Building a strong foundation for your PT practice has never been more important. From your clinicians, to your front office, to your billing team - every piece must work in tandem to deliver each visit successfully. One missing link and everyone's building block contribution to your practice will get lost.
One major piece of this is coding. You therapists need to be billing the correct codes for the services they are delivering and your billing team has to know which modifiers are important to be attached to those codes and how to get them paid.
If you don't have the right builders in place, things are about to get a lot more challenging for your practice. The recent and upcoming changes will have a major impact to your bottom line to the tune of up to $30/visit.
CMS has reinstated many of the procedure-to-procedure edits, which are more commonly known as the National Correct Coding Initiative Edits (NCCI edits).
This rule was actually deleted earlier this year, however, it will now be in effect TODAY - October 1st for PT, OT and speech outpatient therapy services.
Some popular CPT codes that it impacts are:
Therapeutic activities
Aquatic therapy
Biofeedback codes
Evaluation codes
Manual therapy
Just to name a few
Do you think it is time to get an inspection of your "building" to make sure your coding and billing practices are exceeding standards? Contact us, we would love to help!
We are offering a complimentary coding and billing assessment - click here to set one up for your practice.