Physical Therapy Billing Services

Physical therapy services, owing to their inherent nature, have often been found to be elusive while billing for medical reimbursement. Unless medically deemed fit, these services cannot be billed for reimbursement. Consequently, physicians are apprehensive of undertaking certain services that might deprive them of reimbursement for medical services.

How does medical billing and coding support aid in Physical Therapy reimbursement?

Despite the healthcare providers’ pre-emptive scrutiny in determining eligibility for medical reimbursement, they may not always be successful in segregating ineligible cases due to their preoccupation with focused medical care as well as somewhat uncertain nature of this specialty-specific billing and coding.

Medicalbillersandcoders.com, the largest consortium of medical billers in the US, are known for accurate screening for deciding the eligibility of certain services for reimbursement. Such an efficient screening is indispensible for mitigating adverse impact on revenues from reimbursement. Laying a firm foundation for a comprehensive and efficient billing reimbursement solution, our Physical Therapy billing Specialists establish a well-phased system for an efficient claim submission and realization.

You can match your requirements with the skills and experience of our expert billers in your area.

Value-Added Process to Optimize Reimbursement

Our Physical Therapy Billing and coding solutions include the following process:

  • Setting up HIPAA compliant patient privacy reporting on any EMR software of your choice. Coupled with the compliant reporting, EMR system also ensures accurate charge-capture, which is crucial to billing and coding. Compliant EMR system – which runs on latest technology platforms – apart from ensuring operational efficiency, could also earn incentives for adhering to accepted level of compliance.
  • Having a compliant patient medical record at their disposal, our billing experts apply appropriate CPT codes for corresponding services. Ingenuity in applying diverse codes: CPT code 97110 for therapeutic procedure on one or more areas to develop strength and endurance, range of motion and flexibility; CPT code 97112 for neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and or standing activities; CPT code 97116 for gait training including stair climbing; CPT code 97124 for massage, including stroking, compression, and percussion; CPT code 97140 for manual therapy techniques comprising mobilization/manipulation; CPT code 97150 for therapeutic procedure on group of 2 or more individuals. Application of suitable modifiers: modifier GP for service rendered by a l therapist, and modifier 59 for distinct procedural service. Such an ingenious coding system is precursor to an efficient claim submission devoid of any external audit issues
  • Finally, having submitted claims for reimbursement, our billing professionals set up a follow up system for expediting reimbursement of medical bills.

Billing Across Multiple Specialties

Employing a sequential system for claim submission and realization, our billing services have the capability to undertake medical bill submission and claim-realization for diverse specialty-specific Physical Therapy services such as:

  • Cardiopulmonary
  • Neurological
  • Integumentary
  • Cryotherapy
  • Heat Therapy
  • Iontophoresis, electrotherapy and body massaging

Consequent to such best practices in billing management, physicians would be able to efficiently realize their claims with a portfolio of leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and public health insurance schemes such as Medicare and Medicaid.

MBC unique combination of expertise and experience

Having a competent set of pre-qualification – certificated by the American Association of Professional Coders (AAPC); proficient in using advanced medical billing software such as Lytec, Medic, Misys, Medisoft, NextGen, IDX; application of latest coding software such as EncoderPro, FLashcode and CodeLink; and expert at applying standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis codes – and a proactive outlook to ICD-10 and HIPAA 5010 transition, our Physical Therapy billing experts promise to be an integrated solution for operational efficiency and revenue maximization. Therefore, physicians can be assured of much needed relief from complexities in medical billing.

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