Brace Health resources
Practical guidance authored by the people who work on billing and practice operations every day.
13 resources
Medicare Physician Fee Schedule amounts can vary by procedure code, payment year, and locality. Use CMS’s lookup with the right code and locality, then check payment indicators and claim-specific rules; a displayed fee-schedule amount is not a guarantee of the final payment.
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For Medicare outpatient therapy, the 8-minute rule helps determine billable units for timed services measured in 15-minute units. Apply the current Medicare method to documented timed minutes; do not assume that commercial plans use the same method or include untimed services in the calculation.
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A therapy claim is not necessarily stalled because it is old. Look for a missing acknowledgement, an overdue response, unresolved information, or a next action with no owner. Compare the actual claim history with the expected step—not just its aging bucket.
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In-house and outsourced physical therapy billing can both work. Compare who will own the full revenue cycle, how work stays covered, and what your practice must still manage. Salary versus a billing fee is only one part of that decision.
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Old accounts receivable does not automatically become the new billing company's responsibility. Before a therapy practice switches, agree who will work earlier claims, who will post later payments, and what access and reporting remain available.
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An outsourced billing team can work within your therapy EMR when access and workflows support it. Before starting, define who prepares claims, posts payments, follows unpaid balances, and supplies missing information. EMR compatibility does not mean every step is automated.
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Before switching therapy billing companies, agree who owns old and new claims, preserve the access needed to work them, and assign each unresolved item a next action. A documented handoff manages transition risk; it does not guarantee uninterrupted cash flow.
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A physical therapy billing company should show more than a collections total. Evaluate how claims move from submission to payment, what happens when they are rejected or underpaid, and who owns each unresolved issue and next action.
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An AR aging report shows how long balances have been open. For a physical therapy practice, the useful next step is to identify why older balances remain, who owns each one, and what happens next.
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Physical therapy owners can start with five billing measures: submission lag, rejections and denials, AR aging, payment realization, and open exceptions. Each measure needs a consistent definition and a next action.
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Unpaid claims should be reviewed continuously, but not every claim needs the same follow-up interval. Set each claim’s next action from its current status, expected payer response window, filing or appeal deadline, value, and unresolved blocker.
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A physical therapy billing company should turn completed visits into resolved balances. That includes claim preparation, rejection and denial work, payment posting, unpaid-claim follow-up, patient billing support, reporting, and clear escalation when the practice must act.
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A therapy EMR can prepare and submit a clean claim, but it does not finish the revenue cycle. A billing owner still needs to resolve payer responses, underpayments, secondary claims, patient balances, and recurring workflow failures.
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