Revenue cycle management helps your practice track revenue from patient encounter to final payment. At PHYSICALTHERAPYBILLING.COM, we offer physical therapy billing services that streamline the billing process. Here are the steps of the revenue cycle management process:
Patient Registration and Insurance Processing
The first step in revenue cycle management is capturing the correct patient information. Your system allows you to collect patient details, such as date of birth, address, phone number, and medical history. This step lets you gather your patients’ insurance information and verify their eligibility.
Online patient data forms allow you to register patients and gather information when they schedule an appointment. Review the policy benefits to be ready to discuss billing when the patient visits your clinic. If there are any mistakes in patient information, rectify them to speed up your revenue cycle.
Charge Capturing and Coding
After a patient receives treatment or service in your practice, you need to document the services by assigning codes. Use current procedural terminology (CPT) codes to help you submit claims.
Under-coding charges cause revenue leakage while over-coding charges can lead to costly lawsuits. Minimize such risks by using a charge entry system to automate this process. Our charge recapture tool can alert you of missing charges, leading to enhanced billing accuracy.
Claim Submission and Management
This step entails submitting claims to insurance providers for reimbursement. The payer can send you a detailed report of how many claims they are willing to pay as per the contract. Claims can sometimes be denied or rejected due to coding errors in patient data. Diagnostic codes in the wrong order can lead to denied claims. When claims get denied, you can follow up on the reason and track the progress.
To prevent payment delays, collaborate with the insurance company to verify that all the information is correct. Our system can help you attain a clean claim by automating the correct patient information and your clinic’s details.
After the insurance company reviews your claims, they can reimburse you. The payer sends details of the amount allowed or disallowed. An insurance carrier can also send information, such as what is appplied to co-payments, co-insurance and deductibles. Insurance companies can fail to pay the total amount, but you can inform the patient of the amount they need to pay separately.
Reporting and Analysis
Reporting and analysis is the final step of revenue cycle management. Evaluate your revenue cycle to discover reasons for denied claims, late payments, and other issues that slow down billing. EMR Systems offer detailed reports about such challenges for adjustments and improvements. Metrics and data analysis can help you get feedback and communicate with insurers to speed up reimbursement.
Get Reliable Physical Therapy Billing Services
At PHYSICALTHERAPYBILLING.COM, we offer physical therapy billing services to manage reduced reimbursement and claim denials. Our process can help your revenue cycle management process function effectively and efficiently. Contact us to learn more about revenue cycle management.