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Physical Therapy Billing Services Texas, TX

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.

Maximizing your office’s efficiency and cutting your costs are some of the priorities of our medical billing and coding specialists located in Texas. Like everything in Texas our database of Medical Billers and Coders is huge in texas, these billers cater to various specialties and software exposure.

With extensive medical billing knowledge coupled with their years of experience, they help providers and practices in and around the state to maximize their reimbursements and minimize their costs.

Our billing professionals are present in major cities in Texas such as Houston, San Antonio, Dallas, Austin and Fort Worth. Some of the services they provided are:

  • Data entry of all charges
  • Submission of electronic as well as paper claims to both primary and secondary insurers
  • Accurate ICD-10 and CPT code audits
  • Payment postings after receiving from insurance companies as well as patients
  • Excessively customized Monthly financial reports
  • Comparing payer fee schedules and updating your practice about it

The state of Texas is known for its clean claim law which is considered to be one of the most helpful and powerful in terms of clean claim violation and can make the payer to pay billed charges. The law states that the payer has to pay a clean claim within 30 days, with the option of 45 days if the claim is not submitted electronically, thus our Texas billers will be able to reduce your AR days noticeably.

Our professional billers in Texas are trained to handle all aspects of Revenue Cycle Management which specially includes denial Management and helps you recover rejected claims by appeals and resubmission of claims.

Our Billers in the state of Texas are specialized to service medical practices as per the regulations of the state government. Their knowledge and experience has been acquired by years of efforts in perfecting medical billing procedures which they now leverage to help your practice collect more revenue.

The federal government’s effort to reduce healthcare cost can only be supported by physicians in the state of Texas by optimizing costs and enhancing revenue. Letting a specialist handle your medical billing can help you improve collections by 20%.

Accurate Coding and code audit along with timely insurance follow up and account receivables are the basis on which thesebillers in Texas guarantee higher profitability for your clinic. Their experience in various software and certification in the medical billing processes will support your practice to grow steadily.

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.