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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.

e clinicalworks
athena health
advance md
collabrate md
valant
nextgen
kareo go practice
simple practice
practice fusion
practice mate
lytec
nextech
all scripts
md land
care cloud
RXNT
central reach
office lly
aprima
clinic source
e clinicalworks

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?

Rapid Revenue Recovery

Rapid Revenue Recovery

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First-Pass Resolution

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Denial & Rejection

Denial & Rejection

0 % - 10%
Short Turnaround Time

Short Turnaround Time

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Electronic Claim

Electronic Claim

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Electronic Payment

Electronic Payment

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Rapid Revenue Recovery

Rapid Revenue Recovery

0 Days
First-Pass Resolution

First-Pass Resolution

0 %
Denial & Rejection

Denial & Rejection

0 % - 10%
Short Turnaround Time

Short Turnaround Time

0 Hours
Electronic Claim

Electronic Claim

0 %
Electronic Payment

Electronic Payment

0 %
Client Retention

Client Retention

0 %
Revenue Increase

Revenue Increase

0 %
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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!