Neurology Billing in Texas: Revenue Losses from Denials in 2026 – 11 Costly Billing Problems Hurting Practice Revenue

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  Introduction: Why Neurology Billing Is Facing Financial Pressure Neurology billing in Texas: revenue losses from denials in 2026 is becoming a serious financial challenge for neurology practices and specialty clinics. Neurology is one of the most documentation-intensive specialties, involving diagnostic testing, chronic condition management, and complex treatment plans. Because of this complexity, even minor billing errors can result in significant reimbursement delays or claim denials. Texas presents an especially difficult billing environment due to its broad payer mix. Medicare, Medicaid managed care organizations, and commercial insurers all apply different policies for neurology procedures and evaluations. Prior authorization requirements and medical necessity reviews are becoming stricter every year. Without strong neurology billing services and advanced medical billing services , practices often experience increasing denial rates and declining collections. Identifying th...
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Common Outpatient Rehabilitation Therapy CERT Errors

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Billing Part B Outpatient Therapy Services

Outpatient rehabilitation therapy includes Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (SLP) services. Medicare covers outpatient PT, OT, and SLP services when:

  • A physician or Non-Physician Practitioner (NPP) certifies the “treatment plan,” called the Plan of Care (POC), ensuring:
    • A patient needs therapy services 
    • POC is: 
      • Established by a physician, NPP, our qualified therapist provides services 
      • Reviewed periodically by a physician or NPP 
    • A patient gets services under physician care 
  • POC certifying the provider’s name and NPI is on the claim 
  • Providers meet medical necessity, documentation, and coding requirements

where, 

  • CERT: Comprehensive Error Rate Testing
  • A physician is a Doctor of Medicine, osteopathy, podiatric medicine, and optometry (only for low vision rehabilitation). 
  • NPP includes a Physician Assistant (PA), Clinical Nurse Specialist (CNS), or Nurse Practitioner (NP). 
  • A qualified Therapist includes a PT, OT, or SLP who meets regulatory qualifications as applicable, including state licensure or certification.

Common Outpatient Rehabilitation Therapy CERT Errors

  • Missing certification and recertification(s): Physician’s, NPP’s, or therapist’s dated signature(s) approving the POC. Prevention: Confirm physician or NPP certified the POC (and recertified it when appropriate) with their signature and date.
  • Missing signature: Physician, NPP, or therapist who developed the POC and established treatment plan date. Prevention: Ensure you add your dated signature and professional identification (for example, PT, OT).

To learn more about Common Outpatient Rehabilitation Therapy CERT Errors, click here: https://bit.ly/3qSdiEY Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

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