Sunday, July 8, 2012

bodily Therapy And reimbursement - Where Are We Heading?

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The professions of corporal Therapy and resumption have all the time been professions of healing, caring and educating. In the past 10 years, we have had to adapt and expand our professional therapeutic skills to comprise a dual specialty of therapist and refund coordinator and manager. We enter the profession of therapeutic resumption to heal our clients and supply education. We are now experiencing an ever-increasing examine on our time to complete total documentation required by many guarnatee companies.

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The number of refund received for corporal Therapy services has remained largely flat over the past several years. In the same number of time, the number 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 join to furnish lower levels of professional productivity due to total documentation time, and increased cost for additional office staff to support claims processing. The end result is working harder for less profit.

The National Apta Medicare Fee agenda Calculator provides median reimbursements for Cpt codes from 2000 to present. For a Pt estimate (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 recompense guarnatee for private 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 management clubs have designed software programs for the end user gift electronic healing records and scheduling. Others offer estimate forms and Billing/Claims/Account management systems. What becomes obvious while researching these software systems is two things:

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

b. Each software ideas is only as up to date as the date it was published or downloaded. With guarnatee regulations changing on a quarterly basis, the custom owner must again conduct processes to update Eob's, Cci edits and new memorandums released by many guarnatee clubs to assure complete and timely payments.

An internet based ideas with real time integrated billing management, claims processing, automatic coding and refund regulations is a significant tool in getting the therapist back in the clinic and getting paid in a timely, productive and productive 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 custom management clarification do what it is designed to do:

o process claims faster than the national average

o provide quick access 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 custom management systems which supply devotee web based billing, coding and refund solutions with an electronic healing article and scheduling capabilities. As custom owners this will allow us to focus our efforts and expertise on improved professional 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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