’m amazed by that. I think there’s a lot of practitioners out there right now that I think just for the mere fact of listening to this and knowing that it is possible to pass the RAC audits and the Medicare audits gives them a little hope.

    Josh: I know and I know it’s frustrating for a lot of people and I know that a lot of people are just saying I’m not going to bother with that all, I’m not going to go over any of those caps, I don’t want to be on Medicare’s radar and I totally understand where they’re coming from. I just feel that sometimes that is sad, because we’re sort of, some patients, we’re denying that care, because we’re afraid to take on that risk. I understand where they’re coming from, but in the case of Mobile Rehab I allow each therapist to make their own decision and I say if that patient truly needs the service I want you to continue providing it if you feel like you’re giving a skilled care that they require, but just document really well and just make sure that they follow all those guidelines I just said.

    Joe: Excellent, so…

    Josh: So, it can be done.

    Joe: So, you’re a therapist that are on staff through Mobile Rehab. If they’re coming back to you and they say, “Josh listen, Mrs. Jones needs this treatment no matter what”? Because I do know that under an audit that they stop payment until the audit is complete. Correct?

    Josh: Yeah. Well, a lot of these are like prepayment audits. So, yeah. So each date of service they withhold payment until they approve it.

    Joe: Yeah. Sometimes the audits take more than 90 days. What’s the time frame on an audit?

    Josh: So far they’ve been fairly quick. I couldn’t quote an exact time that we’ve been getting responses back on.

    Joe: Okay, so…

    Josh: I hope it’s not 90 days.

    Joe: Then I was mistaken. I had some false information there as well, but still, that’s something that most and you know like, obviously that fear is true that they don’t want to deal with headache, but I agree with what you’re saying. Obviously, there’s a population out there and I think that would be you know, obviously, if that is a target population that PT’s want to approach I think it’s going to open up a huge, huge doorway for a lot of people especially the Mobile Rehab concept because there’s going to be a lot of PT’s that no longer want to deal with this population.

    Josh: I agree. There’s going to be a lot of practices that don’t want to deal with it anymore and that’s why I think this in-home outpatient physical therapy can fill a niche, because even though a lot of practices don’t want to deal with Medicare anymore. For the individual therapist with the low over head business, that uses things like TheraGo, and outsources their billing so they don’t have to worry about a lot of the technical aspects of running the business. It can still be very profitable for them and it can give a lot of physical therapists the independence and the flexibility that they’re looking for in their careers.

    Joe: Excellent. Josh let’s talk about a time that made you like your back was against the wall and you said, now it could be maybe very early in the beginning when TheraGo was just starting off or it could have been last week, I’m not sure, but let’s talk about a challenge that you kind of faced to get past and how did you handle that? What advice you can give to some people that are struggling right now in trying to figure out what pathway they should take and should, you know…

    Josh: Yeah.

    Joe: I’m hearing and the reason I ask is because I’m consulting with a lot of PT’s right now more than ever and they’re all saying the same thing to me. It’s basically coming on a fear base of what’s happening with the economy and with healthcare in general. So, let’s talk about a story of when you had to struggle and what you did to get past that.

    Josh: Well, yeah. I think there’s a whole lot of points in there. Let’s see. Some initial struggles, marketing is always a struggle for any physical therapist, I think, especially small practices, you know, like mine, which is also sort of a unique niche so you have to end up educating a lot of people about what you’re actually providing. It’s something that’s always sort of an ongoing struggle. Word of mouth is the main way we get new patients as well as some physician referrals, but a lot of therapists that I’ve spoken to tell me how word of mouth is probably the main way they get new patients.

    Another struggle was expanding and I talked to a lot of therapists who also try to do everything themselves and I can understand the benefits of that because sometimes they can make the most money initially by seeing all the patients themselves. With me, it was a unique experience that I got into a bicycle crash and I had to take time off of work and I ended up hiring another physical therapist to cover my patients while I was out of work. It worked out quite well, so that was really the first time that I had another person as a contractor work for me, and I expanded from there because I saw that it could grow in that manner.

    Joe: So, let’s talk about that bike crash. How long were you laid up for?

    Josh: A month. I was avid time trial racer. One of those crazy ones with the big tear drop helmets and those disk wheels.

    Joe: Wow.

    Josh: It’s always been a passion of mine. I actually invented a bicycle seat along the way as well. That was my Master’s research in school was male ergonomic bicycle saddle design, and a whole other business. I started KontactBike.com. Kontact, with a K, and designed and patented a bicycle saddle. So, I was very into bicycling and I was in a team time trial and the guy in front of me hit a pot hole, I flew over him and yeah, I got laid up for about a month.

    Joe: Well, wow Josh. So one thing is, if I ever need a bike seat, I know where to go.

    Josh: Yeah.

    Joe: Number two, that you learned something early on unfortunately that once you’re injured and you’re unable to work, what does a private practice owner do then, especially for the small practices that it’s a one man show?

    Josh: Yes. So, totally truthfully I’ve developed a lot of other things with Mobile Rehab around that idea that if something happens to one person, you want to make sure that the show can continue. So, that’s why I usually suggest to new practices to outsource billing, because rather than trying to do everything yourself, at least make sure that that part of the puzzle is taken care of and you don’t have to worry about it. You can always bring it in the house later and that’s also lead me to hire contractors to work with me and to spread them out to different areas so that if something happens in one area the other area still goes on.

    So, it’s all about diversifying the practice and I hear a lot of other practice owners talk about that in many other contexts as well. Diversifying the services that you’re providing, doing wellness programs and just thinking outside of the box more now than ever.

    Joe: Exactly. We touched on a few points though and we talked about what small businesses have in common. You explained that marketing is an issue which I think small, medium and large, I think they all have that in the common, but something about word of mouth, and I just want to bring this up. I think word of mouth is great. It’s great to start a practice on and I think it keeps your over head down especially with marketing and that’s a great way to do it, but sooner or later there’s a plateau effect that’s going to occur. And that plateau effect will occur when the marketing or advertising isn’t there and those strategies are needed, because sooner or later the word of mouth is good. I think you experienced this as well and if you set it up correctly, the word of mouth obviously could keep going which is always good. It could be one of the poles in the water, but eventually marketing is needed.

    I do agree with you about the billing. In the beginning, I always say once you have enough patients, then you bring the billing in-house. I’ve spoken to different billing people about it. It depends, and you should know your own billing. You should know that. Obviously, that’s how you make money in a practice, and you shouldn’t give that away completely. You should understand how that works.

    Josh: True. Yeah, you have to keep an eye on it.

    Joe: You got to keep an eye on it and look, I got to be honest with you. I had some nightmare stories about some billers in the past.

    Josh: I’ve heard that too.

    Joe: Yeah, so let’s get into TheraGo right now. I checked out the software and I got to tell everyone I think it’s an amazing piece of software. I’ve seen a lot of VMR software that are on the market now. Some have been around for awhile. Some just popped up recently. And I got to tell you, when me and Josh started to chat together and I was asking him to come on the show, I asked if I can just test out TheraGo, and I checked it out and I got to tell you, from a physical therapist standpoint, it is very simple to use.

    Basically, in some of the clinics that I am partnering at, they’re smaller clinics and I’m trying to make that as independent as possible. So, we keep our over head down by not having so much staff. I think TheraGo really solves that problem for a small office. I think this is…

    Josh: Mm-hmm.

    Joe: Obviously, the price point is amazing and I’m arguing with you about the price point. I really think Josh should charge much higher than he’s charging now, but he’s too nice of a guy to say so. I’m going to say that the software is amazing. Give me some feedback. How did you figure out the platform? Did you question a lot of PT’s? Did you beta test it out? How did the whole process go?

    Josh: We did do a lot of testing. Actually, my contract therapists were my original test group, and there was someone in particular that I said, “If I can get this therapist to use it correctly, then we’ve developed a great product.” I had an older therapist who was, admittedly, she admitted herself that she was not very knowledgeable at all with computers, and so my goal was to create something that was just so darn easy to use that even she’d be able to do it, and it worked.

    The challenging thing about designing any product is you can’t always ask people what they want in the product. You have to be the one to think about, I mean, the designer of the product has to be the one to come up with the idea of what it’s going to be and how to solve those people’s problems, because people don’t always come out and tell you how to solve their problems. If they knew the solution, they’d do something.

    So, that’s a challenge with any product design, is being the one to have the foresight to come up with a new creation and a design that meets a need.

    Joe: You got it and absolutely, once you see what the need is, and I think any entrepreneur out there right now, be it physical therapists, chiropractic, dental, whoever’s out there, whoever’s listening to this show I got to tell you one thing that if you can find the need if it be a patient, if it is your staff, if you can figure out what that need is and fill that need, I think you would make your work place ten times better. I think you would solve a need for the patients and you can get more patients in the front door that way.

    Josh: Mm-hmm.

    Joe: That’s rule number one of marketing which I think TheraGo has really conquered by really working on what the therapist need. I want to dive into some of the stuff we spoke about earlier. We tackled that Medicare documentation. We talked about TheraGo a bit and we talked about the word of mouth marketing. The one thing that you brought up way back in the beginning was the bio-mechanics of the bicycle seat.

    Josh: Mm-hmm.

    Joe: Now, you had a different passion. What do you feel about therapists incorporating different passions into their practice today? What do you think? Is that good? Is that taking the eye off the ball? What do you think about that?

    Josh: Personally, I’m a person of many interests, and I think it’s excellent whenever a physical therapist can also explore their other passions and do more than just one thing. I have had the lucky opportunity to talk to a whole bunch of therapists across country who are working on other projects that are just wonderful. People are doing computer-based things with apps and designing inventions and things like that.

    We hear all the time about this huge baby boomer population and there’s so many people that are rushing to try to meet the needs of this population where all the money supposedly is and physical therapists have been there all along. Physical therapists have been taking care of these people on day to day sort of thing. They see what troubles and needs that they’re having. So, physical therapists I think are a unique and great position to offer their insight to make sure that the future products that get developed for seniors are as beneficial as they can be and not just …[SS 00:29:47]…

    Joe: I think, you know what, Josh? I think you just gave everyone a golden nugget, like I would like to say in all of my interviews. I think you just got, I hope they caught this one because you even said the baby boomer population where most people right now realized the majority of the money is what that’s saying, but what the majority of the people out there don’t realize is that physical therapists have been dealing with this population probably the longest.

    Josh: Mm-hmm.

    Joe: Those physical therapists out there, if they could find a need for that baby boomer population which just recent… I’m going to share a story with you. One of my coaching clients today, she’s sort of this side business and she works with the geriatric population in her side business. She wanted to make a cash-based business and her population was very… I’m not going to say very old, but much older. We’re talking about late 70s, early 80s.

    Josh: Mm-hmm.

    Joe: I was just like, “Well, what are they interested in?” She happened to mention fitness. I’m sure everyone’s heard of silver sneakers.

    Josh: Mm-hmm.

    Joe: The senior fitness workouts. So, I said, “Hey, let’s swipe that concept a bit, because now we can use that same concept, except you’re a physical therapist. You’d basically do this, except you’re billing through Medicare. How about doing an affordable group training program for your seniors, for your group, who, obviously, they love her because she’s amazing, right?

    Josh: Yeah.

    Joe: This is the number one thing. She was worried about it and it did take us three months to implement this whole strategy, because we had to find the right price point. Obviously, the biggest objection right off the bat was price point. And we found something so affordable to everyone. I’m just going to make up a number right now because I don’t want to give away our business strategy, but we just said “Hey, $10 a person,” and it worked out so well.

    They come in three to four days a week. That’s 40 bucks each person. She has like 20 people in her class. That’s for one hour. In one hour she has 20 people. That’s easy money and at this point I am proud to say.

    Josh: Yeah.

    Joe: I am so excited to say because I feel that she deserves all the credit, but it took some time to put this strategy together and we worked pretty hard on the marketing of it. She’s generating $1600 of side cash a month now, and that’s something for somebody that’s doing this part-time on the side. I’m like, “This is great money. This is money you could put away for your business. This is money you could, obviously, invest back in your business and make it grow, and you can stop working your day job.

    Josh: That’s great information.

    Joe: Yeah, you know that information you shared with them by saying that physical therapists do, you know, we’ve been with the baby boomer population, probably, for the longest. I think they trust us and that no like and trust factor is very important.

    Josh: True.

    Joe: I believe, you know what? We really have a leg up on anyone else that comes into it, so please, that is something I would like to see more therapists get involved in.

    Josh: Definitely.

    Joe: Josh, obviously we discussed some of your defining moments with the bike accident, with TheraGo. What do you foresee that’s coming up for you know, obviously this question’s on almost everyone of my shows right now?

    Josh: Yeah.

    Joe: What do you see coming up? What do you think from the economy to healthcare, Obamacare, whatever side of the fence you’re sitting on or the aisle you sit on, where do you think we’re going as a profession in the next year? I don’t want to say five years or two years. Where do you think we’re going in the next year?

    Josh: I would have prepared more if I knew you asked all your… I do see a whole bunch of challenges. I can’t say that I always agree with what some of our representatives…

    Joe: Politicians.

    Josh: …are doing. Yeah.

    Joe: Yeah.

    Josh: I think though the new payment strategies or the new alternative payment system or whatever they renamed it to be now, that’ll create a lot of change within the next couple of years. From the feedback that I’ve heard is that things will generally sort of consolidate into the larger hospital based systems if you’re near one of these large hospitals.

    Joe: That’s basically what we’ve all been hearing. That’s some of the fear that’s out there as well. And look, I want everyone to know that besides TheraGo and how you figured out to deal with the RACs and the documentation issues, I think that’s a clear way of obviously if you’re losing money in your practice that’s definitely a clear way to gain that money back. If you’re dealing with these headaches right now, I think this is obviously something that you have found expertise and obviously we’ll get you back on the show again to share more of if people wanted to hear more about how to fight off these RACs. So, we’ll definitely wait to see.

    When we first spoke and you told me about this, I completely agree with you. I think documentation is the key. Why don’t you give the audience some ways to contact you and if they want to sign up for TheraGo, what they would have to do?

    Josh: Sure. Well, they could always email me at Kontact@TheraGo.com. That’s spelled, TheraGo, T-H-E-R-A-G-O.com. So, that’s the best way to go there. They can check out more about Mobile Rehab, about@MobileRehabNC, like North Carolina, .com.

    Joe: Got it.

    Josh: If they’re into bicycle seats, they can go to KontactBike.com, with a K at the beginning.

    Joe: Excellent. I will make sure they’re into bicycle seats. Josh, one thing man. I think Mobile Rehab is a huge franchise opportunity, especially with someone like you, who has the expertise and has been doing it for a while, so I want you to take that to the next level. As I said, if we get more feedback about the Medicare audits and about the RACs and if more people want to hear about this, we will definitely get on the phone again and we’ll deliver…

    Josh: Excellent.

    Joe: …another message for them to help people out because I know some people are out there really struggling with this. So, we want to make sure we come back to that. Josh, once again man, thank you so much for getting on the call today. Everyone if you want more of Josh’s information that’s Kontact@TheraGo.com. TheraGo, go check it out. It’s a great piece of software. I’m telling you right now if you do not have an EMR system, this is something that you really need to check out. Josh, is there a trial or anything or how does it work with TheraGo?

    Josh: Yes. I think we’re one of the few EMR systems that actually says you can sign up, try it out for two months. and if you decide you don’t want it within those two months, we’ll refund all your money.

    Joe: Good God, man. That’s…

    Josh: So, I don’t know…

    Joe: I don’t think anybody’s doing a 60-day money back guarantee because that’s excellent. That’s excellent.

    Josh: You can’t beat it.

    Joe: You can’t beat that, 60-day money back guarantee. That is…

    Josh: Oh, yeah.

    Joe: That’s pretty damned good.

    Josh: Yeah.

    Joe: Guys, once again. I want to thank Josh for being on the call today. Great information you shared with us. I look forward to the next interview. We’re going to have some great people on. Again, check out TheraGo, Kontact@TheraGo.com if you need more information from Josh. Thanks for being on the show. This is Dr. Joe Simon, from the Private Practice Business Academy.

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