Top 10 PT CPT codes

Physical Therapy CPT Code Analysis for 2015

Top 10 PT CPT codesThe U.S spends more on Healthcare than other countries. Does spending more per capita result in better outcomes?

We currently work off (FFS) Fee for service plans. The problem with this method of reimbursement, providers are not be held accountable.

What’s next in the future of Healthcare? Introducing Pay-for-Performance.

  • New commercial payer contracts with alternative payment methods based on performance to be in place by 2020.
  • CMS moving to ‘value-based’ or ‘quality based’ reimbursement
  • Medicare to have 55% of fee-for-service payments shifted to quality based payments by the end of 2016 through pay for performance (P4P)

Based on the new rules, your practice may experience a change in coding to meet new performance guidelines.  Will the trends in 2017 change where we see an increase in re-evals (97002) or Self Care Management Training (97035)? As the CMS and the private payers work on their ‘New’ pay structures it’s a good idea to monitor your yearly trends and monitor outcomes early.

225 different CPT codes were reported in 2015 for Physical Therapist, yet, the top 10 CPT codes constitute 90% of all reporting. While we noticed a slight reduction in use for 97110 and 97140, other codes e.g. 97530 slightly increased. The increase of the use of 97530 is due to a better understanding of how to use and when to use this code.

Top 10 physical therapy CPT codes

These are the top 10 PT CPT codes

The 10 most paying CPT codes generated over 96% of all pay in 2015!

Compare the top 10 CPT codes for Physical Therapists.

bestPTbilling.com top 10 PT CPT codes

We see high similarity to previous years trend with some reduction for 97110 and some increase for 97530.

CPT 97110 was reported in most of the visits (28.9%) and generates the most of the pay (33.9%) – pay to claims ratio 117%. CPT 97113 was reported only in 0.2% of the visits, yet generated 0.7% of the pay – pay to claims ratio 326%. On the other hand, CPT G0283 was reported in 2.9% of the visits, yet generated only 0.9% of the pay – pay to claims ratio 29%

Top 10 CPT codes for PTs.

The average CPT collections per unit was $22.51 in 2015, which is 3% less than 2013 average pay.

Paid per unit CPT codes

Most of the CPT pay in 2015 is lower than previous years by almost 3%, the few exceptions are lead by 97113 Aquatic Exercises which is almost 9% higher.

CPT code reimbursement change from 2014 to 2015.

Dollar value of PT CPT codes.

Pay per unit for the top 10 CPT codes for physical therapists.

Physical Therapy is one of the hardest and less appreciated professions and we do see only the most dedicated providers surviving. This is why we do our utmost to get the money you deserve – so that you can stay open and keep on helping people.

 

 

bestptbilling.com has PQRS built-in.

Does PQRS affect your practice?

What happens if you forget to add a PQRS code?

PQRS stands for the Physician Quality Reporting System.  It is a health care quality improvement incentive program initiated by the Centers for Medicare and Medicaid Services (CMS) in the United States in 2006.
Medicare is moving towards a Pay-for-Performance structure where quality care should have quality outcomes.  Medicare will compare your care to the care of your peers. If your care takes twice as many visits as other providers for the same diagnosis, then that will raise a red flag with Medicare for you.
A PQRS code must be appended to a billable service. They can not go out on a claim on their own, especially after the insurance claim has already been accepted. In addition, you can’t add it to a corrected claim if you forgot to add it the first time. It must be added in the first claim submission.
Learn more about it with the free webinar that can be viewed right on this page. Enter your information and watch it now.

new members for our pt billing software

Welcome New Members to the bestPT Team in April

Nine New Members joined bestPT in April 2016.
Each new member benefits from and contributes to our network strength.
Let’s welcome bestPT’s newest members!

  1. Brian Gallagher of Cowboy Healthcare, Corpus Christi, TX.
  2. Stuart Fife of Fife Therapy Services, Savannah, GA.
  3. Kendra Espinoza, Paulene Simpson, and Martha Eslick of Kalispell Rehab, Kalispell, MT.
  4. Margo Pfinstler and Kay Yeager of Margaret Pfingstler, Du Bois, PA.
  5. Enid Perry of Melwood Rehabilitation Center, Upper Marlboro, MD.
  6. Charles Paulus of Midlothian Village Physical Therapy, Midlothian, VA.
Fast documentation with SOAP note macros

How to Write SOAP Notes Faster

Use built-in SOAP Note Macros to type your narrative with clicks on macro buttons.

Remember the good old days of typing and printing SOAP Notes papers for mailing to insurance companies? Those days are not quite over for some practices that are clinging to the old days.  For the practices that are moving on with the required Electronic Health Records (EHR), you need it to be a simple, easy to use interface.

Now imagine taking it a step further by creating a button to type a narrative that you type multiple times a day. You click that button and insert that text where ever you need it in your SOAP note. You can create as many time saving macro buttons as you want.

Now imagine one more step further… you could use a touch screen in the exam room to touch your macro buttons and complete your note in seconds! Then touch a button to sign-off and submit it to the claim scrubbers.  What could be easier than that?

Learn how with the free webinar that can be viewed right on this page.

multi-specialty practice software

Grow Your Practice with Additional Specialties

Creating Multiple Disciplinary Practices is the wave of the future!

Multiple Specialty Practices need one software solution to serve their entire operation. It’s much better and much easier to implement than trying to make various systems cooperate nicely together.

Did you know that 25% of our new clients are Multi-Specialty Practices who needed a single software solution to serve their entire organization? They found it. Imagine a single software system that handles scheduling, documentation, billing, reporting and management for as many professionals that you may have.

Now imagine your practice growing by adding partners from other specialties. You could combine forces and save resources, plus keep track of everything and everybody with an online solution that you can access from anywhere.

Learn how with the free webinar that can be viewed right on this page.

physical therapy billing software care plans

How to Use Patient Care Plans

Do you set-up care plans for your patients?

How do you track the financial commitments of your patients on care plans as well as their scheduled visits throughout the time period of their care plan? One patient visit is never enough to completely solve their problem so how do you track it all?

View this free webinar to see how to create your patient care plans and then apply automation to them. Automatic care plans will save you a lot of time and you won’t have to memory manage any of it. You can even setup a notification when visits are running out. Plus, projecting staffing and cash flow levels will be easier and more accurate.

Learn how with the free webinar that can be viewed right on this page.

PT billing software reconciliation

Do you reconcile your collections monthly?

When your practice receives payments by cash, credit card or checks, how do you reconcile your practice with your bank account every month?

Reconciling your bank account with the collections you receive at your practice is something they teach in business school, but not in Physical Therapist School.  Co-payments are being taken from your patients every day but checks from insurance companies come in by mail, weeks after the date of service.  How do you keep track of everything and everybody? How do you know the money showing in your billing software is actually arriving in your bank account?

The bestPT Billing Software can eliminate this memory management with several built-in tools to reconcile your finances.  Learn how with the free webinar that can be viewed right on this page.

physical therapy billing software

Do you reconcile your collections daily?

When your practice receives payments by cash, credit card or checks, do you have a way to reconcile your practice with your bank account?

Reconciling your bank account with the collections you receive at your practice is something they teach in business school, but not in Physical Therapy School.  Co-payments are being taken from your patients every day but checks from insurance companies come in by mail, weeks after the date of service.  How do you keep track of everything and everybody?

The bestPT Billing Software can eliminate this memory management with several built-in tools to reconcile your finances.  Learn how with the free webinar that can be viewed right on this page.

physical therapy billing network

Welcome New Members to the bestPT Team in March

Eighteen New members joined bestPT in March 2016.
Each new member benefits from and contributes to our network strength.
Let’s welcome bestPT’s newest members!

  1. Mamdouh Eldeeb, Manal Issmail, Jeanette Gomez, and Yasmirna Pineyro of Universal Physical Therapy, Bronx, NY.
  2. Jennifer Mooney, Melissa Wiggs, and Nuvia of Two Trees Physical Therapy & Wellness, Ventura, CA.
  3. Brian Gallagher, Elizabeth Dixon, Michelle Brewer, and Jeanne Taylor of Cowboy Healthcare, Corpus Christi, TX.
  4. Kim Reid of Midlothian Village Physical Therapy, Midlothian, VA.
  5. Brandy Parker of Big Sky Pediatric Therapy, Austin, TX.
  6. Stacie Hall of Melwood Rehabilitation Center, Upper Marlboro, MD.
  7. Justine Louw of Kid’S Creek, Suwanee, GA.
  8. Gianna Strong of Tim Soder Physical Therapy, Las Vegas, NV.
  9. Shanon Fenyo of Axiom PT & OT Plus, Tuckahoe, NY.
  10. Andrea McCarthy of East End Occupational Therapy, Ronkonkoma, NY.
PT billing software

How Many Tasks does a New Patient Generate?

When a new patient comes to your Physical Therapy Practice, how many steps must your Front Desk person take to create a new patient account?

Typically, a new patient comes in to fill out forms and then your Staff has to remember to copy their driver’s license and their insurance card. Next, the patient’s data has to be typed into a computer. Co-payments also have to be collected and future appointments need to be scheduled. Are all of these tasks being completed for every patient?  How do you know?

The bestPT Billing Software can eliminate this memory management with a tool we call a Task Checklist. All of the steps are written down and turned into tasks that can be automatically assigned to your staff members. The Task Checklist is launched with every new patient and your staff will know exactly what to do without being told. The Practice Owner will be able to see at a glance if every task was done for every patient, which ensures a consistent patient experience in your office. It also gives you and your staff peace-of-mind knowing everything is done at the end of the day.  Learn more with the free webinar that can be viewed right on this page.