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Martin Luna added blog Health
2026-06-16 10:37:55 -

How do Medicare and Medicare Advantage handle physical therapy prior authorization?
Understanding how Medicare and Medicare Advantage plans manage physical therapy prior authorization is essential for clinics aiming to reduce denials and maintain steady reimbursement. While both fall under the Medicare system, their rules differ significantly—especially when it comes to approvals, documentation, and utilization management. Medicare vs. Medicare Advantage: The Key...

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Martin Luna added blog Health
2026-06-16 10:36:53 -

Is prior authorization required for every physical therapy visit?
Prior authorization in physical therapy is one of the most misunderstood parts of the revenue cycle. Many providers assume that once a patient receives approval, every single therapy visit automatically requires a new authorization. In reality, that is not how most payer policies work—but the rules are complex, vary by insurer, and directly impact reimbursement. Understanding how physical...

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Martin Luna added blog Health
2026-05-12 08:40:39 -

Virtual Prior Authorization Assistance for Physical Therapy Providers
Managing insurance approvals has become one of the most challenging administrative tasks for rehabilitation clinics and therapy centers. As payer requirements continue to evolve, many providers are turning to virtual prior authorization assistance to simplify workflows and reduce delays in patient care. For clinics offering rehabilitation services, efficient physical therapy prior authorization...

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Martin Luna added blog Health
2026-05-07 07:03:18 -

Find certified PT coders for your multi-location therapy practice
Managing billing and coding across multiple therapy locations can quickly become complex without the right expertise. From handling documentation requirements to keeping up with payer-specific rules, certified PT coders play a critical role in improving reimbursements and reducing claim denials. Practices that invest in experienced coding professionals often see better revenue cycle...

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Martin Luna added blog Health
2026-04-30 07:05:05 -

Top billing mistakes that lead to physical therapy claim denials
Physical therapy practices rely heavily on clean claims and accurate documentation to ensure timely reimbursements. However, even minor billing errors can lead to claim rejections or delays. Understanding the most common mistakes in medical coding and billing for physical therapy can significantly improve revenue cycle performance and reduce administrative burden. 1. Incorrect Use of CPT...

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Martin Luna added blog Health
2026-04-27 08:06:10 -

What role does claim follow-up play in physical therapy medical billing services?
Claim follow-up plays a critical role in improving cash flow, reducing denials, and ensuring timely reimbursements within physical therapy medical billing services. In a healthcare environment where even minor billing errors can lead to payment delays or rejections, effective claim follow-up acts as the backbone of a successful revenue cycle for physical therapy practices. One of the...

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