Physical Therapy
Medical Billing Services
Let Medicotechllc help you with your physical therapy medical billing struggles. We have the knowledge and expertise to assist you, whether you’re facing difficulties complying with the 8-Minute Rule, Medicare KX Modifiers, or CPT Codes for physical therapy services (e.g., 97110, 97140).
Eliminate Revenue Leakage & Experience Timely Reimbursements.
Healthcare Standards Compliance Guaranteed
HIPAA (Health Insurance Portability and Accountability Act)
Complete adherence to all HIPAA regulations, ensuring the highest level of security and privacy for patient data.
CPT (Current Procedural Terminology) Codes
Delivering precise coding for all services, treatments, and procedures performed, to ensure first submission claim acceptance.
ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification)
We ensure accurate coding, avoiding upcoding/downcoding with proper documentation, and legal compliance for reimbursement and audits.
8-Minute Rule
Experts handle efficient time-based billing, counter overbilling/underbilling, and prevent claim rejections.
Credentialing Services
Medicotechllc provides both credentialing and recredentialing services to ensure smooth operations. We verify all your documentation and help you get credentialed for both government and commercial insurances.
Coding & Billing
Certified coding experts ensure accurate ICD-10 and CPT standards with transparent billing services that can improve revenue by up to 25%.
RCM Solutions
We manage full revenue cycle operations from appointment scheduling to final claim payments, ensuring efficiency and patient satisfaction.
EHR/EMR & AR
We simplify EHR/EMR and accounts receivable management so you can focus on patients while we handle smooth documentation and payments.
Benefits of Outsourcing Physical Therapy Billing With Medicotechllc
Physical Therapy Billing Codes
Billing for physical therapy isn't easy; it requires experts who understand its importance and have the proper knowledge of accurate coding to reduce errors and, ultimately, claims. Outsourcing your physical therapy medical billing services gives you access to skilled coders who follow CPT and ICD-10-CM standards, ensuring maximum reimbursements and minimizing audits.
Out-Of-Network Therapy Billing Services
Reduce your out-of-pocket expenses when seeing out-of-network patients and streamline the claims process for modalities such as ultrasound therapy and neuromuscular re-education, while ensuring faster reimbursements and improved patient satisfaction, and enhancing your practice's overall financial efficiency.
Patient Health Insurance Verification Services
Facing denials or delayed reimbursements due to incorrect insurance verification? Our specialized billing services are tailored for physical therapy practices, ensuring precise claims, streamlined insurance verification, and faster reimbursements. With a 99% client success rate, we’re your trusted partner in eliminating payment bottlenecks and maximizing revenue.
Poor Billing Stresses Patients
If you think poor billing is just stressing you in the healthcare field, you’re wrong; it affects your patients just as much as it affects you and your practice.
Financial Stress and Overcharges
Poor billing leads to unexpected charges, errors, and confusion for patients — creating financial stress.
Delays in Treatment or Payment
Billing errors, insurance disputes, or unclear processes can cause serious delays in treatment or payment.
Confusion and Lack of Clarity
Patients often feel lost about insurance coverage and financial responsibilities, leading to unpaid bills.
Impact on Credit Scores
Unpaid or mishandled bills may go to collections, harming credit scores and delaying future care access.
Emotional and Psychological Toll
Confusing billing practices can cause anxiety, stress, and a lack of trust — impacting overall well-being.
Challenges in Physical Therapy Billing & Our Solutions
| Challenge | Specific Problem | Solution |
|---|---|---|
| 1. Complex Payer Rules | Constantly changing insurance policies, specific PT limitations, and prior authorization hurdles. | Dedicated Payer-Specific Billing Expertise & Proactive Authorization Management. |
| 2. Documentation Deficiencies | Incomplete or non-compliant notes failing to support medical necessity or time-based billing. | PT-Specific EMR/EHR, Regular Chart Audits, & Staff Documentation Training. |
| 3. High Claim Denials | Errors in coding, missing modifiers, or services deemed not medically necessary by payers. | Proactive Claim Scrubbing, Robust Denial Management Workflow, & Root Cause Analysis. |
| 4. Inefficient Workflows | Manual processes, lack of system integration, and delayed claim submission. | Integrated Practice Management/EMR System & Automated Eligibility/Claim Submission. |
| 5. Patient Collections | Difficulty collecting co-pays, deductibles, and patient balances. | Clear Financial Policy, Point-of-Service Collections, & Automated Patient Billing. |
Effective Use of Therapy Billing Modifiers
Outsource your physical therapy medical billing services and eliminate the administrative burden of hiring, managing, and overhead costs. As an outsourced physical therapy billing company, we have staff specifically trained in physical therapy billing, including handling physical therapy modifiers to ensure compliance with legal standards and payer-specific guidelines, while staying up-to-date with the latest industry changes.
✓ 97% Net Collection Rate
✓ 32% Reduction in A/R
✓ 99% Client Success Rate
✓ 96% Error-Free Coding
✓ 25% Revenue Increase
Specialty Specific Physical Therapy Billing Services
Frequently Asked Questions About Therapy Billing Services
What is the 8 minutes rule in physical therapy billing?
The 8-minute rule refers to the time-based billing method used in physical therapy, where services are billed based on the duration of each therapy session. For every 8 minutes of therapy time, a unit of billing can be charged, ensuring accurate billing for partial time increments.
How does Medicotechllc stay updated on changing insurance regulations and codes?
Medicotechllc keeps abreast of the latest insurance rules and coding changes through continuous education, partnerships with coding experts, and regular industry updates, ensuring compliance and optimized billing practices.
How do you handle denial management for physical therapy claims?
We employ a proactive approach to denial management by scrutinizing claims before submission, addressing the root cause of denials, and using a dedicated workflow for resubmission, ensuring timely payments and minimized claim rejections.
How does Medicotechllc handle out-of-network billing and reimbursement?
We streamline out-of-network billing by ensuring accurate coding, proper documentation, and negotiating better reimbursement rates, making it easier for providers to collect payments for services provided to out-of-network patients.
What are the benefits of outsourcing physical therapy billing services?
Outsourcing physical therapy billing services reduces administrative burden, improves billing accuracy, speeds up reimbursement processes, enhances cash flow, and allows practices to focus on patient care without worrying about complex billing tasks.
How does Medicotechllc handle billing for different insurance plans (Medicare, Medicaid, private insurance)?
We manage billing across multiple insurance plans by customizing the billing process according to each payer’s requirements. This ensures timely reimbursements and compliance with each insurance plan’s specific protocols.
What is the cost of outsourcing medical billing for my physical therapy practice?
The cost of outsourcing medical billing varies depending on factors like practice size, volume of claims, and services needed. Medicotechllc offers competitive pricing that ensures a positive return on investment, with customized solutions to fit each practice’s needs.
Get in Touch With Us
See our contact page for more information
Head Office
7901 4TH ST N STE 300
St. Petersburg, FL 33702
Email Us
info@medicotechllc.com
Call Us
+1 727 353 2939
7901 4TH ST N STE 300 St. Petersburg, FL 33702
