At MZ Medical Billing, we are experts in physical therapy billing, providing tailored solutions to meet the unique needs of physical therapy practices. Here's why we excel in this specialty:

• Expertise in Physical Therapy Billing: Our team comprises billing specialists with extensive experience and expertise in physical therapy billing practices. We understand the nuances of physical therapy coding and billing requirements, ensuring accurate and compliant claims submission.
• Efficient Claims Management: We streamline the claims management process for physical therapy services, from coding to submission and follow-up, to minimize claim denials and maximize reimbursement. Our proactive approach ensures prompt resolution of any billing issues or discrepancies.
• Personalized Support: MZ Medical Billing provides personalized support and guidance to physical therapy practices, addressing billing-related questions and concerns promptly and effectively. We serve as a trusted partner, offering ongoing assistance throughout the billing cycle.
• Compliance with State Guidelines: We recognize the importance of understanding the differences in billing guidelines and regulations across different states in the USA. Our team stays updated on state-specific billing requirements to ensure compliance and avoid potential billing errors or penalties.
• Advanced Technology Integration: We leverage advanced billing technology and software solutions to streamline physical therapy billing processes, improve efficiency, and reduce administrative burden for practices. Our technology integration enables seamless communication and data exchange, enhancing overall billing accuracy and effectiveness..

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 summary, MZ Medical Billing is your trusted partner in physical therapy billing excellence. With our expertise, efficient processes, personalized support, and commitment to compliance, we empower physical therapy practices to optimize their revenue cycle and focus on delivering exceptional patient care.

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Physical Therapy CPT Codes

The most common CPT codes used for physical therapy services include:

• 97161 - Physical therapy evaluation, low complexity
• 97162 - Physical therapy evaluation, moderate complexity
• 97163 - Physical therapy evaluation, high complexity
• 97164 - Re-evaluation of physical therapy established plan of care
• 97110 - Therapeutic exercise
• 97112 - Neuromuscular reeducation
• 97140 - Manual therapy techniques
• 97530 - Therapeutic activities
• 97535 - Self-care/home management training
• 97537 - Community/work reintegration training
• 97542 - Wheelchair management/assessment
• 97760 - Orthotic(s) management and training
• 97761 - Prosthetic(s) training

The key is to select the CPT code that best matches the complexity and time spent on the physical therapy service provided.

Physical Therapy ICD-10 Codes

Some of the most common ICD-10 codes used in physical therapy include:

• M54.5 - Low back pain
• M25.511 - Pain in right shoulder
• M25.512 - Pain in left shoulder
• M17.9 - Osteoarthritis of knee, unspecified
• S83.101A - Sprain of unspecified ligament of right knee, initial encounter
• S83.101D - Sprain of unspecified ligament of right knee, subsequent encounter
• M62.81 - Muscle weakness (generalized)
• R26.2 - Difficulty in walking, not elsewhere classified
• F82 - Specific developmental disorder of motor function

The ICD-10 code should accurately reflect the patient's medical diagnosis or condition being treated by the physical therapist. More specific codes are preferred when possible.In summary, the key is to select the most appropriate CPT code for the physical therapy service provided, and the ICD-10 code that best matches the patient's medical diagnosis or condition. Proper code selection is critical for accurate medical billing and reimbursement.