Physiatry billing for rehabilitation-focused medical care.
Physical medicine and rehabilitation physicians may assess function, manage complex recovery and provide procedures across several settings. That is a different billing role from the therapy delivered by a physical therapist. We help physiatry practices keep those professional services and supporting records clearly identified.
- ClaimsDocumentation review
- A/RPayer follow-up
- ReportsClear next actions
Three ways Physical Medicine & Rehabilitation claims quietly lose value
Review these issues against the documentation, remittance and policy that applied on the date of service. They can appear as denials or underpayments.
- Physician and therapy services are treated as one
A physiatrist’s work and a therapist’s treatment may be billed through different arrangements. We clarify who performed each service.
- The setting is carried forward incorrectly
Office, hospital and rehabilitation-facility encounters need the correct context. We review setting and provider information before submission.
- Procedure documentation is incomplete
The record must support the actual professional service. We raise specific questions where the charge and note do not agree.
What we bill for physical medicine & rehabilitation teams
If something you do is not on this list, ask. We will tell you honestly whether we have the depth for it.
How Physical Medicine & Rehabilitation accounts are actually run
The worklist connects each claim to its documentation, payer requirements and next follow-up date.
- Separate physician and therapy workflows
We agree which professional services and settings are included.
- Review the encounter documentation
Visit and procedure records are checked against the charges.
- Resolve setting and practitioner questions
Unclear details are referred to the appropriate clinical or administrative team.
- Report outstanding work by care setting
The practice can see where records, payer responses or corrections are holding up accounts.
Included for physical medicine & rehabilitation teams
- Charge review against the clinical record
- Eligibility and benefit checks within the agreed scope
- Submission and rejection follow-up
- Payer denial review and supported appeals
- Payment posting and balance reconciliation
- Aged receivable review
- Specific documentation queries for your team
- Reporting on outstanding work and next actions
These describe how we run the service. They are commitments about our process, not a guaranteed outcome on any individual claim.
We work inside the system you already use
We agree user permissions, claim queues, reporting access and escalation contacts in your current system before work begins.
Physical Medicine & Rehabilitation billing across the country
These state guides explain local Medicaid programs and payer administration. They cover general billing requirements, rather than a separate Physical Medicine & Rehabilitation service in each state.
Arizona payer guideAHCCCS and 7+ plans
Washington payer guideApple Health and 7+ plans
Texas payer guideTexas Medicaid and 8+ plans
New York payer guideNY Medicaid and 8+ plans
California payer guideMedi-Cal and 8+ plans
Ohio payer guideOhio Medicaid and 8+ plans
Florida payer guideFlorida Medicaid and 8+ plansWhat physical medicine & rehabilitation teams ask
Is this the same as physical therapy billing?
No. Physical medicine and rehabilitation is a physician specialty, also called physiatry. Physical therapy is a separate discipline.
Can you support hospital rehabilitation visits?
Professional services can be included in the agreed scope. The facility’s institutional claim is separate.
Can one practice have both billing workflows?
Yes. We define the providers, services and responsibilities so physician and therapy claims are not confused.
Let’s review your physical medicine & rehabilitation billing
Tell us your specialty and the billing issue you want reviewed. We will agree the scope and arrange a secure way to share any records needed.