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How to Beat Denials with Smarter Documentation

Craig Phifer, Penny Goldberg, Will Humphreys are physical therapists on a mission to provide financial transparency when it comes to patient care. They believe high quality, one-on-one care, professional flexibility, and profits can all exist together. While all have taken different journeys, they each led to similar destinations inspiring physical therapists about defensible documentation to best improve patient outcomes.

Starting out, Craig discusses what and how to document initial evaluations, progress notes, and daily notes to demonstrate medical necessity and prevent denial with insurance.

Penny emphasizes the insurance side of documentation. She discusses what type of documentation stands out for insurance to continue care for patients and differences between insurance terms such as copay and deductible and why this applies to our patients.

Bring it home, Will breaks down how to maximize your billing and coding, ways to prevent under/overbilling, and potential documentation risk involved in billing.

Find out more documentation tips and tricks from the APTA.

Fun Facts:

The average course of care in physical therapy median is 11.3 visits because 70% of patients drop out of care.

The average course of care for people who complete physical therapy is 17 visits.

30% of all rejections come from errors at the front desk level.

Get your notes done within 48 hours of seeing the patient.

The median cost of an average PT visit is $85.

PARTING SHOT

44:50 “Make sure what you are doing works and that you document how it’s working. That’s how you’re going to get paid.” – Penny Goldberg

45:02 “We get to determine our own value when we choose to sign the insurance contract or not.” – Craig Phifer

46:04 “It’s time that we take a stand for our leadership in the medical field.” – Will Humphreys

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