bodily Therapy And reimbursement - Where Are We Heading?

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The professions of corporal Therapy and recovery have always been professions of healing, caring and educating. In the past 10 years, we have had to adapt and expand our expert therapeutic skills to comprise a dual specialty of therapist and refund coordinator and manager. We enter the profession of therapeutic recovery to heal our clients and contribute education. We are now experiencing an ever-increasing examine on our time to complete allinclusive documentation required by complicated insurance companies.

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The estimate of refund received for corporal Therapy services has remained largely flat over the past some years. In the same estimate of time, the estimate of required documentation has exponentially increased in volume as well as in complexity. The increase in documentation requirements, with a relatively flat level of reimbursement, does not keep pace with inflation. This effectively lowers the cost of refund even further. These factors incorporate to yield lower levels of expert productivity due to allinclusive documentation time, and increased cost for added office staff to hold claims processing. The end succeed is working harder for less profit.

The National Apta Medicare Fee program Calculator provides mean reimbursements for Cpt codes from 2000 to present. For a Pt evaluation (97001) in upstate New York refund rates have ranged from a low of .79 in 2000 to a high of .19 in 2005 and have continued to fall since that time. With refund rates decreasing, paperwork expanding and expanding costs of malpractice, unemployment, disability, and workers compensation insurance for underground practices, where do we go to enhance the efficiency of our practices and get back to what we were trained to do? Treat patients!

Many organizations and data administration companies have designed software programs for the end user gift electronic curative records and scheduling. Others offer evaluation forms and Billing/Claims/Account administration systems. What becomes evident while researching these software systems is two things:

a. Software packages are aimed at improving the workflow within an office or office principles that must then be managed by the provider. The full responsibility of the success of the principles is placed back on the corporal Therapy practice owner and/or the office staff, which must be hired to manage, hold and facilitate the system.

b. Each software principles is only as up to date as the date it was published or downloaded. With insurance regulations changing on a regular basis, the practice owner must again carry on processes to update Eob's, Cci edits and new memorandums released by complicated insurance companies to assure complete and timely payments.

An internet based principles with real time integrated billing management, claims processing, self-acting coding and refund regulations is a valuable tool in getting the therapist back in the clinic and getting paid in a timely, efficient and efficient manner. This process must be a shared, long-term relationship allowing the therapist to do what we are trained to do; treat patients and let the practice administration solution do what it is designed to do:

o process claims faster than the national average

o provide quick way to Ar and claims processing and management

o facilitate documentation to assure clean claims processing

o reduce the risk of audits with streamlined documentation

As corporal Therapists we must seek practice administration systems which contribute specialist web based billing, coding and refund solutions with an electronic curative article and scheduling capabilities. As practice owners this will allow us to focus our efforts and expertise on improved expert staff productivity, decreased documentation time, reduced complexity and ambiguity which has existed in the Pt billing and refund process for years, and get back to doing what we do as corporal Therapists...client care and rehabilitation.

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