Frequently asked questions

Revenue cycle management (RCM) refers to the collective services PTBS offers. It includes insurance and patient billing, claim submission, payment posting, and denials and accounts receivable management, as well as such services as insurance credentialing, benefits verification, revenue performance reporting and related practice start-up services. Effective RCM ensures that healthcare providers, like physical therapists, are properly reimbursed for their services and don't have to manage their own team of employees to do so.

Outsourcing RCM allows physical therapy practices to focus on patient care rather than administrative tasks. By partnering with RCM experts, you benefit from streamlined billing processes, faster payments, reduced errors, and better financial performance overall. If you suspect your collections are lower or slower than they should be, please reach out.

We have a dedicated team that specializes in claim denial management. We thoroughly review denied claims, correct any issues, promptly resubmit them, and continuously follow-up after all submissions to ensure you receive the revenue you're entitled to.

We stay up-to-date on all regulatory changes, including HIPAA, Medicare, and insurance billing guidelines. When working with us, you’ll enter into a Business Associates Agreement that ensures our compliance with the most important regulations together.

We work with physical therapy practices of all sizes and specialties across the country, from small clinics to large multi-location practices. We have many specialty physical therapy practices, including specialists in pelvic floor / postpartum, lymphedema, pediatric, sports, senior care, and more.

While most of our clients are primarily PT practices, we’ve become experts in providing RCM services to the other therapies you often see alongside of PT, including speech, OT and ABA therapy.

Our core pricing is based on a percentage of the revenue we help you collect, ensuring that our goals are aligned with yours. This model ensures that you only pay for the services we successfully provide, after you have already collected your revenue.

Yes, in our experience, outsourcing your RCM typically results in higher revenue because we optimize your processes, reduce claim rejections, and speed up payment collection. We also help you identify where additional revenue growth opportunities may exist based on your performance relative to peers.  We leave you to focus on seeing as many patients as your schedule allows.

Yes, with a US-based RCM company, you can be certain that your patient and operational data never goes overseas, where it could be exposed to greater risk of issues.  Having an RCM with a domestic-only team often leads to better and more clear communication, which is particularly important since your staff and patients will interact with your RCM on billing-related matters.