Physical Therapy
Reliability in Service & Superior Quality
- Your Trusted Billing Partner
Reliability in Service & Superior Quality - Your Trusted Billing Partner
Physical Therapy Billing
Like any other healthcare providers, physical therapists face numerous hurdles in realizing appropriate reimbursements for their services. A cumbersome billing process, stringent payment guidelines and insurance companies increasing reluctance to pay are the key challenges in physical therapy practice. The most significant reason for claim denials in physical therapy is the “medical necessity” of the service offered. An effective revenue cycle management process greatly helps in addressing these challenges and can contribute significantly to safeguard financial health of your practice.
Our team of talented billers and coders have adequate knowledge and experience in coding and billing for physical therapy in various setup. We at RCM Workshop, take pride in safeguarding your financial health through an optimized medical billing process starting from eligibility & benefits verification, prior authorization to accurate coding and quick submission of claims. Our post billing process encompassing denial management and AR follow-up ensures timely collection and speedy resolution of denial claims. Our team is well-versed with most of the EMR software and can quickly adapt to your existing software.
Unbeatable Service, Quality & Price
ACCURACY
0
%
TURNAROUND TIME
<
0
Hours
COLLECTION
0
%
PRICE
Starting from $
1100
/Month
OUR PROCESS
Our Physical Therapy Billing Process Workflow
Backed by a team of dedicated and experienced coders and billers, our physical therapy billing process comprehensively addresses the challenges to ensure swift and accurate payments. Our billing experts work diligently and follows industry standard best practices for revenue cycle management to minimize errors and reduce claim rejection rates, resulting in better turnaround time and higher revenues for your practice.
Our physical therapy billing team is well versed in coding (ICD-10 & CPT) applicable for physical therapy and latest billing guidelines to ensure your practice receives accurate reimbursement for services rendered. Our efficient process for denial management and AR follow-up ensures timely payment and eliminates payment delay. Our pre-service workflow ensures clean claim submission and reduces denials significantly. Our metrics driven reporting tool captures and reports every aspect of process performance – productivity, quality and $ collections in a transparent way and gives you full control over your billing process.
Scheduling & Registration
Well coordinated appointment Scheduling, update insurance details and handle inbound outbound calls from/to patients.
Eligibility & Benefits Verification
Confirm patient primary and secondary insurance and benefits coverage and verify the patients’ coverage, co-pays, co-insurance and deductibles
Prior Authorization
Initiate request for prior authorization with the payer, follow-up to check Auth status till closure and finally update the system with Auth approval reference number.
Medical Coding
Check accuracy of codes and modifier according to specialty and assign corresponding and appropriate charges to the codes.
Charge Posting
Audit the claims thoroughly to check for accuracy and edit if necessary and submit claims – both EDI and paper format.
Claims Edit & Submission
Audit the claims thoroughly to check for accuracy and edit if necessary and submit claims – both EDI and paper format.
Payment Posting
Carry out both auto as well as manual posting for payments received and conduct reconciliation against claims.
Denial Management
Analyse and categorize denial claims according to denial codes, $ amount and payers, and resubmit claims after correction.
AR Management
Follow-up with payers to gather status for unpaid claims, and their resolution.
Patient Collection
Sending patient statements and follow-up with patients for final and outstanding payment.
Tailored to your specific needs, you have the flexibility to entrust us with either your entire billing requirements or select any combination of our Urgent Care billing services. Our seamless integration ensures smooth operations without causing any disruption to your billing operations.
BEST PRACTICES
Our Physical Therapy Billing Best Practices
Leveraging data analytics and a thorough analysis of denial trends in billing, we have established a foundation of best practices and our services designed to meet specific needs of physical therapy practices ensure a seamless support for your billing requirements and operations. Our proficiency in healthcare revenue cycle management significantly contributes to streamlining your billing processes and ensures full compliance with billing regulations.
- Thorough and accurate eligibility and benefits verification
- Effective prior authorization process to obtain prior approval proactively
- Ensure correct documentation and establish medical necessity
- Thorough review for ICD-10 & CPT codes and modifiers
- Efficient denial management and prevention of denials
- Proactive and meticulous claims follow-up with payers
- Accurate payment adjustment, write-off and reconciliation
- Stringent quality audit at every stage of billing cycle to ensure accuracy
BENEFITS
Outcomes Guaranteed
Our expert billers with their expertise in physical therapy billing works diligently to provide exceptional service to your practice and enhance your ROI. Our analytics driven approach helps in optimizing revenue cycle process to ensure a superior quality outcome consistently. We assure you a much-improved financial outcome.
Efficient benefits verification
>99% clean claim submission
Efficient authorization management
<24 hours turn-around time
Efficient coding & code review
>25% increased reimbursement
Efficient denial management
<5% claims denials
Proactive accounts receivable follow-up
<40 days AR & reduced aging
Better coordination & documentation
improved revenue cycle
WHY US?
Why partner with us
Our revenue cycle service encompasses all facets of your physical therapy billing needs, seamlessly integrating into your existing billing infrastructure. By following medical billing best practices and protocol for quality assurance and compliance, our dedicated team provides a superior and improved billing service. We are committed to delivering unparalleled support and productivity, while helping you optimize your revenue cycle. Partner with us today for exceptional outcomes and transform your billing process.