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.
For more than a decade our medical billers have been providing outstanding medical billing solutions to providers in Missouri. Currently, we have medical billers catering to practices in Jackson, Gulfport, Hattiesburg, Biloxi and Southaven.
Our highly qualified staff of medical billers is experienced in billing and successful collection of your claims. Their in-depth knowledge and expertise allows physicians to concentrate on patient care and market their practice. Some of the services, our billers are specialized in:
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Charge entry and insurance verification
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Accurate entry of CPT and ICD-9 patient coding
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Accurate Payment posting
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Follow up on primary and secondary claims
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Collection of all aged account balances
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Customized month report
Medical billing can be considered to be a complicated service in terms of technicality and ever changing regulations, which make it quite difficult to standardize medical billing processes. To bring about some amount of uniformity in the process of billing and coding, the Coding Standards Committee developed new coding standards which also comprise a pool of designated coding and billing professionals. Our local billers and coders in Missouri have kept been following these changes on a regular basis.
Comprehensive Medical Billing Services in Missouri
MBC billers have been providing outstanding medical billing solutions to providers across Missouri for over two decades. Our experts cater to practices in major cities like Saint Louis and Springfield.
Our highly qualified team of medical billers is experienced in successful claims collection, allowing physicians to focus on patient care and practice growth. Some of our key services include:
- Charge entry and insurance verification
- Accurate CPT and ICD-10 patient coding
- Accurate payment posting
- Follow-up on primary and secondary claims
- Collection of aged account balances
- Customized monthly reports
Missouri Medical Billing Experts Maximizing Your Practice Revenue
Medical billing can be complex due to technicalities and ever-changing regulations. MBC experts in Missouri stay updated on the latest coding standards and regulations, ensuring compliance with Medicare, Medicaid, and all commercial insurance. MBC billers specialize in streamlining paper-based and electronic billing processes, following the latest fee schedules and payment criteria.
MBC coding specialists in Missouri have years of experience to help practices optimize revenue. Outsourcing your billing can improve collections, reduce costs, and boost profitability. Accurate coding, code auditing, and timely insurance follow-ups are important to ensuring higher profitability and steady growth for your clinic. Our billers' expertise with various billing software and medical billing processes ensures your practice thrives.
Value-Added Process to Optimize Reimbursement
Our Physical Therapy Billing and coding solutions include the following process:
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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.
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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
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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:
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Cardiopulmonary
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Neurological
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Integumentary
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Cryotherapy
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Heat Therapy
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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 softwares like EHR Software: NextGen Healthcare, Epic, Cerner, AthenaOne, NueMD, TherapyNotes, DrChrono, eClinicalWorks, Allscripts, Athenahealth, Practice Fusion, TherapyNotes etc. and application of latest coding software 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.