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Re: Physical,occupational, and speech therapy

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Reichl2014:
Hello,

Help!  I have many years experience in surgical and internal med billing.  Just started Assisting new therapy practice with therapy billing and it seems so complicated.  Anyone familiar with this type of billing mainly to commercial and MA insurances. 

Thanks, Gayle

shanbull:
I do PT/OT billing, what is confusing you most?

Merry:
Much more complex than regular physician billing. I would suggest at least for Medicare..go to your MAC's site and download their info about therapy services. Many of the MACS have free webinars so check under educational services on the Medicare site

Reichl2014:
It is a new practice and the owner is a physical therapist. She has no idea about coding and billing.  In the midatlantic area. What are normal % paid to biller and does it include auths etc. statements?
How do u keep track of auths???   She  Wants to use 96111 all the time because it pays more. Told her she needed eval code like 97003. And treatment codes. She isn't doing modalities yet
Thanks

Reichl2014:

--- Quote from: shanbull on October 06, 2014, 07:53:15 PM ---I do PT/OT billing, what is confusing you most?

--- End quote ---
practice is brand new and owner is therapist. She knows nothing about billing or coding.  What is normal% paid to billers (pa). Does it include auths, sending statements?
What procedure do u have in place for auths.  Anywhere to find forms.
She wants to code 96111 all time but told her needs to do eval first like 97001or 97003 first. Is there a time  for this code.  And then auth patient for modalities or treatment   For future visits. When should you do 96111?
Thanks gayle

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