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Physical Medicine and Rehabilitation Billing Services

Physical Medicine and Rehabilitation Billing requires the billers to have experience with nursing homes and other long term care facilities. They need to understand the differences between Skilled Nursing Place of service (POS) and long term nursing.  Since the field of PM&R includes treatments for injury and pain that may be subjective to the patient, denials occur on a regular basis. The field of PM&R also covers substance abuse and re-learning daily functions. These areas can give practitioners some serious difficulties in the billing process when they aren’t fully educated in the field.

Much of the issues for PM&R billing come from improper documentation or failure to code properly. Many of the nursing homes are confused by who pays for claims. They sometimes fear that PM&R doctors will eat into the nursing home payments. However, they need to be trained that nursing home payments come from Medicare Part A while the PM&R doctor’s payments will come from Part B so there is no issue of overlap. The billers need to use the correct Place Of Service (POS) code based on short term or long term stay. See below for a list of all place of service codes.

Place of Service Codes for Professional Claims

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Integrity Practice Solutions has worked with many PM&R practices and our staff understands every nuance in medical billing for PM&R. Our business has years of experience in medical billing and working with PM&R. Our dedication to the field and our clients means you can trust that the process is being handled correctly.

Integrity Practice Solutions offers top billing services. We work with hundreds of practices like yours and visit them regularly. This gives us a unique understanding of how successful practices are run. We are happy to share the experience with you. As a practitioner, you shouldn’t have to spend hours focusing on billing. Your time is meant for patient care. Our goal is to get you more time with your patients, earn you more money, and give a new sense of convenience to your patients and staff.

Benefits of OUTSOURCING

GET PAID FASTER & FOR EVERY PATIENT

GET PAID FASTER & FOR EVERY PATIENT

Our billers will review all the claims and send them out within 24 hours. Any missing information will be promptly discussed with the office so there are no delays in claims processing. We can use our software for billing or bill from your existing EHR. We have worked with Medisoft, eClinicalworks (eCW), Kareo, STI, OmniMD, Meditab IMS, OfficePracticum (OP), Healthfusion among many others.

REDUCE EMPLOYEE DEPENDENCE WITH MEDICAL BILLING OUTSOURCING

REDUCE EMPLOYEE DEPENDENCE WITH MEDICAL BILLING OUTSOURCING

Cash flow of your office is dependent on your claims going out in a timely manner. You cannot afford to have that stop when someone takes a vacation or has to take time off. With our size, your claims will never stop going out and your collections will always be worked on. You never have to worry about that.

SAVE MONEY BY OUTSOURCING YOUR BILLING

SAVE MONEY BY OUTSOURCING YOUR BILLING

We get paid only if you get paid. You get the benefit of having a specialized team of experts working on your account without worrying about training, vacation etc. If you go on a vacation, you do not have to pay any of your billing and collections staff.

REDUCE PAYER DENIALS

REDUCE PAYER DENIALS

You do not need to live in a vacuum!! We work with hundreds of providers and learn from the denials and push back that we receive from insurance. We learn from this and educate our practices so they do can get paid on the first time.

FULL TRANSPARENCY

FULL TRANSPARENCY

You and the staff you designate will always have full access to your data. We do not want to hide anything from you. When we do follow up, the notes will be attached to the patient chart and you can review them. We believe in 100% transparency.

NO CONTRACTS

NO CONTRACTS

It is your money and it is your right to work with whomever best serves your need. We do not impose any contracts. We are confident in our service that you will not find a harder working billing service provider.

How It WORKS

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Denial MANAGEMENT

Denial management is the key to a successful revenue cycle program. Many companies claim to “automate” RCM but they fail to acknowledge that the problem in denials is the “intention” and not “technology”. There is no other alternative to being on the phone with insurance company for hours on end and fighting for a claim to get paid. Nonetheless, smart billers learn from their interaction with insurances and pass on that knowledge to the offices they work with so they can take care of these “gottchas”. For e.g. many companies will deny a claim if you send a specific (e.g Lt knee pain) and unspecified pain diagnosis on the same claim.

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Contact Us Now ! 1-844-245-5633

Integrity Practice Solutions – A Professional Medical Billing Company.

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