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Know about medical billing for physical therapy

Physical therapists work hard with clients to recuperate them after injury but when it comes to the billing, it can be a tedious task due to the specific requirements involved. Medical billing for physical therapy can turn costly from both time and money perspective and hence a thorough knowledge about the process is very important. It is estimated that a large percentage of healthcare costs in the US goes towards administrative tasks including medical billing and hence applying the right strategies has a direct impact on your practice time, reimbursements, and business profitability.

Optimizing Physical Therapy Billing

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Verification of Patient Information

Inaccurate patient information impacts the billing process. Verifying patient information and checking their insurance eligibility ensures successful claim processing as well as reduction in denials. A standardized process of checking all the claims before submission helps in clean claim processing.

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Agreement on payment before the treatment

Communicating payment plans clearly with the patients and setting expectations prior to the treatment is a best practice that is recommended to be followed. This way patients are aware of their financial responsibilities and there is no room for any surprises.

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Use of technology

Investing in technology to help your billing process is a wise choice that can be made. Automation of processes reduces human errors and improves the overall cashflow of the practice. It also helps in reducing missed bills, charges, and late payments.

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Billing Audit of your Practice

It is a good practice to do an audit of your Practice’s billing process to see what goals can be set and if there is a scope for improvement. Past denials are a way to learn the mistakes made so that you can avoid them in the future.

Challenges in medical billing for physical therapy

An insurance provider pays for the sessions when the patient’s medical coverage meets the required criteria. But insurance providers have stringent measures for processing the claims and they determine whether the treatment is necessary or not. They can even delay or reject the claims due to minor technicalities. It is very important to submit the claims correctly with the right physical therapy CPT codes.

The eight-minute rule - Physical therapy treatments are billed according to the length of time and number of units. Services lasting for 8 minutes are considered as 1 unit and need to be billed accordingly.

One-on-one Vs group sessions - In physical therapy, one-on-one sessions and group sessions need to be billed separately. Failing to do so can result in claim rejections.

Coding errors – Error in coding is the easiest mistake that can be made in the billing process, and this demands attention to avoid denials.

Tracking and analyzing – We often lose track on the ongoing claims, especially when a lot of claims are processed at once. It's important to keep a track of the claims and analyze their status to avoid processing delays.

Get a free RCM audit for your Physical therapy practice

Associate with an efficient billing partner

Medical billing for Physical therapy can be complex and challenging. It becomes difficult for the therapists to understand the nuances of medical billing along with their everyday responsibilities. To ensure maximum reimbursements and profitability for your practice, avail physical therapy billing services from an efficient billing partner, who can take care of the cumbersome task.

Outsource physical therapy billing to ensure that the medical billing process is up-to-date and free of any possible human errors. Handling the billing efficiently maximizes payments, reduces the overhead costs, and minimizes claim rejections. With expert guidance from your billing partner, you can see the claim reimbursements increasing and your Account Receivables decreasing, thereby increasing your business profitability.

How can Practolytics help?

Practolytics is your one-stop solution for all the medical billing, practice management, patient management, and revenue cycle management activities a healthcare practice needs to carry out. A Platinum partner amongst 850+ billing companies, Practolytics is a 20+ year-old healthcare technology and revenue cycle management services company, providing medical billing service solutions to 180+ practices of all sizes spreading across 31 states and serving more than 28 critical specialties.

If you are looking for a trusted partner for your physical therapy billing services, Practolytics with its diverse background in every aspect of healthcare is your best bet. Outsource physical therapy billing to us, we can help you streamline your billing processes so that you can focus on your primary responsibility – patient care.

Optimize Your Physical therapy Clinic Revenue

Practolytics expertise can help you in maximizing your Physical therapy clinic revenue.

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    Customer Stories

    It’s a great pleasure to write a letter of recommendation for Practolytics and its staff. I am extremely pleased with the quality of services and knowledge they provide to our clinic. Our group practices in Central Florida and we have been with Practolytics since 2014. I am fully confident that our claims are submitted efficiently, information is inputted accurately, and attention to detail will always be a priority.

    Cecil Roberts – Administrator Physiomed Inc., Florida

    Customer Stories

    One of the most “Can Do” companies I’ve ever worked with. They personally take it upon themselves to see to it that my company thrives. Very responsive to the nuances of my small company, yet always make me feel just as important as their larger clients.

    Jeff Angeline – Owner Angeline Physical Therapy, Ohio


    Physical Therapy Clinic Success Story

    20% increase in the patient collections during the pandemic

    10% increase in the overall YOY cash flow (2020 Vs 2021)

    30% reduction in lag days in the past 3 years

    Opened the 4th location in 2021

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