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For physical therapists, physical therapy billing is a fact of life, but that doesn’t mean the process should be overwhelming. And that’s true whether you’re a seasoned veteran or a fresh graduate. Read on to learn everything you need to know about billing guidelines in this physical therapists’ billing guide—well, a lot of it, anyway.
30 Σεπ 2024 · This comprehensive guide aims to empower physical therapists with the knowledge required to refine their billing and coding processes, thus boosting the practice’s financial health, maintaining regulatory compliance, and improving patient satisfaction.
Use this guide to help you identify when you must apply the CQ modifier. When billing timed treatment codes, first determine the total number of units that can be billed based on the 8-minute rule. Then determine, for each unit, whether the PTA furnished more than 10% of each unit independent of the physical therapist.
During a patient’s appointment for patellofemoral pain, the clinic physical therapist assistant (PTA) provides 13 minutes of therapeutic exercise (CPT 97110), after which the PT provides manual therapy (CPT 97140) for 22 minutes. To close out the session, the PT leads the patient through 15 more minutes of therapeutic exercise.
When billing timed treatment codes, first determine the total number of units you can bill based on the 8-minute rule. Then determine, for each unit, whether the PTA furnished more than 10% of each unit independent of the physical therapist. This is the de minimis standard for determining “in part” services.
APTA staff provide interpretation of the one-on-one and group codes, regarding the delivery of outpatient physical therapy services. Stay up to date on coding and billing in physical therapy.
17 Μαρ 2021 · Here, we’ve created a comprehensive guide to billing insurance as a physical therapist. We review the most common physical therapist billing codes to use, modifier codes to add, mistakes to avoid, billing for telehealth, and how billing works within Healthie for physical therapists. Physical therapy CPT codes
