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A Closer Look into Physical Therapy Changes

Being an owner of a physical therapy practice, you need to focus on accurate coding and efficient billing. Likewise, getting payments from insurance companies on time is possible with clean claim submissions. To submit accurate claims to payers, practice owners should focus on physical therapy changes and improve financial performance. Similarly, therapy practitioners offer relief to the patients with various conditions and this discipline is prevalent since ages.

There are many physical therapy providers in the USA enabling patients to improve their health conditions. Also, these therapists need to maintain an efficient revenue cycle to ensure financial well-being. Similarly, providers offering physical therapy need to stay updated with the Medicare physical therapy guidelines 2022. Here are some important factors that therapists need to know about billing and coding changes.

  • Medical practices offering therapy services should focus on value-based care as compared to fee-for-service payment mode.
  • Centers for Medicare and Medicaid Services (CMS) is promoting cost transparency for both providers and patients.
  • Does Medicare cover physical therapy 2022? Yes, the therapists get paid for adding value to the patient’s life in the value-based care paradigm.
  • How much does Medicare reimburse for physical therapy? The insurance companies need to reveal how much they are going to pay therapists.
  • Patients should be able to make better decisions about their healthcare choices.
  • Significant reduction in out-of-pocket expenses of the patients.

Physical Therapy Changes in Coding

According to physical therapy billing guidelines 2022, CMS is adding some relative value units and reducing some CPT codes. In addition, there are three additional remote therapeutic monitoring codes which are:

  • 989X1: Remote therapeutic monitoring; initial set-up and patient education on use of equipment
  • 989X4: Remote therapeutic monitoring treatment management services, physician/other qualified healthcare professional team in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month; first 20 minutes
  • 989X5: Remote therapeutic monitoring treatment management services, physician/other qualified health care professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month; each additional 20 minutes (List separately in addition to code for primary procedure).

Besides these physical therapy CPT codes 2022, outpatient therapy services will be paid at 85% of the Physician Fee Schedule. Likewise, being a physical therapist, you need to consult our experts and fulfill your medical billing and EHR requirements.

Stay Updated with the Changes

Healthcare industry constantly evolves and providers need to stay updated with the physical therapy changes to thrive. Also, Transcure is helping physical therapy providers to streamline billing and coding to optimize the RCM process. Besides billing, our EHR consists of specialty-specific templates to streamline your practice workflows. Similarly, the medical billing services are tailored to meet your specific needs. We help therapists submit clean claims with the latest CPT codes and modifiers to get fully paid on time.

Let Transcure manage the billing and coding of your therapy practice and stay financially healthy in the ever-changing healthcare industry. Additionally, we handle all the administrative hassles and enable providers to provide the best care. So, reach out to our billing experts who are aware of the physical therapy changes and follow the best billing practices.

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