Physical Therapy Billing

1. Physical Billing Containing all the aspects of life the physical therapy billing is a fact of life for any healthcare provider. This is very basic and common therapy which need to know in order about how to get paid. For example suppose you became a physical therapist to help the people and you did not do it for money, But you absolutely must bill and collect the payment in order to make a different in your patient’s lives. Remember the process doesn’t be overwhelming so the physical therapy billing is a fact of life. The International Classification of diseases (ICD) First, you will need to provide a diagnosis of your patient’s condition in order to successfully bill for your service. Also, it will demonstrate the medical necessity of all the medical services. Must keep noticed that you will needs to do using the latest version of the ICP ( International Version of Classification which ordered in almost 2015 of October. Notice that the complexity of the new coding system can be difficult to point out that which codes are suitable to use. Must ensure everything like call the payer first if your codes are reimbursable after claiming is going properly. Must ensure that your main aim is to minimize the needs for the appeal. The Current Procedural Terminology The current Procedural Terminology (CPT) that is developed by the American Medical association. It is most widely accepted medical procedures & services under the private and public health insurance programs. According to APTA it is necessary to utilize CPT-4 codes when billing most parties for the services that were rendered. Although CPT does not provide a reasonable framework for billing it is not the exact description of interventions if the physical therapist’s. One-on-One Services vs. Group Services You should not use the one-on-one CPT codes if you are providing the therapy services. As using the one-on-one services, codes can increase your risk of an audit. Basiclly one-on-one service means the direct contact with a patient. On the other hand group therapy still requires constant attendance, however it does not involve the one-on-one interaction with the patient. According to the CMS the It consist of simultaneous treatment of two or more patients who may or may not be performing the same activities. You should bill one unit of the group therapy to each patient if you are providing more attention at a time with only brief intermittent personal contact. What are the forms in Physical Billing? Mostly, in the physical billing and physical therapy billing mostly payers requires electronic claim forms. While some payers contains a dwindling few to do the still accepts paper ones. Although may some payers may request that you should use their own which is the most common fact in the Universal forms. You will submit a bill to either your patient or may be the third party payer as once you provide your services. To claim the clearinghouse feature that will claims the bill and send it out on your behalf you may actually submit your billing information.