Billing is one of the most demanding parts of running a practice. Payer rules shift, claims get denied, and coding systems like CPT, ICD-10, and HCPCS demand constant attention. Some practices keep billing in-house to stay close to their finances,
Prior authorizations are draining PT practices. Here’s what’s going wrong and how to take control of the process… As a physical therapist, you open your PT practice with the aim of helping patients recover mobility, manage pain, and rebuild lives.
Plantar Fasciitis is one of the most common diagnoses treated in outpatient physical therapy. Roughly 2 million patients receive treatment for it every year in the United States, with a lifetime incidence of about 10% in the general population. Plantar
Have you had your claims rejected by insurance due to an old or non-specific diagnosis code? Then you understand the importance of getting it right. In medical billing, whether or not your claims get paid can come down to a
As soon as a new patient enters the clinic, an assessment procedure takes place, which starts with an appropriate billing decision. This may seem like an obvious step, but choosing the wrong CPT code will mean losing money on either
Back in October, I looked into denial reports for a clinic in Paramus, NJ. Two clinicians, good patient flow, and experienced biller with five years of experience. What’s their denial rate? 22 percent! One in five claims was being denied.
