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Thread Topic: Medicare claim processing
Topic Originator: umesh
Post Date October 25, 2008 @ 2:10 AM
Medicare claim processing

October 25, 2008 @ 2:10 AM Reply  |  Email Friend   |  |Print  |  Top

what are the rules to be followed while submitting physical therapy claims.

October 25, 2008 @ 10:58 PM Reply  |  Email Friend   |  |Print  |  Top

Are you a physical therapist and want to do your own billing or are you a billing service? - as for 'rules' what exactly do you mean?
Here are some questions -

Are you a facility PT like a CORF
Do you bill for only Medicare?
Do you bill for commercial insurances?
Do you do Workmans Comp
Do you bill for Auto accidents

Each of these have different billing requirements. e.g. Medicare requires a 'GP' modifier. There are guidelines on what modalities the carrier will pay for. This may be a bit hard to put it all in here. Have you considered taking a PT billing seminar?

October 27, 2008 @ 7:43 AM Reply  |  Email Friend   |  |Print  |  Top

I wanted to start of with physical therapy billing(work for physical therapist) and before that I wanted to know how insurance will pay and what are the rules to bill the claim to insurance. and what insurance follow which rules so that it would be easier for me, if you can help me  I really appreciate it.

Thank you.

November 7, 2008 @ 11:28 PM Reply  |  Email Friend   |  |Print  |  Top

We do physical therapy billing. You can send me an email at with any questions you may have. Will be glad to help.

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