Minutes, units, and the eight-minute rule
Timed codes are the most frequent source of therapy denials and the easiest to fix systematically. When treatment time is recorded accurately and units are calculated consistently, most of these denials stop before they start.
The second layer is plan-of-care and certification timing. Claims submitted after a certification expires are denied regardless of clinical need, so the tracker needs to surface expiring certifications before the visit, not after the claim.
- Timed-code unit calculation and total-time documentation
- Visit limits and remaining-benefit tracking per payer
- Plan-of-care certification and recertification dates
- Modifier use for assistant-provided services
Keeping the schedule full and the ledger current
Therapy clinics feel billing pain twice: unpaid claims and uncollected patient responsibility. Deductibles and coinsurance are predictable in January and easy to forget in March.
We combine claim follow-up with a simple view of patient balances, so front-desk conversations can happen while the patient is still in the building rather than through a series of statements.