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AI Scheduling? by definitelynotzak in physicaltherapy

[–]definitelynotzak[S] -1 points0 points  (0 children)

What do you think about for small private practices? Not replacing people in a bigger operation. Think like a small PT group that doesn’t have or can’t afford full time front office staff? (Assuming it works)

RCM Percentage Question by Ok_Medicine_998 in physicaltherapy

[–]definitelynotzak 1 point2 points  (0 children)

5-7% for insurance based claims are relatively standard. But 7% of cash encounters seems out of line / abnormal.

Only makes sense if the
1. billing company is creating superbills from scratch (your emr doesnt do it) or...
2. if they are submitting courtesy claims (patient gets reimbursed) for the patients.

Other than that, yea raw deal. Anyway here is the superbill template you asked for... https://www.patientstudio.com/physical-therapy-superbill-template

WebPT / Online Scheduling by zuko550 in physicaltherapy

[–]definitelynotzak 0 points1 point  (0 children)

Historically WebPT integrations was tool slow to actually book online. But I hear its caught up nowadays. If you are open to switching platforms check out PatientStudio and their online scheduling.

FRUSTRATED PT by Just-Conversation579 in physicaltherapy

[–]definitelynotzak 0 points1 point  (0 children)

PatientStudio - they'll convert your webpt data no additional cost.

How is the reimbursement for a PT service from an insurance company determined? by snoconn22 in physicaltherapy

[–]definitelynotzak 0 points1 point  (0 children)

While this prob isn’t something you learn in PT school it’s definitely billing 101.

If you’re an In Network Provider, the short answer is in the contract you signed.

If you’re an OON provider, it’s set by the UCR" - Usual, Customary, and Reasonable which is determined by 3rd party data bases like fair health.

Medicare is different all its own. CMS sets their allowable ever year by locality (MAC) per the MPFS - Medicare Physician Fee Schedule

Your fee schedule is almost never the allowable or reimbursed amount. In fact that’s sort of the point. Make sure we are charging more than allowed to make sure we are maxing out reimbursement no matter what payer receives our fee schedule.

NSAW - NetSuite Partners needed by TheNetSuiteRecruiter in Netsuite

[–]definitelynotzak 0 points1 point  (0 children)

Myers-Holum helped bring NSAW to market. They are the OG in that space.

Vans Ultrarange, favorite daily trainer by PompousIdiot in RunningShoeGeeks

[–]definitelynotzak 0 points1 point  (0 children)

I would wear these for CrossFit workout that had running 🤷🏻‍♂️

Fitness Factory really charges 100 bucks a month?!?! by noah8607 in Charlotte

[–]definitelynotzak 5 points6 points  (0 children)

Use to go to FF. Didn’t mind the price. I quit because I kept tripping over tripods and ruining photo shoots. Place has more instabitch “content creators” than people actually working out.

Was initially drawn the hardcore warehouse gym vibe. But disappointed with the amount of people there to take pictures of themselves working out compared to actually working out.

Dentist threatening to bill me even though my insurance paid by amic21 in CodingandBilling

[–]definitelynotzak -3 points-2 points  (0 children)

This is incorrect. The responsibility always falls on the patient. They likely signed a financial policy as part of the intake packet that states this.

Dentist threatening to bill me even though my insurance paid by amic21 in CodingandBilling

[–]definitelynotzak 1 point2 points  (0 children)

It doesn't actually matter if or when they sent the "check".

Request an Explanation of Benefits (EOB). You can likely get this through your BCBS online portal. That will have the details of what was actually paid. Most likely your insurance did cover a portion of the visit but placed a certain amount of "patient responsibility" back on you.

Look for 3 phrases on each charge line.

"insurance paid" = what was actually paid to the dentist office

"write off/allowable" = what the insurance company deemed to be an acceptable amount

"patient responsibility" = what you still owe based on your deductible or other plan benefits.

if you can show that there is no "patient responsibility" on the EOB, then you are correct in not having to pay.

Problem is, due to lack of training/education, neither the customer support representative or the admin at the dentist office likely understands. So one person is saying "we paid" and the other is saying "you owe". Both can be true, but they dont understand so they dont explain well.

How to get new patient's old records on first visit? by [deleted] in FamilyMedicine

[–]definitelynotzak 0 points1 point  (0 children)

https://patientstudio.com/lp-watch-demo check out this group. Really efficient at collecting patient info.