In the dynamic realm of physiotherapy, accurate and efficient medical billing is essential for practice success. MZ Medical Billing excels in this specialty, offering tailored billing solutions designed specifically for physiotherapy practices. Here's why we stand out:

Expertise in Physiotherapy Billing:

• Our team comprises experienced professionals with specialized knowledge in physiotherapy billing.
• We understand the intricacies of billing for various physiotherapy services, including rehabilitation, therapeutic exercises, and manual therapy.
• With expertise in coding requirements and documentation standards, we ensure accurate billing and timely reimbursements for physiotherapy practices.

Tailored Solutions for Physiotherapy Practices:

• MZ Medical Billing provides customized solutions to address the unique billing challenges faced by physiotherapy practices.
• From comprehensive revenue cycle management to coding audits and denial management, our services are tailored to optimize revenue and minimize administrative burden.
• By partnering with us, physiotherapy practices can focus on delivering exceptional patient care while we handle the complexities of billing and revenue management.

Navigating State-Specific Guidelines:

• Compliance with state-specific guidelines is crucial for physiotherapy practices to avoid billing errors and maintain regulatory compliance.
• MZ Medical Billing excels in navigating the nuances of billing requirements across different states in the USA.
• Our team stays updated on state-specific regulations related to reimbursement rates, prior authorization requirements, and billing policies, ensuring compliance and mitigating the risk of audits or penalties.

Importance of State-Specific Guidelines:

• Variations in billing regulations across states necessitate a thorough understanding of state-specific guidelines for physiotherapy billing.
• MZ Medical Billing's expertise in state-specific billing requirements ensures that physiotherapy practices remain compliant and maximize revenue.
• By adhering to state-specific guidelines, practices can minimize billing errors, optimize reimbursements, and maintain financial stability.

Our Medical Billing Process

1. Patient Registration and Insurance Verification:
   • Patient Registration: We verify patient demographics, including name, date of birth, and address.
   • Insurance Verification: We verify patient insurance coverage, including the type of insurance, coverage limits, and any specific requirements or restrictions.
2. Medical Record Review and Coding:
   • Medical Record Review: We review medical records to identify all relevant services and procedures performed.
   • Coding: We assign relevant ICD-10 and CPT codes to ensure accurate billing.

Example Codes:

• Diagnosis Codes (ICD-10):
  • M25.511: Sprain of the shoulder joint
  • M25.512: Strain of the shoulder joint
  • M25.513: Dislocation of the shoulder joint
• Procedure Codes (CPT):
  • 97110: Therapeutic exercises, including therapeutic activities, to improve joint mobility and strength
  • 97112: Therapeutic exercises, including therapeutic activities, to improve muscle strength and endurance
  • 97116: Therapeutic exercises, including therapeutic activities, to improve balance and coordination

3. Claim Preparation and Submission:
   • Claim Preparation: We prepare claims using the coded information, including patient demographics, insurance information, and services and procedures performed.
   • Claim Submission: We submit claims to insurance providers electronically or on paper.
4. Claim Processing and Reimbursement:
   • Claim Processing: Insurance providers process claims, verifying services and procedures performed and patient insurance coverage.
   • Reimbursement: Insurance providers reimburse providers for services and procedures performed, based on insurance coverage and contracted rates.
5. Follow-up and Appeals:
   • Follow-up: We follow up with insurance providers to ensure claims have been processed and to address any issues or denials.
   • Appeals: If a claim is denied, we work with the provider to gather additional information and appeal the decision.

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In conclusion, MZ Medical Billing is committed to empowering physiotherapy practices through precise and efficient billing solutions. With our expertise and attention to state-specific guidelines, we help practices thrive in a competitive healthcare landscape, allowing them to focus on what they do best: helping patients regain movement and improve their quality of life.

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Physiotherapy CPT Codes

• Code 97110: Therapeutic Exercise
• Code 97112: Neuromuscular Re-Education
• Code 97116: Gait Training
• Code 97140: Manual Therapy
• Code 97150: Group Therapy
• Code 97530: Therapeutic Activities
• Code 97535: Self-care and Home Management Training

ICD-10 Codes for Physiotherapy

• M54.2: Cervicalgia
• M62.81: Muscle weakness (generalized)
• M25.551: Pain in right hip
• M25.552: Pain in left hip
• M84.3: Stress fracture
• M84.31: Stress fracture, shoulder
• M84.311: Stress fracture right shoulder
• M84.311D: Stress fracture right shoulder, subsequent encounter for fracture with routine healing
• M60-M63: Disorders of muscles
• M62.81: Muscle weakness (generalized)
• M20-M25: Other joint disorders
• M25.50: Other joint disorders, unspecified

Common ICD-10 Codes for Physiotherapy

• M54.2: Cervicalgia
• M62.81: Muscle weakness (generalized)
• M25.551: Pain in right hip
• M25.552: Pain in left hip
• M84.3: Stress fracture
• M84.31: Stress fracture, shoulder
• M84.311: Stress fracture right shoulder
• M84.311D: Stress fracture right shoulder, subsequent encounter for fracture with routine healing
• M60-M63: Disorders of muscles
• M62.81: Muscle weakness (generalized)
• M20-M25: Other joint disorders
• M25.50: Other joint disorders, unspecified

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