Practice type: Solo outpatient psychology practice Provider: 1 licensed psychologist (PhD) Location: United States Patient volume: Approximately 120 patient encounters per month Payer mix: 41% commercial (BCBS, Aetna, UHC), 28% Medicare, 22% Medicare Advantage, 9% self-pay Services: Individual psychotherapy, psychological testing and evaluation, psychiatric diagnostic evaluations, group therapy, telehealth sessions
Physical therapy billing looks manageable until you actually dig into it. (Revenue Cycle Management for Physical Therapy Practices) On the surface, PT practices deal with a relatively limited set of CPT codes therapeutic exercise, manual therapy, neuromuscular reeducation, a few modality codes, evaluations. Compared to interventional pain management or behavioral
Practice type: Integrative medicine clinic Providers: 1 physician (MD), 1 naturopathic doctor, 1 licensed acupuncturist, 1 registered dietitian Location: United States Patient volume: Approximately 800 patient encounters per month Payer mix: 29% Medicare, 47% commercial (BCBS, Aetna, UHC, Cigna), 14% Medicare Advantage, 10% self-pay Services: Integrative E/M visits, acupuncture, medical
Discover the most common pain management coding errors causing claim denials and learn proven strategies to improve accuracy and protect revenue. One wrong digit on a CPT code. One missing modifier. One mismatched diagnosis. And suddenly, a $4,000 procedure claim comes back denied. Pain management coding errors are not minor