Tuesday, June 26, 2012

bodily Therapy And refund - Where Are We Heading?

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The professions of physical Therapy and rehabilitation have all the time been professions of healing, caring and educating. In the past 10 years, we have had to adapt and strengthen our professional 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 furnish education. We are now experiencing an ever-increasing query on our time to perfect widespread documentation required by many assurance companies.

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The whole of reimbursement received for physical Therapy services has remained largely flat over the past some years. In the same whole of time, the whole 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 integrate to yield lower levels of professional productivity due to widespread documentation time, and increased cost for supplementary office staff to maintain claims processing. The end ensue is working harder for less profit.

The National Apta Medicare Fee agenda Calculator provides average reimbursements for Cpt codes from 2000 to present. For a Pt appraisal (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 recompense assurance for incommunicable 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 supervision fellowships have designed software programs for the end user offering electronic curative records and scheduling. Others offer appraisal forms and Billing/Claims/Account supervision 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 system that must then be managed by the provider. The full accountability of the success of the system is placed back on the physical Therapy convention owner and/or the office staff, which must be hired to manage, maintain and facilitate the system.

b. Each software system is only as up to date as the date it was published or downloaded. With assurance regulations changing on a regular basis, the convention owner must again conduct processes to modernize Eob's, Cci edits and new memorandums released by many assurance fellowships to assure perfect and timely payments.

An internet based system with real time integrated billing management, claims processing, self-acting coding and reimbursement regulations is a critical tool in getting the therapist back in the clinic and getting paid in a timely, effective and effective manner. This process must be a shared, long-term association allowing the therapist to do what we are trained to do; treat patients and let the convention supervision explication 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 physical Therapists we must seek convention supervision systems which furnish scholar web based billing, coding and reimbursement solutions with an electronic curative record and scheduling capabilities. As convention 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 reimbursement process for years, and get back to doing what we do as physical Therapists...client care and rehabilitation.

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