Rejected or delayed reimbursements, after spending hours to rehabilitate injured patients can be demeaning for physical therapy practices. Claim denials, rejections, and delays can hurt the continuity of the business for the healthcare providers.
Insurance billing for physical therapy is complex. With rapid changes in the outpatient practice, it is now more important to understand the proper usage of the current procedural terminology (CPT) codes.
CPT codes are managed and updated every year by the American Medical Association. Changes and updates for the year 2021 include:
63% of the new codes involve new technology or services, implemented due to the COVID-19 pandemic. There are changes in nearly every section. Hence, correct coding is dependent on understanding the latest coding resources and the associated guidelines.
|97535||Self-Care/ Home Management Training|
|97750||Physical Performance Test or Measurement|
|97762||Checkout Orthotic/ Prosthetic Use|
Physical Therapists must document medical necessity for services represented by 97012 – Mechanical Traction, 97018 – Paraffin Bath, and 97028 – Ultraviolet.
Using appropriate CPT codes and modifiers ensures higher revenue for the physical therapy service provider. Practices who choose to work with HIPAA and PCI-compliant professional medical billing services can address denials and address revenue leakages.
Atlantic RCM is one of the leading multi-specialty medical billing companies in USA that serves 25+ major medical billing specialties. Our experts work across your practice in billing, collections and account receivables management, to help you succeed.
Get in touch with the leading medical billing outsourcing company to learn more. Call us at (786) 264-1222 or write to us Info@atlanticrcm.com