MAVA Care provides specialized physical therapy billing services to optimize revenue cycle management for healthcare providers. Our expert team ensures claims are submitted accurately, medical coding is correct, and compliance with industry regulations is maintained. We reduce errors and denials and support AR follow-up, denial management, and credentialing to maximize reimbursement.
As a leading physical therapy billing company, we specialize in accurate claim submissions and medical coding to ensure timely reimbursements. Our team minimizes denials, handles AR follow-ups, and provides personalized support to maximize revenue.
With a focus on efficiency and transparency, we help physical therapy practices streamline our billing process. MAVA Care lets providers concentrate on delivering quality patient care, and we ensure financial stability. Although the process can be complicated, we simplify it for everyone involved.
CPT codes in physical therapy constitute a fundamental aspect of the billing process. After a service is provided, it becomes imperative to document and sign the treatment note meticulously. Following this, the appropriate physical therapy CPT codes must be selected before the submission of a bill—this bill may be directed towards the patient, a third-party payer, or a claims clearinghouse that serves as an intermediary between the therapists (or business) and the payer.
Similarly, the CPT manual describes Modifier 59 in a particular way; under certain circumstances, it may be necessary to signify that a procedure or service was distinct or independent from other non-E/M services performed on the same day. Modifier 59 is utilized to identify procedures or services, excluding E/M services, which are generally not reported in conjunction; however, our reporting becomes essential because of the unique situation.
Although this distinction is subtle, it is critical to ensure accurate billing practices. Our services at the physical therapy billing company ensure compliance with industry regulations, delivering reliable and transparent billing solutions for long-term financial success.
Modifier 59 is utilized correctly for two services delineated by timed codes administered during the same encounter, provided which are executed sequentially. A specific application of Modifier 59 pertains solely to codes where the unit of service is quantified by time (for instance, per 15 minutes, per hour). This consideration is crucial because it ensures clarity and accuracy in billing practices.
Billing accuracy is something we take very seriously. We perform detailed coding reviews and audits to ensure that the medical code is accurately assigned to each service billed. Our team consists of highly trained and certified coders; we will ensure that all your claims are billed correctly. This process is crucial because it minimizes errors that could impact reimbursements.
We offer precise patient benefit verification; this assists in minimizing the risk of denied claims and unpaid bills. Our team has considerable experience verifying insurance benefits, encompassing co-pays, deductibles, coinsurance, and out-of-pocket costs. However, the process can be intricate, and attention to detail is crucial.
We continuously monitor your claims to ensure maximal reimbursements; we aim to reduce denials. Our team, however, handles your appeals efficiently, assisting you in obtaining a favorable outcome in the shortest time possible. Although we strive for excellence, challenges may arise. This commitment to your success is unwavering because we understand the importance of timely resolutions.
Our proficient physical therapy coders comprehend the significance of your practice's financial success: this understanding drives the commitment to facilitating swift and precise reimbursements. You can anticipate timely payments with minimal delays may occur. Although challenges exist, the dedication of our team ensures that your cash flow remains stable because we prioritize efficiency in every transaction.
Our team is highly experienced in physical therapy coding regulations; we continually stay current on the latest changes and industry standards. It ensures that all claims are billed accurately. We also conduct regular compliance reviews because ensuring your practice remains HIPAA-compliant is essential.
Our automated reporting (and data analytics) services comprehensively analyze your practice's financial performance. Our team employs advanced analytics to identify trends in reimbursement, collections, denials, and appeals. However, this process requires careful attention to detail because the insights gained can significantly impact your overall strategy.
Physical therapy reimbursement is a significant difficulty for clinics for some reasons:
Physical therapy billing codes are generally CPT (Current Procedural Terminology) codes. Here are two popular CPT codes for physical therapy:
These codes must be correctly reported to guarantee adequate remuneration for services delivered.
In physical therapy billing services, timed and untimed codes differentiate how services are billed based on the duration and nature of treatment provided.
Untimed Codes
Timed Codes
97110: Range of motion and flexibility
97140: Manual therapy techniques
97530: Therapeutic Activities/Kinetic
97010: Hot packs
97014: Electrical stimulations (unattended)
97035: Ultrasound (15 minutes)
At MAVA Care, we provide comprehensive physical therapy billing services designed to streamline revenue cycle management for healthcare providers. Our team handles everything from claim submission and follow-up to ensuring accurate medical coding and compliance with the latest industry standards. Leveraging advanced billing software and a dedicated team of experts at a physical therapy billing company reduces errors, minimizes denials, and improves overall reimbursement rates, allowing physical therapy practices to focus more on patient care.
We also offer personalized support to assist with denial management, accounts receivable (AR) follow-up, and medical credentialing. Our physical therapy billing services prioritize timely claim processing and consistent communication with insurance companies to maximize revenue. With a focus on efficiency, accuracy, and transparency, we help physical therapists navigate the complex billing process while ensuring financial stability for our practice.
