News 2022: Unitedhealthcare Requires 59 Modifier for Therapy Services
Despite the recent changes to the NCCI edits no longer requiring CPT Code 97530 to require a 59 modifier when billed on the same date of service and by the same therapist as CPT Code 97140 some therapists recently have reported non-payments when these two CPT Codes are billed on the same date of service to Unitedhealthcare without the 59 modifer.
Physical Therapy Claim Denials & Reason Codes
Table of Contents: Reason Code 59 Reason Code 119 Physical Therapy Claim Denials Reason Code 59 While MPPR is not part of physical therapy claim denials, it is often mistakenly thought to be a claim denial by therapists and new billers. The...
Monetizing vs Pricing Your Physical Therapy Treatments
Pricing Physical Therapy Services There are several ways to price physical therapy services. Value-based pricing, third party payer pricing, comparative pricing. Third Party Payer Pricing Most physical therapy providers simply use the Medicare part...
GAIN x3 More New Patient Referrals with Physician Interviews
Technology has completely changed the marketing game for physical therapists in private practice. 20-years ago the gold standard of marketing was catered luncheons. A practice owner would schedule a luncheon with a local orthopedic group. We would...
