Written by Brandy Watson, VP of Client Engagement
Are claim denials cutting into your revenue? You’re not alone… but the good news is, many denials are preventable. At Medical Billing Center, we understand the unique challenges faced by private practice physical therapy offices because we lived it! Our leadership team is built out of DPT, and PT former clinic owners. Our clinic-focused partnership aims to streamline your billing and collections process, ensuring faster reimbursement and better business oversight.
Common Reasons for Claim Denials in Physical Therapy Billing
- Incomplete or Inaccurate Verification of Benefits Simple errors like a misspelled name, missing middle initial, incorrect guarantor, termed policy, or wrong plan ID can lead to immediate These small mistakes can have a big impact on your revenue.
- Delayed Verification of Benefits Verifying benefits after the patient visit is too late. Timely checks are essential to avoid unnecessary write-offs. Ensuring that benefits are verified before the patient visit can save your practice time and
- Missed Authorizations Failing to obtain or follow up on prior authorizations, or continuing treatment beyond the approved sessions, is a fast track to denial. Staying on top of authorizations is crucial for maintaining a steady cash flow.
- Maxed-out Benefits Continuing treatment without authorization for extension can result in denied It’s important to monitor benefit limits and obtain necessary extensions to avoid disruptions in patient care.
Let’s Fix This Together
At MBC, we help practices like yours reduce denials and boost revenue with simple, effective process improvements. Our team of experts is dedicated to identifying and addressing the root causes of claim denials, ensuring that your practice operates smoothly and efficiently.
Contact Us Today
Ready to take control of your billing process? Book a call with Brianna Hall, our Director of Development, to review your current billing process and discover how it can be improved for faster reimbursement and better business oversight. Together, we can make a big impact with just a few small changes.
MBC Insight: Tracking the Future of Medicare
MBC is actively monitoring the 2026 Medicare Fee Schedule proposed changes to keep you informed and prepared. Want to stay ahead of the curve? https://www.apta.org to follow the latest updates via APTA. More insights are coming your way in Q4 — stay tuned! Enhanced Communication Tools
We’re rolling out secure communication via Microsoft Teams to streamline collaboration.
Thanks for being a valued partner. We’re here to support your success every step of the way.