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Showing posts with the label rehabilitation therapy

The Hidden Costs of In-House ASC Billing for Multi-OR Surgery Centers

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Many multi-OR Ambulatory Surgery Centers (ASCs) believe that keeping billing operations in-house provides greater control and lower costs. On the surface, this approach may appear economical because salaries, software, and office expenses are easy to measure. However, the true cost of in-house ASC billing often extends far beyond payroll. As surgical volumes increase and payer requirements become more complex, hidden operational expenses can quietly erode profitability. Claim denials, delayed reimbursements, coding errors, staffing turnover, technology limitations, and compliance risks frequently cost more than administrators realize. This is why many surgery centers are reevaluating their billing strategy and comparing internal operations with specialized ASC Billing Services , comprehensive medical billing services , advanced RCM services , and proactive Revenue Integrity programs designed specifically for high-volume ASCs. Why Multi-OR ASCs Face Greater Billing Complexity A single...

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 Spe...