decisionhealth Newsletters, Part B News - 2018 Issue 4 (April)
Physical therapy claims rise, denials fall over recent three-year period
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Article Overview
This article reviews Medicare Part B claims patterns for physical therapy services over a three-year span, focusing on claim volume, payment trends, and denial rates across provider groups. It is useful for coders, billers, compliance staff, and therapy practices that want to understand how utilization and payer response changed over time. The discussion stays at a high level and covers comparative trends among the most frequently reported therapy services.
Why This Topic Matters
It helps revenue cycle and coding professionals understand shifting Medicare utilization and denial patterns in physical therapy claims, including differences by provider specialty and practice setting.
What You Will Learn
- How Medicare claims volume and payments for physical therapy services changed over a three-year period.
- How denial rates trended for commonly reported therapy services.
- How reporting patterns differed across provider specialties and practice settings.
- Why Medicare billing restrictions can affect denial patterns for certain provider groups.
Who Should Read This
- Physical therapists
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance professionals
- Practice managers
- Orthopedic and therapy practice administrators
Codes Discussed
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