2026 New Year FAQs

As we ring in 2026,  we've compiled a set of Frequently Asked Questions to guide your clinic into the new year. We invite you to make the most of these comprehensive FAQs for a smooth transition to the new year.  Here's to a fantastic and well-informed 2026! 

Providers/Users

Review the current providers on your Provider List. If needing to add or remove a license, please contact memberservices@webpt.com to make this request. Before deleting providers from Therabill, please review the section on deleting providers in this article.

Main Admins should review each user located under Admin > User Accounts. You can create as many users as necessary and are not charged for any additional users. 

Discover more on user permissions and accounts: User Accounts

Who needs a provider license in Therabill? 

Only therapists (and PTAs using the Supervised By Feature) who sign and finalize notes in the WebPT EMR should have a Therabill provider license.  

Insurance

How do I add a new insurance for a current patient? 

You can add a new insurance within the Patient Info section of the WebPT EMR. When adding a new insurance for a patient, it is recommended to create a new case with a new Initial Evaluation. Don’t forget to click Save Patient to ensure the transmission is sent to Therabill. 

📌 Note: When adding an insurance, it must be assigned to a case as either Primary or Secondary, or the Insurance Card will not transmit to Therabill.

Discover more: WebPT EMR | Add or Edit Patient Insurance

Will insurance policy dates and visit counts auto-reset for patients whose insurance did not change?

No. You will need to manually update Insurance Policy dates. Verify the reset date is set to the appropriate year. If you would like to generate a patient list report of expiring policy dates, discover more here: WebPT Analytics | Find Missing or Expiring Patient Insurance Policy Dates 

Can I leave the policy dates blank?

Policy dates in the WebPT EMR do not integrate into Therabill as the effective dates on the insurance card. If adjustments are made in the EMR, please remember to make the updates in Therabill too. Updating the effective dates or archiving the terminated policy insurance card in Therabill helps to ensure the right insurance is invoiced.  

We highly recommend re-verifying your patients' insurance at the start of the year. Many plans run on a calendar year, and benefits reset as of January 1st. You can keep a record of the verification in the WebPT EMR Case Note or as a Simple Note and Post-It Note in Therabill. 

What about the previous amount spent on Medicare? If I entered an amount for 2025, do I have to remove it for 2026?

Yes, you will need to remove the Therapy Cap amount for 2025 in the WebPT EMR.

Do I need to add the deductible for Medicare?

Adding the deductible for all insurances, including Medicare, is optional. This field does not integrate into Therabill and is informational only. For visibility, add a Post It Note to keep a record of the deductible amount in the client's chart in Therabill.

• The deductible amount for Medicare Part B for 2026 is $283.00.

Will WebPT’s Medicare cap tracker be reset on January 1, 2026?  

Yes. WebPT’s Medicare cap tracker will reset on January 1, 2026, for all Members. 

If a patient has met the deductible for 2025, and we have checked the Deductible Met checkbox in the WebPT EMR, will it automatically uncheck itself after January 1, 2026?

No. You need to manually uncheck the Deductible Met checkbox. Navigate to the Patient’s Information section in the WebPT EMR, and edit the Insurance to uncheck the box. 

Will the KX Modifier reset?

Yes. The modifier will reset on January 1, 2026. You can manually turn on the KX modifier if you need to by going to Patient Info and editing the case. 

❗Important: If you need to addend a note from 2025 to include the KX modifier, please ensure new documentation is not added while the 2025 note is being addended.

Discover more about adding the KX modifier: WebPT EMR | KX and GA Modifiers

What are the Medicare Thresholds for 2026?

The annual dollar amount for the Medicare threshold resets on January 1, 2026. Although the hard therapy cap has been repealed, there is still a soft therapy cap—meaning all therapists must apply the KX modifier once the threshold amount has been reached to receive payment for medically necessary services. 

• The 2026 therapy threshold is $2,480 for physical therapy and speech-language pathology services combined, and $2,480 for occupational therapy services alone. 
• The targeted medical review (MR) threshold will remain at $3,000. 

If you provide outpatient therapy services higher than the threshold amounts, a Medicare contractor may review your medical records to check for medical necessity. In the WebPT EMR, the calculated estimate of patient progress toward these thresholds resets with the new calendar year. So, the KX modifier will no longer be applied to claims for patients who exceeded the threshold in 2025.

Authorizations

Ensure authorizations are kept up to date. Remember, the insurance name on the authorization must match the name on the insurance card for it to be included on the claim. If there is a new authorization for this year, make sure your end dates of any previous authorizations do not overlap with the most recent. 

Corrected Claims

If you need to send a corrected claim, please make sure the daily note has been addended in the EMR. The changes will need to be entered manually on the session in Therabill. 

Discover more about sending corrected claims: Therabill | Filing a Corrected Claim

Client Statements

To ensure patients are kept up to date and that you are paid timely, run your Statement Balance report and apply unassigned client balances to those patients with outstanding finalized charges. After assigning, rerun the Balance Aging by Client (with the finalized charges box checked) to see what clients need statements (hint, you can minimize this report so you can continually access it while you are running patient statements in the Billing > Bill Client > Client Balance Statement screen). 

1. Navigate to your client statement area and choose Batch.
2. Select a balance for Show clients with and check the box to Exclude Credit Balances.
   The clients with blue checkboxes will print statements once you click Run Batch.
3. Feel free to check your Balance Aging Report against the Batch List to ensure all are included, or remove those you aren’t ready to invoice. 

If you want to shorten your invoices, go into your Settings and choose the box for Balance Due under the Do not show sessions with $0.00 amount in… section. Selecting this will only print service lines showing a balance.

Business Changes

If you are making or have made changes to insurance contracts or credentialing, changed owners, or need to bill with different NPI or TIN information, please consider the information below. 

• Are your changes payer-specific? If so, read here. 
• If NPI, TIN, or ownership changes, please reach out to your Success Manager to recommend the best path forward.
• If you need to change the information populating in box 32 or 33, please reach out to your Success Manager, as this may indicate a need for a new EMR and/or Therabill account.

Alerts

Your dashboard will guide you to tasks needing attention. Be sure to work your EDI Rejections, Addendum Added alerts, and Payment Updates to keep your accounts updated and accurate. 

Reports

Run the following reports to get a year-end summary of billing activity.

• Provider Code Summary: Compare the productivity of your therapists for the last year.
• Monthly AR Summary: See your charges, insurance & patient payments, and adjustments for the year, by month.
• Payment Method: Break down your insurance payments by payer.
• Insurance Mix: See who your biggest payers are.
• Key Indicators: Compare your performance year-over-year.

MIPS

The Merit-Based Incentive Payment System (MIPS) is one of two tracks in the Quality Payment Program (QPP) currently administered by the Centers for Medicare and Medicaid Services (CMS).

Discover more about the resources you need to participate in MIPS:  WebPT MIPS | 2025 Performance Year Hub 

CPT Codes

Will there be new CPT codes introduced in 2026?

Yes, the following CPT codes will be added to WebPT in 2026.

New CPT codes (Hearing Evaluation/Device related):

• Untimed codes (all user types):
  • 92638 - Behavioral verification of amplification for hearing aids.
  • 92639 - Hearing-aid measurement verification with probe-microphone.
  • 92641 - Hearing device verification through electroacoustic analysis.
  • 92642 - Supplemental technology fitting services for hearing assistive device.
• Timed codes (all user types):
  • 92628 - Initial Code: Evaluation for hearing aids in one or both ears, first 30 minutes.
  • 92629 - [15 Minute Add-On to 92628] Evaluation for hearing aids in one or both ears, each additional 15 minutes.
  • 92631 - Initial Code: Hearing aid selection services for one or both ears, first 30 minutes
  • 92632 - [15 Minute Add-On to 92631] Hearing aid selection services for one or both ears, each additional 15 minutes.
  • 92634 - Initial Code: Hearing aid fitting services for one or both ears, first 60 minutes.
  • 92635 - [15 Minute Add-On to 92634] Hearing aid fitting services for one or both ears, each additional 15 minutes.
  • 92636 - Initial Code: Hearing aid post-fitting follow-up services for one or both ears, first 30 minutes.
  • 92637 - [15 Minute Add-On to 92636] Hearing aid post-fitting follow-up services for one or both ears, each additional 15 minutes.

New (To WebPT) CPT Codes:

• Untimed codes (PT and OT user types only): 76881, 76882, 76883 (Diagnostic Extremity Ultrasound)

Password Security Update

Therabill enforces strict password requirements to help keep your account safe from data breaches or cyberattacks that could put your patient data at risk. It is important when creating or updating a password that you follow the set of security requirements to ensure each password is unique and complex.

Passwords must adhere to the following security requirements:

• Previous passwords cannot be reused
• Must be between 12 and 64 characters
• Must contain:
  • at least one lowercase letter (a-z)
  • at least one uppercase letter (A-Z)
  • at least one number (0-9)
  • a special character (!@#$%^&=?_.:;\-)
• Passwords must match

When creating or updating a password, each password requirement will appear with a checkmark in green if it has met that rule.

🔐 Password Expired

To keep your Therabill account secure, all users are required to update their passwords every 90 days. After the 90 days, Therabill will prompt you to create a new password before logging in again. 

Discover more about changing your password 

Support

I don’t see my question answered. Can I get more help?

 Of course! For more assistance, please contact the WebPT + Therabill Support Team at support@therabill.com or call 866-221-1870 and select option 2.