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Physical Therapy Billing Services

Our streamlined billing process ensures that you
have access to
professional, reliable, and accurate Physical Therapy Billing Services.

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Physical Therapey
Physical Therapy
Physical Therapy Billing Service
Physical Therapy Billing Service
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Physical Therapy

Physical Therapy Billing Service

Physical therapy is a demanding field where the well-being of patients takes precedence. Healthcare professionals invest significant time in prescribing individualized treatment plans to meet each patient's specific needs. Frequently, these providers find themselves lacking the time necessary to focus on precise billing and coding, even though these aspects are vital for the financial success of a physical therapy practice, just as they are in any other specialized area of healthcare.

Billing and coding in the realm of physical therapy are notably intricate and present various challenges due to several factors that can lead to claim rejections. A major cause of claim denials in physical therapy is ensuring that the services provided meet the criteria of "medical necessity.
" Moreover, opting to hire an in-house billing specialist can be expensive and demand a substantial investment of time and effort.

Pro Medical Billing Solutions empowers certified and well-trained coders and billers who possess a deep understanding of the intricacies of Physical Therapy Billing. They are highly knowledgeable about the nuances of this billing process and offer strategic solutions to enhance your practice's revenue while reducing the rate of claim denials.

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Experience our top-notch revenue cycle services. You'll be convinced when you witness the positive impact on your bottom line — Contact Us Today!

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What makes our Physical Therapy 

Billing service unique?

Our team of Medical Billing and Coding professionals is exceptionally skilled and dedicated to delivering efficient revenue cycle solutions to our clients in the realm of Physical Therapy. We have a broad client base covering all 50 states, including hospitals, medical practices, and medical billing firms. Our coders possess advanced expertise in ICD-9/10, CPT, and HCPCS coding, strictly following the guidelines set by CMS and AMA. They are also well-versed in utilizing EMR & PMS software and hold certification from the American Academy of Professional Coders (AAPC)

Our team of coders and billers understands that the financial well-being of your practice depends on submitting accurate and error-free claims. We are skilled in using a variety of EMR software systems and can easily adjust to your current software setup. Furthermore, we can offer customized solutions to meet your practice's unique requirements. Our main goal is to significantly reduce claim denials while also boosting revenue by streamlining the claim submission process.

We count upon the experience that we have gained over the years of working with top physical therapy providers and hospitals, making a perfect segue to improve your revenue cycle. We value our clients and help with administrative and non-core activities so that they can focus on providing the best patient care. Our team of specialists includes professional coders certified by AAPC. We are experienced in processing claims with well-known insurance companies and government payers such as Medicare. Our team understands state-specific Medicaid policies and files claims in compliance with the regulatory authorities. Our clients generally experience a revenue increase of more than 15% and a decrease in denials of at least 10%. We accomplish this by applying our expertise, process rigor, and utilizing a highly trained and skilled team.

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What makes our Physical Therapy 
Billing service unique

Frequently Asked Questions

The most common CPT codes that are used in physical therapy are 97110 for Therapeutic Exercise, 97112 for Neuromuscular Reeducation, 97140 for Manual Therapy 97116 for Gait Training, and 97530 for Therapeutic Activities.
Physical Therapy billing typically includes specific codes for rehabilitation and therapeutic services and may be subjected to unique authorization requirements and insurance coverage guidelines as compared to other medical services.
Proper documentation justifies the necessity of the treatment, enlists the services provided, and ensures compliance with insurance requirements, thus facilitating accurate billing and reimbursements.
Modifiers are used to add additional information regarding the service provided. They impact the reimbursement rates and are pivotal for accurate billing, especially for indicating therapy cap exceptions or specific conditions treated. Modifiers that are commonly used in physical therapy billing are GP Modifier, 59 Modifier, 76 Modifier, KX Modifier, GJ modifier, CQ and CO Modifiers.
Timed CPT codes are billed in increments of 15 minutes. According to the standardized guidelines, therapy for a specific timed procedure must be at least 8 minutes to be billed as one unit.
Patients should be communicated in advance for services that are not covered by the insurance. Such services are billed directly to patients' accounts. It is important to have the eligibility for benefits checked before any procedure is performed. It gives an insight into the financial liability of the patient.
Medicare has specific guidelines for physical therapy services including therapy caps, necessary documentation, and approved CPT codes. It is crucial to stay updated with Medicaid policies for complaint billing.
Yes, like other medical billing, physical therapy services can be billed on the same day. It depends on the insurance provider's rule and the service rendered by the physical therapist. Proper use of CPT codes and Modifiers along with comprehensive documents is essential to prevent claim denial.
For denied physical therapy claims, review the cause of claim denial, rectify any errors, and resubmit the claim. It is important to be aware of typical claim denial reasons in physical therapy to address them proactively to minimize claim denials and enhance reimbursements.
The best practices for medical billing include comprehensive and accurate record keeping, staying up to date with modern coding and billing regulations, understanding payers' policies, applying correct modifiers, and conducting regular training for the billing and coding team to educate them about current procedures and compliances.

Our Expertise in RCM and EHR Software.

We specialize in more than 30 Software used in the Revenue Cycle Management. Our thorough integration of technology allows for fast implementation, leading to improved cash flow for your healthcare facility.

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advance md
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nextgen
kareo go practice
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What Makes Pro Medical Billing Solutions Special?

As a well-known Medical Billing Service provider, we take pride in our track record of consistently delivering accurate and timely results, ultimately enhancing revenue for our respected clients. We use state-of-the-art expertise to streamline the Medical Billing process, decrease errors, and improve productivity, all while providing exceptional customer service.

Pro Medical Billing Solutions has a team of incredibly talented and deeply experienced Medical Billing and Coding specialists. Our expertise isn’t just about handling billing requests. It’s a passionate commitment to ensuring your financial success in the Revenue Cycle Management industry.

Why Do Healthcare Professionals Choose Our Medical Billing Services?

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Rapid Revenue Recovery

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We're here to help

We're available 24/7 - Schedule a call with one of our experts now.

Here are the top specialties, we are helping healthcare physicians throughout the United States to address their Medical Billing & Credentialing challenges.

Our team of experts specializes in the following areas, which are known to be the most impactful for improving Medical Billing efficiency and accuracy.

If you are searching for a reliable Medical Billing Company – You’ve found it – Contact us today to learn more about our services!

Contact Us

If you are searching for a reliable Medical Billing Company – You’ve found it –

Contact Us 

today to learn more about our services!

Our Expertise

- Patient Scheduling & Registration

- Verification of Benefits

- Authorization & Referral

- Medical Billing

- Medical Coding

- Medical Billing Financial Audit

- Charge Entry & Payment Posting

- Billing & Coding Audit

- Denial Management

- AR Management

- Revenue Cycle Optimization

- Old AR Recovery

- Patient Billing & Statements

- Collections Services

- Patient Help 24/7

Our Expertise

- Patient Scheduling & Registration

- Verification of Benefits

- Authorization & Referral

- Medical Billing

- Medical Coding

- Medical Billing Financial Audit

- Charge Entry & Payment Posting

- Billing & Coding Audit

- Denial Management

- AR Management

- Revenue Cycle Optimization

- Old AR Recovery

- Patient Billing & Statements

- Collections Services

- Patient Help 24/7

Our Esteemed Clients' Testimonials

Pro Medical Billing Solutions is doing an incredible job of boosting our revenue and improving our cash flow. They are excellent at communicating with the insurance providers and are prompt in addressing issues. We're immensely grateful for their wonderful efforts, and we give a thumbs-up to their entire team.

Dr. Jorge Guevara - MD
Dr. Jorge Guevara | MD Outcomes Detox & Recovery Center (Texas)

For the past 15 months, Pro Medical Billing Solutions has consistently delivered incredible collection results, with first-pass rates surpassing industry standards. Their high responsiveness and effective Revenue Cycle Management services make them the go-to choose for any practice looking to take control of their billing.

Dr. Mukherjee Ranadev -MD CO-FOUNDER
Dr. Mukherjee Ranadev | MD and CO-FOUNDER Digestive Associates (Nevada)

We rely on Pro MBS for our medical billing operations and analysis. Our collaboration with Pro MBS has allowed us to excel over the last five years. We had a few patients’ inflows initially, and we ended up getting many more clients, Pro MBS helped us scale.

Dr. Charles Sisson
Dr. Charles Sisson | MD Integrated Medical Consultants (Colorado)

Thanks to Pro Medical Billing Solutions, our practice has seen a significant improvement in our billing and collection processes. Their team is always up-to-date with the latest industry changes, and they have provided excellent support to our staff. We would highly recommend their services to any healthcare provider.

Jennifer Hartley-Administrator
Jennifer Hartley | Administrator Adams Physical Therapy Services, Inc. (Indiana)

We have been using Pro Medical Billing Solutions for several months, and we have been extremely satisfied with their services. They have helped us to optimize our billing and coding practices, resulting in improved cash flow for our practice. We highly recommend them to other healthcare providers.

Marissa Vazquez - Office Manager
Marissa Vazquez | Office Manager Presence Therapy (Nevada)

Pro MBS has provided excellent satisfaction for our Medical Billing and Coding operations. We conduct regular meetings with their team. They are updated with current industry trends and keep very high standards for quality service. We consider them as an extension of our business office.

Huiping Xu- M.D
Huiping Xu | MD Whole Health Professional PLLC (Texas)

Pro Medical billing Solutions has numerous strengths. One of many is effective communication, which kept me aware of billing updates and claim processes. I am impressed with the swift claim processing and the turnaround time for claims. appreciate Pro Medical Billing Solutions for providing constant support.

Sandra Diaz
Sandra Diaz | CEO South Main Clinic (Texas)

We are pleased with Pro Medical Billing Solutions' billing and coding services and highly endorse them to anyone looking for a proficient billing company. Collaborating with Pro Medical Billing Solutions has been effortless, and we are deeply grateful for their services.

Jennifer G. Walker- D
Jennifer G. Walker D | DC Colorado Chiropractic Center (Colorado)

As the CEO of Big Dog Pharma, I would highly recommend Pro Medical Billing Solutions for your Medical Billing and Coding processes. Over the past four years of collaboration, I have found them responsive, prompt, and helpful. Through our extension, we reduced our staff requirements and significantly improved our revenue stream.

Johnny Gilbert-CEO
Johnny Gilbert | CEO Bird Dog Pharma (Texas)

I look back over the past five years of our relationship, and I can predict what the coming five years would look like. I can see immense growth opportunities for both of our organizations with the partnership that we have been able to develop. I absolutely recommend Pro Medical Billing Solutions.

Dr. Michael Farrel-D
Dr. Michael Farrel | DC Spine Correction Center (Colorado)

    Let's Outsource Medical Billing Services To Us

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    Thousands of providers growing their practice with PROMBS.

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    ProMBS-Locations

    Head Office | Houston

    5450 Northwest Central, Suite 120,

    Houston, TX 77092, United States.

    Nevada Office

    2300 W Sahara Avenue, Suite 800,

    Las Vegas, NV 89102, United States.

    Colorado Office

    1600 Broadway, Suite 1600, Denver,

    CO 80202, United States.

    Reno Office

    401 Ryland, Suite 200-A, Reno,

    NV 89502, United States.