hecks directly from the insurance company on their behalf (even when their policy states otherwise. A good AOB will give you solid legal recourse should the insurance company or the patient ever try to evade payment.
 Good New patient interview form.
 Good Fee slip that's easy to read and understand.

2. They present a bill and collect patient portions at the time of service. They don't waive and di

Physical therapy billing is often misunderstood and taken for granted by most private practices which result in thousands of dollars lost each month, if not more. Proper PT billing and CPT coding can make or break a practice. Those who know rehab billing secrets and techniques and do it well are more successful overall. Those who do not fully understand billing for physical therapy don't do as well.

What You Don't Know Will Hurt You!

Your billing system is the life blood of your private practice. The billing system keeps the revenue flowing that in turn keeps the business going. Most physical therapists want to treat patients and not deal with the billing. They think it's a "headache" and would rather dump it off on someone like a billing service or company or an employee. As a result of this mentality most practices across the country are losing out on a lot of money! The typical practice collects only 40% of what they should be and could be collecting. Billing is more than generating a claim with diagnosis codes and CPT codes. It is much more than that.

What the Most Successful Practices are Doing

1. They get all the right tools. They don't use borrowed (stolen) forms from past employers and copy someone making a lot of mistakes. They don't use MediSoft, Lytec, TurboPT, PTOS, or Clinicient. Instead they have...

 Good Software with few bells and whistles.
 Good Patient Intake/Registration Form .
 Good Assignment of benefits (AOB) form containing important legal language. It should secure legal rights from the patient allowing you to deposit checks made out in their name, file a complaint with the insurance commissioner on their behalf, receive checks directly from the insurance company on their behalf (even when their policy states otherwise. A good AOB will give you solid legal recourse should the insurance company or the patient ever try to evade payment.
 Good New patient interview form.
 Good Fee slip that's easy to read and understand.

2. They present a bill and collect patient portions at the time of service. They don't waive and disrt You!

Your billing system is the life blood of your private practice. The billing system keeps the revenue flowing that in turn keeps the business going. Most physical therapists want to treat patients and not deal with the billing. They think it's a "headache" and would rather dump it off on someone like a billing service or company or an employee. As a result of this mentality most practices across the country are losing out on a lot of money! The typical practice collects only 40% of what they should be and could be collecting. Billing is more than generating a claim with diagnosis codes and CPT codes. It is much more than that.

What the Most Successful Practices are Doing

1. They get all the right tools. They don't use borrowed (stolen) forms from past employers and copy someone making a lot of mistakes. They don't use MediSoft, Lytec, TurboPT, PTOS, or Clinicient. Instead they have...

 Good Software with few bells and whistles.
 Good Patient Intake/Registration Form .
 Good Assignment of benefits (AOB) form containing important legal language. It should secure legal rights from the patient allowing you to deposit checks made out in their name, file a complaint with the insurance commissioner on their behalf, receive checks directly from the insurance company on their behalf (even when their policy states otherwise. A good AOB will give you solid legal recourse should the insurance company or the patient ever try to evade payment.
 Good New patient interview form.
 Good Fee slip that's easy to read and understand.

2. They present a bill and collect patient portions at the time of service. They don't waive and di out on a lot of money! The typical practice collects only 40% of what they should be and could be collecting. Billing is more than generating a claim with diagnosis codes and CPT codes. It is much more than that.

What the Most Successful Practices are Doing

1. They get all the right tools. They don't use borrowed (stolen) forms from past employers and copy someone making a lot of mistakes. They don't use MediSoft, Lytec, TurboPT, PTOS, or Clinicient. Instead they have...

 Good Software with few bells and whistles.
 Good Patient Intake/Registration Form .
 Good Assignment of benefits (AOB) form containing important legal language. It should secure legal rights from the patient allowing you to deposit checks made out in their name, file a complaint with the insurance commissioner on their behalf, receive checks directly from the insurance company on their behalf (even when their policy states otherwise. A good AOB will give you solid legal recourse should the insurance company or the patient ever try to evade payment.
 Good New patient interview form.
 Good Fee slip that's easy to read and understand.

2. They present a bill and collect patient portions at the time of service. They don't waive and diytec, TurboPT, PTOS, or Clinicient. Instead they have...

 Good Software with few bells and whistles.
 Good Patient Intake/Registration Form .
 Good Assignment of benefits (AOB) form containing important legal language. It should secure legal rights from the patient allowing you to deposit checks made out in their name, file a complaint with the insurance commissioner on their behalf, receive checks directly from the insurance company on their behalf (even when their policy states otherwise. A good AOB will give you solid legal recourse should the insurance company or the patient ever try to evade payment.
 Good New patient interview form.
 Good Fee slip that's easy to read and understand.

2. They present a bill and collect patient portions at the time of service. They don't waive and dihecks directly from the insurance company on their behalf (even when their policy states otherwise. A good AOB will give you solid legal recourse should the insurance company or the patient ever try to evade payment.
 Good New patient interview form.
 Good Fee slip that's easy to read and understand.

2. They present a bill and collect patient portions at the time of service. They don't waive and discount co-pays and deductibles. Which is illegal without documented financial hardship.

 A good staff member handles the new patient interview with professionalism and tact and the patient is made aware of their financial responsibilities, not a minimum wage receptionist.
 All pertinent personal and insurance information is gathered at initial interview and/or first appointment.
 Services and codes are strategically chosen based on the type of insurance the patient has and the payer rules.
 Modifiers are applied to maximize billing. All staff are trained well on how to use them.
 Patients are presented with a bill with their portions clearly stated and they pay that day.
 The billing person receives the charges and codes daily.

3. They collect insurance portions within 60 days! They don't accept insurance company stall tactics such as, "we don't have record of your claim", "it's being processed", "we need more information", "it wasn't medically necessary", etc. They apply the state and federal provider rights laws and get paid fast.

 Billing data is input into the computer timely
 The AOB is manually sent to the insurance company payer
 Bills are generated and submitted electronically. Electronic claims are paid within 14 days whereas paper claims can take as long as 60-90 days.
 If payment is not made within 30-45 days, a tracer is sent with a notice warning of a possible complaint with the insurance commissioner.

4. They collect 90-100% of Billed Charges! They don't accept denials of any kind such as, "Untimely submission", "Not UCR", "Not Medically Necessary", "No