Patient welfare is a top priority in physical therapy. Healthcare providers invest significant time in creating personalized treatment plans tailored to each patient's unique needs. However, accurate billing and coding are crucial for the financial health of a physical therapy practice. Physical therapy billing and coding are particularly complex due to factors that often lead to claim denials, such as ensuring services meet "medical necessity" criteria. Hiring an internal billing specialist can be expensive and time-consuming. MBP Billing and Coding Solutions offers certified, experienced coders and billers with in-depth knowledge of physical therapy billing. Our experts understand the intricacies of this process, providing effective solutions to boost your practice’s revenue and reduce claim denials.
MBP Billing and Coding Solutions excels in providing efficient revenue cycle solutions for physical therapy practices nationwide. Our certified team, proficient in ICD-9/10, CPT, and HCPCS coding, ensures accurate claim submissions in line with CMS and AMA guidelines. We adapt to various EMR and PMS software systems and offer customized solutions tailored to your practice's needs. Our goal is to minimize claim denials and optimize revenue. With years of experience working with leading physical therapy providers and hospitals, we handle administrative tasks so you can focus on patient care. Our track record includes significant revenue increases and reduced claim denials, achieved through rigorous processes and skilled coding specialists familiar with Medicare and Medicaid policies. At MBP Billing and Coding Solutions, our team is dedicated to ensuring your economic prosperity in the revenue cycle management sector.
If you are looking for expert and cost-effective Medical Billing services, Get in touch with us today
If you are looking for expert and cost-effective Medical Billing services, Get in touch with us today
Common QueriesThe 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.
Precision in Medical Billing and CredentialingMBP Billing and Coding Solutions stands out as a renowned provider in the medical billing service industry. Our reputation is built on consistently delivering precise and prompt outcomes, which effectively boost revenue for our valued clients. Utilizing cutting-edge technology and expertise, we streamline the billing process, reduce errors, and enhance productivity, all while delivering exceptional client support. Our team at MBP Billing and Coding Solutions comprises highly skilled and extensively experienced specialists in Medical Billing and Coding. Beyond simply managing billing requests, our commitment lies in passionately ensuring your economic prosperity in the Revenue Cycle Management Sector.
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We are helping healthcare physicians across the United States tackle their medical billing and credentialing challenges. Our team of experts specializes in key areas known for significantly improving billing efficiency and accuracy. If you're seeking a reliable medical billing company, look no further. Contact us today to learn more about our comprehensive services!
TESTIMONIALS
"MBP Billing and Coding Solutions has been a game-changer for my practice. Their expertise in managing credentialing and billing processes has allowed me to focus entirely on patient care. Their team is incredibly reliable and always ready to assist. Highly recommended!"
"Working with MBP Billing and Coding Solutions has significantly streamlined our billing processes. Their proactive approach and meticulous attention to detail have resulted in faster reimbursements and reduced administrative burdens. Their services are indispensable to our clinic."
"The team at MBP Billing and Coding Solutions is exceptional. They handled our credentialing and contracting with such efficiency that we experienced no downtime. Their dedication and professionalism ensure our practice runs smoothly, and we couldn't be happier with their services."
"I can't thank MBP Billing and Coding Solutions enough for their outstanding service. Their regular follow-ups and audits have kept our credentialing up-to-date and compliant. Their expertise has saved us time and money, making them an invaluable partner for our office."
"MBP Billing and Coding Solutions has exceeded our expectations in every way. Their comprehensive understanding of the credentialing process and prompt handling of contracting issues have been crucial for our practice. Their support allows us to maintain our focus on delivering excellent patient care."
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Professional Arcade 4th floor E11/3 Islamabad
70 DAWNAY ROAD BD5 9LH United Kingdom
1600 Broadway, Suite 1600, Denver, CO 80202, United States.
MBP Billing and Coding Solutions offers expert medical billing services to optimize revenue and streamline operations for healthcare providers.
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