Maximize Reimbursement with Maryland Rehab
Medical Billing Services
Our specialized rehab billing and coding support helps outpatient rehab clinics, therapy centers in Maryland and across the USA.
Why Rehab Billing Requires Specialized Expertise
Rehab billing is quite a difficult field when it comes to revenue cycle management. Unlike standard medical billing, rehab facilities face therapy caps, functional limitation reporting, multiple treatment sessions, and strict Medicare documentation requirements.
Our team specializes in:
Physical Therapy (PT) billing and coding- Occupational Therapy (OT) billing services
- Speech-Language Pathology (SLP) billing
- Outpatient rehab clinic billing
- Skilled Nursing Facility (SNF) therapy billing
- Workers' compensation rehabilitation claims
Physical Therapy (PT) billing and codingIf you're an independent rehab clinic or need a comprehensive rehab facility, we have the expertise to manage your billing needs with precision and efficiency.
What Services We Offer
At Maryland Medical Billing, we help rehab providers. We focus on maximizing revenue, improving cash flow, and reducing admin tasks.
Complete RCM
We manage every aspect of your billing process from patient registration through final payment collection.
Denial Management and Appeals
Rehab claims often face denials due to medical necessity questions, documentation issues, or authorization problems. Our experienced team quickly identifies denial reasons and corrects them.
Detailed Financial Reporting
We provide insights on collections, aging accounts receivable, payer performance, denial trends, and key performance indicators specific to rehab practices.
Insurance Verification and Authorization
We verify insurance coverage before treatment begins and obtain necessary authorizations for therapy services.
Common Rehab Billing Challenges We Solve
Therapy Cap Management
Navigate Medicare therapy caps and exception processes to ensure patients receive needed services without payment interruptions.
8-Minute Rule Compliance
Accurately apply the 8-minute rule for time-based codes to maximize reimbursement while maintaining compliance.
Functional Reporting
Meet functional limitation reporting requirements with appropriate documentation and code selection.
Medical Necessity Denials
Provide documentation that clearly establishes medical necessity for therapy services and defends against payer audits.
Modifier Usage
Correctly apply modifiers such as 59, GP, GO, GN, KX, and others required for therapy billing.
Authorization Issues
Obtain and manage authorizations for therapy services across multiple payers with different requirements.
Benefits of Partnering with Maryland Medical Billing for Rehab Services
- Increase Your Revenue: Our expertise in rehab billing typically results in a 15-30% increase in collections for our clients.
- Reduce Administrative Burden: Free your staff from time-consuming billing tasks so they can focus on patient care.
- Ensure Compliance: Stay compliant with constantly changing Medicare regulations.
- Improve Cash Flow: Faster claim submission and follow-up means quicker payments.
- Expert Coding Accuracy: Our AAPC and AHIMA-certified coders specialize in rehab services.
- Transparent Communication: You'll have a dedicated account manager who understands your practice and provides regular updates.
- Scalable Solutions: Whether you're a solo practitioner or a multi-location rehab group, our services scale to meet your needs.
Our Rehab Billing Process
At Maryland Medical Billing, we conduct an extremely careful and efficient medical credentialing process
to guarantee the best service quality. Below is the workflow of our medical credentialing process:
Patient Registration and Insurance Verification
We verify insurance eligibility, benefits, and authorization requirements before the first appointment to prevent payment delays.
Charge Capture and Documentation Review
Our team reviews clinical documentation to ensure it supports the services provided and meets payer requirements for medical necessity.
Accurate Coding and Charge Entry
Certified coders assign appropriate CPT, ICD-10, and HCPCS codes using current coding guidelines and payer-specific requirements.
Claim Submission and Tracking
We submit clean claims electronically within 24-48 hours of receiving documentation and track each claim through the payment process.
Payment Posting and Reconciliation
All payments and adjustments are posted accurately to patient accounts with detailed reconciliation reports.
Frequently Asked Questions (FAQ)
Rehabilitation billing involves complex rules around timed vs. untimed codes, the 8-minute rule, therapy caps, functional reporting, and specific Medicare documentation requirements. These unique aspects require specialized knowledge that general medical billers often lack.
We ensure accurate application of the 8-minute rule by carefully reviewing documentation of treatment times and calculating billable units according to CMS guidelines. This maximizes reimbursement while maintaining compliance.
Yes, we manage the entire process of approval for services exceeding therapy caps, including documentation of medical necessity and clinical justification.
We work with Medicare, Medicaid, all major commercial insurance carriers, workers' compensation payers, and auto insurance companies. We're also experienced with self-pay and cash-based practice models.
Our clean claim rate exceeds 96%, meaning fewer denials and faster payments compared to the industry average of 75-80%.
Most clients see improved cash flow within 30-60 days as we clear backlogged claims and establish efficient processes. Long-term improvements continue as we optimize your revenue cycle.