Rehabilitative Medicine

97%

Comprehensive rehab therapy billing services for multidisciplinary rehabilitation teams.

Specialty highlight

97%

Built around payer rules, documentation requirements, and coding nuances.

Rehab Coding Accuracy

97%

Clean Claim Rate

95%

Overview

Billing in Rehabilitative Medicine

A practical view of what makes this specialty unique.

Rehabilitative Medicine (often synonymous with Physical Medicine and Rehabilitation or Physiatry) focuses on restoring function for patients with disabling conditions. Billing in this field involves a multidisciplinary approach, combining physician E&M services with therapy provided by physical, occupational, and speech therapists. Our rehabilitative medicine billing service provides comprehensive support, ensuring accurate coding for all levels of physiatric care, as well as the therapy services provided under your supervision, maximizing revenue for your integrated practice.

Accurate E&M coding for physiatry evaluations and follow-ups.

Standardized into our workflow to reduce rework and protect revenue.

Expertise in PT, OT, and ST coding and billing.

Standardized into our workflow to reduce rework and protect revenue.

Management of IRF PAI (Patient Assessment Instrument) and IRF-PPS billing.

Standardized into our workflow to reduce rework and protect revenue.

Coding for comprehensive rehab therapy programs.

Standardized into our workflow to reduce rework and protect revenue.

Challenges

What slows reimbursement

The common friction points that trigger delays, denials, and rework.

Key challenges

Coordinating billing for physician E&M services and separately provided therapy services.
Accurately coding for comprehensive, often prolonged, physiatric evaluations.
Managing therapy billing for PT, OT, and ST under Medicare's consolidated billing rules.
Ensuring proper documentation to support medical necessity for all levels of rehab care.
Billing for specialized rehab programs (e.g., day rehab, sub-acute care).

Our solutions

Certified rehab coders with expertise spanning physiatry and all therapy disciplines.
Precise coding for physiatric E&M services, including consultations and prolonged care.
Expertise in billing for physical, occupational, and speech therapy services.
Meticulous management of Medicare therapy cap, KX modifier, and consolidated billing rules.
Proactive documentation review to support medical necessity for intensive rehab programs.
Detailed support for coding in inpatient rehabilitation facilities (IRF) and skilled nursing facilities (SNF).

Features