Massage Therapy
A growing reliance on massage therapy and a spike in the number of therapists leave independent therapists and care groups to deal with less than ideal circumstances: insurance coverage gaps and variations in state laws in the US. The fact that a therapy must be prescribed by a doctor in order to be reimbursed and must be administered under the doctor’s supervision further complicates regulatory requirements.
The care provider has administrative and other responsibilities due to partial coverage, inconsistent regulations, and the requirement to prove through appropriate documentation that a therapy was performed under a doctor’s supervision and recommendation as an extension of the doctor’s treatment.
Hiring PBC:
With years of devoted experience, PBC’s billing and coding specialists handle massage therapy billing and coding. Their in-depth knowledge enables them to recognize treatments that qualify for reimbursement from massage therapy insurance and to appropriately prepare claims utilizing administrative and medical data. MBC also meticulously and strictly follows up on claims that are submitted in order to guarantee prompt refunds for you. Our professionals offer you the benefits of a local specialist because they have extensive understanding of state-specific regulations pertaining to massage therapy, even if they are a part of a really national network.
Our adaptable billing and coding service plans will fit the size and structure of your company, and our amiable experts will collaborate with your team to sort through medical information and properly record it.
Furthermore, by fully outsourcing your massage therapy billing and coding tasks to us, our outsourced services allow you to absolve yourself of the billing and coding duties. and, as a result, will enable you to continue making money and free up more time for massage therapy.
We offer the following services
Charge Entry:
- Our Charge Entry (CE) services guarantee an end-to-end billing and coding solution for massage therapy. They begin with electronically filing claims and expediting the process by verifying patient demographics, medical codes, DOS, POS, provider information, units, modifiers, etc. Finally, they submit claims to clearing houses to guarantee 100% accuracy. Furthermore, as part of audits, CE also includes sporadic quality checks.
Payment Posting:
- Our specialty is precision in Payment Posting (PP), and our billers and coders are expert in managing all facets of PP. The most complex electronic remittance scenarios, such as denials, underpayments, overpayments, multiple adjustments, automatic cross-over, secondary remittance, reversals, etc., are no match for our billers and coders.
Account Receivable:
- To enhance your cash flow, we want to lower your claim rejection rates and assist you in swiftly realizing your massage treatment claims. Our billers and coders are skilled at determining which claims need to be followed up on with insurance representatives, and they do it in a methodical and exacting way.
Denial Management & Appeals:
- Ineffective Denial Management procedures result in the loss of around 10% of medical revenue. Our billers and coders’ expertise and accuracy-driven methodology will enable us to assist you in avoiding claim denials. However, if you have previously refused claims that are held up, we will assist in obtaining payment for them through appropriate evaluation, resubmission, and, if necessary, follow-ups. Our group has further expertise.