Physical Therapy is one of the most eluded concepts in the history of billing. Physical therapy was born out of the need to help people which meant most physicians who performed physical therapy don’t get paid what they deserve. Current Procedural Terminology (CPT) developed by American Medical Association (AMA) is the accepted medical nomenclature to report medical procedures and services. However, CPT doesn’t cover some of the physical therapy interventions but it does provide a framework.
For physical medicine and rehabilitation, CPT codes are located in section 9700.However, the physical therapist can bill under any code depending on the state laws. Legion Healthcare solutions have developed a framework for each of the states in US, to make physical therapy billing error-free.
For physical medicine and rehabilitation, CPT codes are located in section 9700.However, the physical therapist can bill under any code depending on the state laws. Legion Healthcare solutions have developed a framework for each of the states in US, to make physical therapy billing error-free.
“Physical Therapy is the most interesting billing because there is always a fixed point in state law when it comes to reimbursement of a claim. We have developed a comprehensive framework when we deal with physical therapy based on a specific state, which helps us to reduce the denials and avoid appeals. However, we keep an open mind always communicate with physicians and payers about the therapy requirements and its cost.”- Billing manager for Physical Therapy
“Legion communicates with insurance companies about the coverage and conveys it to the physical therapists so that the billing doesn’t go in appeals.”
– Certified Coder for Physical Therapy Billing at LHS