Physical Therapy Medical Billing Services
Professional Physical Therapy Medical Billing Services
Stars Pro professional physical therapy medical billing services provide a comprehensive solution for busy practices. We take the weight of medical billing off your shoulders, allowing you to focus on delivering quality care to your patients.
With expertise in physical therapy coding and insurance regulations, we ensure accurate claims are submitted electronically for faster reimbursements. We also handle denied claims, maximizing your revenue collection and minimizing administrative burdens for your practice.
Our Professional Physical Therapy Billing Process
Patient Intake and Insurance Verification: During the initial patient visit, demographic and insurance information is collected. This is followed by verification of the patient’s insurance coverage and benefits for physical therapy services.
Evaluation and Treatment Coding: The physical therapist performs a thorough evaluation and documents their findings. Based on the diagnosis and treatment plan, a medical coder assigns specific codes using Current Procedural Terminology (CPT®) codes for the evaluation and any procedures performed.
Claim Submission: The coded information from the evaluation and treatment, along with patient demographics and insurance details, is compiled into a clean claim. This claim is then submitted electronically to the patient’s insurance provider for processing.
Payment Posting and Explanation of Benefits (EOB): Once the insurance company processes the claim, they will either pay the full amount, a portion, or deny the claim entirely. An Explanation of Benefits (EOB) is typically sent to both the patient and the physical therapy practice, outlining the details of the claim adjudication.
Payment Collection and Patient Billing: If the claim is partially or fully denied, the billing team may investigate the reason and potentially appeal the decision. For approved claims, any co-pays or remaining patient responsibility after insurance payment will be collected from the patient.
Denial Management and Follow-Up: Denied claims require attention to understand the reason for rejection. The billing team might need to gather additional documentation or correct any errors to resubmit the claim for proper reimbursement. This follow-up process ensures the physical therapy practice receives maximum payment for services rendered.
Why Physical Therapists Trust Stars Pro Billing Services?
Physical therapists wear many hats. They diagnose, treat, and guide patients on their road to recovery. But tackling medical billing can be a time-consuming and frustrating hurdle. Stars Pro Billing Services steps in to become a trusted partner, allowing therapists to focus on what they do best.
Firstly, Stars Pro boasts a team of experts dedicated to the intricacies of physical therapy coding and insurance regulations. They ensure accurate claims are submitted electronically, maximizing reimbursements and minimizing the risk of denials. This translates to a smoother cash flow for your practice.
Secondly, Stars Pro goes beyond simple claim submission. Their team meticulously follows up on denied claims, ensuring you receive all the revenue you’ve earned. This reduces administrative burdens and frees up valuable time and resources within your practice. You can focus on patient care with the peace of mind that Stars Pro is handling the complexities of medical billing.
Ultimately, Stars Pro Billing Services becomes an extension of your team. They handle the back-office tasks seamlessly, allowing your practice to thrive financially and focus on delivering exceptional patient care.
What CPT Codes Are Used by Physical Therapists in Billing?
Treatment Codes:
97110: Therapeutic exercises (structured movement and coordination activities to improve strength, flexibility, and range of motion)
97140: Manual therapy techniques (mobilization/manipulation techniques to improve joint mobility and function)
97530: Therapeutic activities (direct, one-on-one patient contact using dynamic activities to improve functional performance)
97535: Self-care/home management training (educating patients on exercises and techniques they can perform independently at home)
Evaluation Codes:
97161: Physical therapy evaluation, low complexity (e.g., initial evaluation for a new patient with a straightforward condition)
97162: Physical therapy evaluation, moderate complexity (e.g., evaluation for a patient with a more complex condition)
97163: Physical therapy evaluation, high complexity (e.g., evaluation for a patient with a very complex condition requiring extensive testing)
Why Physical Therapists Choose Stars Pro as their Billing Partner?
Expertise in Physical Therapy Billing
Streamlined Efficiency
Maximized Revenue Recovery
Reduced Administrative Burden
