Wednesday, June 27, 2012

physical Therapy And refund - Where Are We Heading?

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The professions of bodily Therapy and rehabilitation have always been professions of healing, caring and educating. In the past 10 years, we have had to adapt and strengthen our expert therapeutic skills to contain a dual specialty of therapist and reimbursement coordinator and manager. We enter the profession of therapeutic rehabilitation to heal our clients and provide education. We are now experiencing an ever-increasing examine on our time to complete widespread documentation required by multiple guarnatee companies.

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The amount of reimbursement received for bodily Therapy services has remained largely flat over the past any years. In the same amount of time, the amount 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 reimbursement even further. These factors join to produce lower levels of expert productivity due to widespread documentation time, and increased cost for supplementary office staff to maintain claims processing. The end consequent 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 estimation (97001) in upstate New York reimbursement rates have ranged from a low of .79 in 2000 to a high of .19 in 2005 and have prolonged to fall since that time. With reimbursement rates decreasing, paperwork increasing and increasing costs of malpractice, unemployment, disability, and workers payment guarnatee for hidden practices, where do we go to heighten 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 offering electronic healing records and scheduling. Others offer estimation forms and Billing/Claims/Account management systems. What becomes clear 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 accountability of the success of the ideas is settled back on the bodily Therapy practice owner and/or the office staff, which must be hired to manage, maintain 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 regular basis, the practice owner must again conduct processes to modernize Eob's, Cci edits and new memorandums released by multiple guarnatee clubs to assure complete and timely payments.

An internet based ideas with real time integrated billing management, claims processing, automated coding and reimbursement 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 connection allowing the therapist to do what we are trained to do; treat patients and let the practice management explication do what it is designed to do:

o process claims faster than the national average

o provide quick passage 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 bodily Therapists we must seek practice management systems which provide expert web based billing, coding and reimbursement solutions with an electronic healing narrative 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 reimbursement process for years, and get back to doing what we do as bodily Therapists...client care and rehabilitation.

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