Enhanced Patient Care
Revolutionizing Physical Therapy Revenue Cycle Management
In the realm of physical therapy, effective revenue cycle management (RCM) is crucial for maintaining the financial health of your practice while ensuring top-notch patient care. At One Hive, we specialize in delivering innovative RCM solutions tailored specifically for physical therapy practices, addressing the unique challenges and opportunities in this dynamic field.
Complexities
Unique Challenges in Physical Therapy RCM
Physical therapy services involve a diverse range of treatments and modalities designed to improve patient mobility and function. This variety introduces specific challenges to the revenue cycle:
Diverse Treatment Codes
Physical therapy includes various treatment codes and modalities, each with specific documentation and billing requirements that can be complex to manage.
Insurance Reimbursement Issues
Navigating the intricacies of insurance coverage, including pre-authorization and reimbursement rates, can be challenging and often results in claim denials or delays.
Patient-Driven Payments
The nature of physical therapy often involves co-pays and out-of-pocket expenses, which requires precise billing and collection practices to ensure timely payments.
Documentation and Compliance
Accurate and detailed documentation is essential for compliance with payer requirements and for supporting the medical necessity of treatments.
Innovative solutions
Our Cutting-Edge Approach to Physical Therapy RCM
At One Hive, we bring specialized knowledge and innovative solutions to streamline your physical therapy RCM
Comprehensive Coding and Billing
Our team of experts is adept at managing the intricate coding and billing processes for physical therapy services, ensuring accurate claim submissions and maximizing reimbursement.
Insurance and Payer Optimization
We handle payer negotiations and address insurance-related issues, including pre-authorizations and appeals, to improve reimbursement rates and reduce claim denials.
Efficient Patient Collections
Our solutions include robust billing practices for co-pays and out-of-pocket expenses, enhancing cash flow and minimizing patient payment delays.
Detailed Compliance and Documentation
We ensure that all documentation meets payer requirements and supports the medical necessity of treatments, reducing compliance risks and improving audit outcomes.
Customizable Solutions
Recognizing that each physical therapy practice has unique needs, we offer flexible RCM solutions tailored to your specific operational and financial goals.
let's Start
Partner with Us for Success in Physical Therapy RCM
In the competitive field of physical therapy, effective RCM is essential for sustaining and growing your practice. One Hive is dedicated to providing specialized RCM services that enhance operational efficiency and financial performance, allowing you to focus on delivering exceptional patient care.
Contact us today to learn how our expertise in physical therapy RCM can support your practice’s success and optimize your revenue cycle.
Case Studies
Popular Use Cases
Medical Coding
4.8
(5.8K +)
Cardiology Case Study
Client: A large cardiology practice struggling with claim denials for complex cardiac procedures.
- Challenge: The practice was facing a high denial rate for procedures like cardiac catheterizations and echocardiograms due to coding errors and insufficient documentation.
- Solution: We implemented a tailored RCM solution focused on accurate coding (CPT and ICD-10) and pre-authorization workflows. Our team provided specialized training to ensure cardiologists and staff understood the importance of detailed documentation for these high-value procedures.
- Result: Denial rates dropped by 30%, and overall collections increased by 20% within six months.
Medical Billing
4.8
(5.8K +)
Oncology Case Study
Client: A multi-location oncology clinic experiencing slow reimbursements from payers.
- Challenge: The clinic’s complex chemotherapy billing, along with frequent coding errors, resulted in delayed payments and denials.
- Solution: We optimized their billing processes, ensuring accurate coding for drug administration, therapies, and supportive care. We also developed a system for monitoring claims and tracking prior authorizations to minimize delays.
- Result: Claims processing times were reduced by 40%, and their accounts receivable over 90 days decreased by 25%.
Transcription
4.8
(5.8K +)
Orthopedics Case Study
Client: An orthopedic group facing issues with high patient balances post-surgery.
- Challenge: Many patients were unaware of their out-of-pocket costs, leading to a high volume of unpaid bills after surgeries.
- Solution: We created a patient financial engagement plan that provided upfront cost estimates based on insurance benefits and out-of-pocket requirements. Our RCM team also implemented automated payment plans for patients.
- Result: The practice saw a 35% increase in patient collections and a 20% reduction in the time it took to receive payments from patients.
Medical Coding
4.8
(5.8K +)
Pediatrics Case Study
Client: A pediatric practice with a high rate of claim rejections due to coding inconsistencies.
- Challenge: The practice struggled with frequent rejections on well-child visits and immunizations, which affected their revenue stream.
- Solution: We worked with the pediatricians to ensure proper coding for preventive care and vaccinations, while also enhancing their billing software to identify errors before submission.
- Result: The claim rejection rate dropped by 45%, and the practice experienced a 15% increase in monthly revenue.
Medical Billing
4.8
(5.8K +)
Behavioral Health Case Study
Client: A behavioral health clinic dealing with denied mental health service claims.
- Challenge: The clinic faced constant challenges from payers regarding the medical necessity of services, which led to claim denials.
- Solution: Our team provided detailed training on the necessary documentation to establish medical necessity. We also revamped their claim appeals process and set up follow-up procedures for denied claims.
- Result: The clinic reduced their denial rate by 50% and increased collections by 18%.
Testimonial
What Our Clients Say
Our doctors’ testimonials showcase how OneHive’s RCM solutions have streamlined billing, improved cash flow, and enhanced patient care. Their feedback underscores our commitment to efficiency and exceptional support.
4.9 Rated
Partnering with OneHive Billing Solutions has been a game-changer for my practice. Their team handles everything from billing to denial management with incredible efficiency, allowing me to focus solely on my patients. My revenue has never been this consistent!
Dr. Sarah Mitchell
@Family Medicine
5.0 Rated
What sets OneHive Billing Solutions apart is their personalized approach and commitment to excellence. From the moment we signed on, they’ve been proactive in resolving billing issues, improving cash flow, and keeping us compliant. They’re a fantastic partner!
Dr. Angela Lee
@Dermatologist
4.9 Rated
I used to spend hours dealing with billing errors and insurance claims. Since we started working with OneHive Billing Solutions, I’ve seen a 30% improvement in collections, and my claims are getting paid faster than ever. Their expertise is unmatched.
Dr. James Carter
@Cardiologist
4.8 Rated
I’ve worked with other RCM companies in the past, but none have matched the level of service and results we’ve experienced with OneHive Billing Solutions. Their attention to detail and quick follow-up on denied claims have been essential in growing my practice’s revenue.
Dr. Michael Brown
@Neurologist
5.0 Rated
Before OneHive Billing Solutions, we struggled with delayed payments and high denial rates. Their streamlined process has transformed our revenue cycle, and I no longer worry about unpaid claims. They truly understand the needs of physicians.
Dr. William Harris
@Orthopedic Surgeon
4.9 Rated
The team at OneHive Billing Solutions is highly professional and knowledgeable. They’ve significantly reduced our claim rejection rates, and their reporting tools provide valuable insights into our financial health. I highly recommend their services to any medical practice!
Dr. Emily Rodriguez
@Pediatrician