Physical therapy is a valuable resource for individuals of all ages dealing with medical conditions, injuries, or chronic diseases that limit their movement and function. Physical therapy helps individuals maintain an optimal level of physical health and mobility. However, physical therapists often encounter challenges when it comes to claim submission to Medicare and private insurance. These challenges include eligibility problems, changes in reimbursement schedules, difficulty establishing medical necessity, telehealth considerations, and the potential misuse of codes and modifiers. Outsourcing the task of managing claim submissions to an experienced physical therapy medical coding company is a practical option. By partnering with experts in the field, providers can ensure the use of the most specific physical therapy CPT codes that accurately describe the services rendered, and also correctly bill units of timed and untimed therapy CPT codes.
Procedural or CPT codes for physical therapy encompasses a range of codes that cover evaluations, re-evaluations, and treatment procedures. Physical therapy evaluations and re-evaluations need to be reported using specific CPT codes. These codes not only provide descriptors for the components required in the evaluation process but also specify the typical face-to-face times associated with each service.
Outsourcing billing and coding ensures a streamlined and efficient approach to medical billing and coding, helping physical therapists to navigate the complexities of reimbursement processes with ease. Professional support enables practices to focus on delivering high-quality care to their patients while ensuring proper reimbursement and minimizing claim denials.
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