How to Verify Patient Benefits for Physical Therapy

Physical therapy clinics need to gather a lot of information before seeing a patient in order to make sure they get reimbursed from insurance. Unfortunately a lot of that information does not exist on the portals, requiring physical therapy clinics to call the insurance companies to gather the necessary data.

This makes the verification of benefits process more difficult as not only do you have to call, but you also have to understand how to ask the right questions to the payer representatives when you call.. 

At One Body, we have developed a verification of benefits process specific to Physical Therapy. Below are some tips on how to verify benefits for Physical Therapy

1) Make sure you always ask if there is a visit limit or any other limitation

2)Make sure you ask for what is remaining and what is used with regards to the limitation

3) Always confirm network status

4) Make sure you always ask if authorization is required, how to submit for authorization and when the authorization needs to be submitted

5) If Medicare, make sure you know if there is a home health episode

If the patient has home health, you can’t see them in office. This is a very important piece of information you need to know before seeing the patient.

One Body helps hundreds of physical therapy clinics with verification of benefits. If you are a physical therapy clinic and you need help with verifying your patient benefits, please reach out!