CPT codes Archives - bestPT Billing EHR & Practice Management Software

Are You Ready for ICD-10? We Are!

July 8, 2015/in Physical Therapy Billing, Physical Therapy Documentation, Physical Therapy SOAP notes/by bestPT

Is your Physical Therapy practice Ready for ICD-10?

Our bestPT software was ready last year and our Team has made further refinements this year, including testing it thoroughly. We do not expect the October 1, 2015 deadline to be pushed again like it was last year. We have prepared for it by adding over 65,000 codes to our software and when you choose an ICD-9 code, you’ll be able to choose from the corresponding ICD-10 codes. We even give you the ability to test everything with a test patient account. Check with your Practice Profitability Coach for more details. Not our client yet? Then click in the upper right or the bottom left for a demonstration.

Physical Therapy Claims Processing | Most-paid CPT codes

April 29, 2013/in Physical Therapy Billing/by Eldad De-Medonsa, PhD

You can increase your profitability by analyzing which physical therapy billing codes result in the most paid claims each month and then set new monthly practice management goals that include the frequent use of these. For example, we took a look at bestPTÂ numbers from 2012 and discovered that only 180 CPT codes were used by our physical therapy billing clients. Even more surprisingly, only a few of those actually resulted in payments from insurance companies. In other words– it might make sense to focus on implementing the patient treatments that do get you paid at the end of the day.

10 CPT codes were reported in 89.9% of the claims and 92.4% of all reported units:

		% of Claim	% of Units
97110	Therapeutic exercises	30.1%	38.1%
97140	Manual Therapy (ie. STM, JM)	22.9%	21.7%
97530	Therapeutic Activities	7.9%	12.0%
97112	Neuromuscular Re-education	6.9%	6.2%
97010	Hot or cold packs	5.1%	3.3%
97014	Electrical stimulation	4.6%	2.9%
97035	Ultrasound	4.2%	2.8%
G0283	Electrical Stimulation (Unattended)	3.2%	2.0%
97001	Physical Therapy Evaluation (1^stÂ Appointment only)	2.8%	1.8%
97032	Application of a modality to one or more areas	2.2%	1.4%
		89.9%	92.4%

Top 10 most paid CPT codes generated 92.2% of all collections:

		% Paid
97110	Therapeutic exercises	37.4%
97140	Manual Therapy (ie. STM, JM)	21.6%
97530	Therapeutic Activities	13.9%
97112	Neuromuscular Re-education	7.4%
97001	Physical Therapy Evaluation (1^stÂ Appointment only)	5.4%
92507	Treatment of speech	1.7%
97014	Electrical stimulation	1.4%
97035	Ultrasound	1.3%
97032	Application of a modality to one or more areas	1.1%
97113	Therapeutic procedure	1.0%
		92.2%

It might surprise you that code 97010 (Hot or cold packs) was used in 5.1 percent of all claims, but generated only 0.5 percent of all collections. In stark contrast, the code 97001 (Physical Therapy Evaluation) was used in only 2.8 percent of all claims, butÂ generated a whopping 5.4 percent of all collections.

The average collections of the Â top 10 most paid CPT codes amounted toÂ $23.53 per unit although codes 97014 (Electrical stimulation) and 97035 (Ultrasound) generated only of $9.25 and $9.36 respectively. On the high end of the spectrum codes 97001 (Physical Therapy Evaluation) and 92507 (Treatment of speech) generated $58.96 and $66.51 respectively.

As you can see, frequent use of code 97001 is not only resulting higher payments, but even more importantly it indicates healthy practice growth with lots of new patients! In addition, the use of code 97002 shows that referring doctors are trusting you with their patients by prescribing “evaluate and treat” whichÂ basicallyÂ means that you have earned their trust!

Physical Therapy Billing | most used CPT codes 2012

February 20, 2013/in Physical Therapy Billing, Physical Therapy Documentation/by Tom Jorno

Readers have asked us to add “by specialty” analysis, hence we looked at PT (065) OT (067) and SLP (235Z00000X). Naturally there is way more resemblance between PT and OT than with SLP.