March 2024, third week. I’m reviewing claims data for a PT clinic in Woodbridge, New Jersey and something doesn’t smell right. On Tuesday afternoon, their therapist recorded 22 minutes of therapeutic exercise (97110) and 20 minutes of manual therapy (97140)
If you run a physical therapy clinic or handle PT billing, you’ve probably dealt with M62.81 more times than you can count. It’s one of the most used diagnosis codes in outpatient rehab — and one of the easiest to
If you’ve ever had a claim denied because of a simple coding mix-up between a new and established patient, you’re not alone. It’s something every healthcare provider must know to avoid revenue loss. It happens in practices across the country
Are you finding that your claims are being denied regularly when they should be paid? Are your reimbursements taking longer to process even though you submitted the claim accurately? In 2026, the challenges associated with billing for behavioral health are
Healthcare payment is evolving, with value-based care at the forefront of this transformation. . According to the 2024 HCP-LAN annual survey, over 60 % of U.S. healthcare payments now flow through value-based arrangements, and the number keeps rising. Medicare and
Opening a physical therapy practice is a major milestone. But before you can bill a single insurer, you need to complete physical therapy credentialing. This is a process that even well-prepared new owners trip up. Credentialing is how insurance payers
