Stop Drowning in Paperwork: Streamline Physical Therapy Billing and Coding
Physical therapists play a vital role in restoring patients’ mobility and function. However, complex coding and billing processes can steal valuable time you should be dedicating to patient care. The intricate nature of your physical therapy services, combined with evolving regulations, makes accurate coding and claim submission a challenge.
Talk to an RCM expertAre You Facing These Challenges With Your Physical Therapy Practice?
Physical therapy practitioners must navigate numerous variables related to workers’ compensation billing that range from the location of an accident to the nuances of bulk billing and flat rates. Negotiated enrollments, capitation with payers and case rates must all be considered for accurate billing and coding in physical therapy practices.
Constant Regulatory Updates
Keeping pace with the latest PT coding and billing regulations is a constant battle. Hence, physical therapy team usually requires the dedicated services of a trusted partner who stays current on all HCPCS, CPT, and payer-specific guidelines to ensure your claims are coded correctly and reimbursed swiftly.
Time Constraints
Physical therapists often juggle a high volume of patients, leaving little time for meticulous documentation. Since accurate documentation is vital for proper coding and reimbursement, physical therapy practitioners are usually struggling to find the middle ground between effective billing and quality patient care.
Complex Coding Requirements
Physical therapy services involve a wide range of interventions. Accurately coding these services using specific modifiers, add-on codes, and flat rate commitments calls for specialized services to enhance the efficiency of medical billing and coding.
Multiple Payers, Multiple Rules
With a variety of insurance providers, each with its own coding and billing requirements, managing claims can be overwhelming. Physical therapy practitioners must usually deal with the complexities associated with multiple payers to ensure proper claims submission.
Denial and Appeal Hassles
Even with efficient coding, denials can occur. Appealing denials requires time and resources physical therapy practices might not have at their disposal.
Managing One-on-one and Group Sessions Billing
Billing for group therapy sessions like they are individual sessions usually puts the practice at risk, leading to claim denials. Moreover, the need to bill group sessions using specific CPT codes calls for extra vigilance that exacerbates the administrative burden on physical therapists.
Managing Time-based Coding
The CMS’s time-based coding requirements play an important role in the efficiency of reimbursements for physical therapists. Since each therapy procedure requires an accurate number of units to be billed, physical therapists are left with little room for error.
Inefficient Accounts Receivables (AR) Follow-up
Delays in claim processing and follow-up can significantly impact a physical therapy practice’s cash flow. Hence, they require dedicated support to ensure prompt follow-ups to keep the revenue cycle running smoothly.
Services Designed Specifically for Physical Therapy Practices
With team 314e by your side, you can focus on delivering exceptional patient care. Our dedicated services encompass the unique needs of physical therapy practices.
HCPCS Coding (S0023-S9522)
Our certified coders accurately capture all your physical therapy services, including therapeutic interventions, modalities, and assessments, using the most recent HCPCS codes.
Modifier Application Expertise
We ensure proper modifier usage to accurately depict the complexity, duration, and physical location of your services, maximizing reimbursement potential.
Evaluation and Management (E/M) Coding
Our team precisely translates initial evaluations, re-evaluations, and ongoing management, into the appropriate E/M codes.
Functional Capacity Assessments
We ensure accurate coding for functional capacity assessments, ensuring payers recognize these vital services.
Group Therapy Coding
Properly coding group therapy sessions requires specific knowledge. Our team ensures your group therapy services are billed correctly.
Medicare Part B Billing
We handle the intricacies of Medicare Part B billing, including adherence to specific documentation and coding requirements.
Experience the 314e Advantage
Our team of physical therapy billing and coding specialists stays current on the latest industry trends and best practices. We partner with practices of all sizes, from solo therapists to multi-location clinics.
Navigating Payer-specific Rules
We understand the nuances of different payer policies and ensure your claims comply with each payer's specific requirements.
Optimizing Documentation for Coding
Our team can guide you on best practices for documentation to ensure all necessary information is captured for accurate coding and maximized reimbursement.
Reducing Denial Rates
Our expertise in coding and claim submission minimizes denials and keeps your cash flow flowing.
Staying Compliant with Regulations
We keep you updated on all regulatory changes and ensure your billing practices are compliant.
Boosting Revenue and Profitability
With accurate coding, efficient billing, and reduced denials, we help you maximize your revenue and profitability.