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Physical Therapy Billing Services Michigan, MI

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.

Our medical billers in Michigan can specifically customize their billing processes to meet your requirements. We have a reach in almost all the major cities of Michigan such as Detroit, Grand Rapids, Warren, Sterling Heights and Flint.

It has always been the goal of our medical billers and coders to provide better Medical Billing Services which exceed your expectations. They can provide you with a platform for electronic medical billing and also suggest easy to use software. Installing a Practice Management Software and help you set up your workflow so that you can keep a track of your billing. Some of the services which they specialize in are:

  • Patient demographics entry and insurance verification
  • Account receivables management
  • Physician credentialing where required
  • Customized reports on revenue collections
  • Code audits for ethically maximizing revenues

Our medical billers and coders can help you focus on patient care in your practice rather than on paperwork or your administrative staff. They can also guarantee you constant cash flow without leaves or downtime.

The goal of our billers and coders in Michigan, one of the states with the best medical billing and coding schools is to provide you experienced and well trained resource so as strengthen the growth process of your clinic. These medical billers and coders are experienced and trained in numerous areas such as denial management, medical claims processing, medical collection, and medical claims examination.

Value Our Michigan Billers Bring:

Our medical billers and coders are experienced in insurance collections which can be a tedious job for someone who lacks experience in this area. They also understand how critical timely insurance collections are for the physician as well as the patient. Our medical coders and billers at medicalbillersandcoders.com also have solid relationships with key insurance payers, like BCBS, United Health, Workers Comp and government payers across Michigan. These daily interactions with payers ensure that delays or errors in claims management can be avoided.

The skill of our billers is enormous and includes but is not limited to Past Due Collections, Electronic Medical claim filing, Medicare Audit Protection, coding and diagnosis analysis for highest permissible reimbursement, custom-made accounts receivable reports, revenue cycle financial analysis, electronic claims submissions, patient statements and patient-centric support, denials management and payment posting, committed and persistent insurance follow-up, provider enrollment support, and standardized reporting. Moreover our billers are compliant with HIPAA guidelines and are updated with all industry updates through medicalbillerandcoders.com.

Our Specialties:

Our team of medical billers and coders has experience in various areas of specialization such as Physical Therapy, neurology, occupational health, Family Practice, OB Gyn, Hospitalist Billing and numerous other areas. This in-depth knowledge makes them ideal for catering to your requirement of medical coders and billers who can perform in almost every specialized area of medicine. Their experience and relationship across all kinds of payers helps your clinic collect better revenues.

Our Software Experience:

These billers and coders are also proficient in using various EMR software and can ensure a paperless and quick revenue cycle management. Some of the EMR software that our medical billers and coders are proficient in include Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity, and Altapoint. These software ensure quick reimbursement for the services that you provide, a paperless environment, and increased revenue because of the accuracy and professionalism of our billers and coders.

Problems & Challenges Michigan Physicians Face:

Michigan is one of the better ranked states in the United States as far as health care is concerned but some problems such as lack of adequate nursing home care and lack of chronic care measures implicate increased number of doctor-patient encounters in the future, as steps are taken to provide insurance to the majority of population. To meet this demand for health care services, our medical billers and coders not only operate in big cities such as Detroit, Grand Rapids, Warren, Sterling Heights and Flint but also in all other counties, smaller cities, and towns in Michigan.

The most common challenges faced by physicians in big cities such as Detroit and Grand Rapids are underperforming accounts receivables or claims denial and collections. Both these situations might lead to diminished revenue. Our billers offer the solutions to these problems by streamlining the denial management process and offering services such as integrated medical billing with EMR. These Billing specialists believe in providing many other value added services such as sending patient statements and processing refunds to Medicare in order to preserve your practice from RAC audits.

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's 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.