Physical Therapy Credentialing Services
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Why is Accurate PT Credentialing Important for Your Practice?
5-10%
Source: HFMA
80%
Source: NAHAM
90%
Source: AAPC
Our Physical Therapy Credentialing Services
IPA Enrollment
- Our IPA implements rigorous quality assurance measures to ensure that all therapists meet high standards of clinical excellence.
- Follow up on physical therapist IPA enrollment status with group contacts to manage care plans.
- We efficiently manage IPA/ health plan portals and maintain complete records.
Credentialing and Recredentialing
Credentialing and Recredentialing
- DAE Certification
- Malpractice Claim History
- Insurance Coverage
- Board Certification
- National Provider Identifier Number (NPI)
- Work History
- State Licenses
Portal Registrations
- We register one healthcare ID to register secure access.
- Our multi payer portal ensures a proficient workflow for all parties involved.
- Our robust infrastructure allows you to capture , store and access critical information.
Medicaid & Medicare Provider Enrollment
- NPI’s are issued through the National Plan and Provider Enumeration System(NPPES).
- Your Medicare Administrative Contractor MAC) is specific to the region where your physical therapy practice has.
CLIA Registration (if applicable)
CLIA Registration (if applicable)
- Forensic Testing
- Blood Draws
- Specimen Collection
DEA Certificate and Renewal
- We are responsible for Primary Source Verification of state license, DAE, board certifications.
- A DAE certificate is typically needed by physicians, NPs, PAs, pharmacists, optometrists and dentists.
- To obtain a DEA certificate first you need to meet licensing requirements of the state.
Steps to Optimize Your Physical Therapy Credentialing Journey
Identify Network Requirement
We start by collaborating with you to identify insurance providers you must participate in.
Streamlined Application Processing
Our secure online portals allow you to submit applications electronically along with the necessary documentation.
Proactive Verification and Follow-Up
Our PT credentialing team verifies your credentials with licensing boards and insurance companies. Keep track of application status for faster turnaround.
Stay Informed with Timely Updates
You’ll receive regular updates on the status of your applications- which will allow you to plan billing activities accordingly.
Navigate Contracting and Reimbursement
We’ll help you understand fee schedules, eligible billing codes, and other reimbursement details to maximize your revenue potential.
Ongoing Monitoring and Support
We’ll keep you updated on any changes in network requirements or reimbursement policies to ensure smooth and efficient operations.
Benefits of Physical Therapy Credentialing Services That works For You
Reduced Claim Denials
Our PT credentialing services let us understand complex billing and coding regulations that minimize claim denials and boost the bottom line.
Eligibility for Specialized Programs
Many insurance providers require therapists to be credentialed for eligibility in specific treatment programs- expanding your PT practice service offerings.
Standard Documentation
We will help you manage your documentation and provide complete guidance to ensure billing and coding procedures consistency.
Enhanced Compliance Management
Our box of physical therapy credentialing services keeps you informed about upcoming credentialing renewals and ensures your practice adheres to regulatory requirements.
Reduced Audit Risks
Properly credentialed therapists minimize the risk of unnecessary audits triggered by non-compliance.
Save time and cost
By outsourcing Physical Therapy Billings, you can focus on patient care- our experts handle the time-consuming credentialing process.
Important Note to Physical Therapists
We are Your Path of Excellence in Physical Therapy Credentialing
We are a service provider and a partner for your physical therapy practice. Our focus is on two pillars: ultra-accurate efficiency and unparalleled support. We integrate our in-depth industry knowledge and cutting-edge technology to streamline credentialing, ensuring swift and accurate completion. We offer personalized solutions, paving a smooth path of excellence for your PT credentialing services.
Specialties We Served to Streamline Your Credentialing
Transform Your Physical Therapy Practice with Streamlined Credentialing Solutions
- Security and Privacy Measures
- Integration with Billing Systems
- Documentation Compliance
- Comprehensive PT Providers Profiles
- Real-Time Updates
- Rapid Turnaround
- CAQH Integration
- Centralized Credentialing
- CME Tracking
- Workflow Automation
Loss Revenue with Credentialing Complexities and Errors?
Contact us for streamlined physical therapy credentialing processes.
Approval Time for Physical Therapy Credentialing Process
Need to Make a Decision for Outsourcing Physical Therapy Credentialing Services?
Inhouse PT Credentialing Services
Requires Staff and Resources: Requires dedicated staff and resources to manage all processes.
Compliance Issues: Difficult to stay updated and comply with industry standards.
High Cost: Higher costs are associated with infrastructure, staffing, and other resources.
Limited of Expertise: Inhouse credentialing team can't manage the bulk of credentialing requests.
Lack of Expertise: Chance of more errors and discrepancies due to lack of expertise.
Our PT Credentialing Services
Efficiency: Our team has streamlined processes and a dedicated team for faster turnaround time.
Ensure Compliance: Ensure compliance and stay up to date with industry standards.
Cost Reduction: Reduced cost up to 40% for your Physical Therapy practice.
Scalability: We can manage a large volume of credentialing requests of all sizes.
Accuracy: We ensure all credentials are validated and checked with 95% accuracy.
Why Choose Us for Physical Therapy Credentialing Complex Journey?
Unmatched Expertise and Efficiency
Our team has 10+ years of extensive experience in PT credentialing. We are proficient in insurance payer requirements and healthcare practice processes. Our expertise translates into quick application completion and ensures a smooth approval journey.
Tailored Approach and Customized Solutions
We recognize that every physical therapist has unique needs and goals. That's why our team is dedicated to quickly understanding your practice and insurance payer requirements.
Peace of Mind and Long Term Support
We are dedicated to providing long-term support for your physical therapy practice. Once credentialed, we don't step back. We'll manage re-credentialing well and ensure uninterrupted services.
Our Value - Added Services
PT Credentialing With High Reimbursement
At our physical therapy credentialing services, we always prioritize high reimbursement rates for therapists. We attain a high reimbursement rate by implementing a strategic approach.
New Physical Therapy Practice Credentialing
We do credentialing at the next level for a fresh and successful startup of your physical therapy practice. We start from scratch and enroll you with all significant insurance payers.
Choose Your Preferred Payer to Maximize Reimbursement and Minimize Headaches
Governmental Payers
CAQH Payers
Non-CAQH Payers
Join the Queue of Happy Clients
Other Services We Offer
Physical Therapy Medical Billing
At Physical Therapy Billings, we provide comprehensive billing services that eliminate the hassle of managing your revenue cycle. Our billing experts handle all aspects, from claim submission to payment posting.
Physical Therapy Coding
Our AAPC and AHIMA-certified coders ensure accurate coding for services rendered. We keep you compliant with coding guidelines. Our specialty-specific coders manage physical therapy coding operations seamlessly.
Physical Therapy RCM
We handle the complete revenue cycle of your physical therapy practice - from patient registration to claim submission and payment reconciliation. Our ultimate goal is to reduce the denial rate and improve cash flow.
