Rehabilitation Services Revenue Cycle Management

Physical therapists provided the largest proportion of physical rehabilitation services (54.5%), followed by chiropractors (27.5%) and physicians (18.0%). Six out of 100 individuals uses physical rehabilitation services. Women and older individuals were more likely to use rehabilitation services and have higher annual utilization and payments. For the 5 most common physical rehabilitation services, payment rates for chiropractors were the highest and those for physical therapists were the lowest, with payment rates for physicians, Occupational therapists and Speech therapists in between. There has been lots of confusing situational billing similar codes for therapists mentioned above in order to get the highest reimbursement.

The good news is that the right our RCM billing solutions can make a difference. CRYPTON’s powerful data-driven solution helps you capture rehabilitation service revenue with minimal effort. By integrating with your existing practice management system, our powerful reimbursement solutions help you manage rehabilitation services collections and recoup and retain every dollar to which you’re entitled. Take your rehabilitation services revenue cycle management to the next level to gain the revenue you’ve earned.

Want to learn more? Take a tour of CRYPTON’s comprehensive rehabilitation services revenue cycle management solutions to help optimize revenue:

Insurance verification prior to services rendered plus capabilities to identify hidden insurance coverage in self-pay.

In the fast-paced environment of ambulance services, obtaining insurance verification is nearly impossible. You can’t rely on paramedics to obtain insurance verification because they’re focused on providing urgent patient care. You also can’t rely on patients themselves, many of whom are either completely unconscious or not able provide accurate information. You need ambulance services reimbursement solutions that do the work for you, providing real-time eligibility checks and detecting healthcare coverage for self-pay patients.

Here’s how CRYPTON can help:

Eligibility Verification

Ineligible patient insurance coverage is one of the leading causes of payer claim rejections and denials. CRYPTON’s Eligibility Verification solution provides customizable and easy-to-read payer responses. Beyond insurance eligibility verification, CRYPTON includes co-pays, deductibles, inpatient days used, and other pertinent benefit data. Armed with this information, you’ll be able to make payment arrangements and increase collections prior to rendering services.

Coverage Detection

A surprising percentage of your self-pay and charity patients likely have full or partial insurance coverage that your organization may not be aware of. CRYPTON’s Coverage Detection solution provides powerful, proprietary intel

In the fast-paced environment of ambulance services, obtaining insurance verification is nearly impossible. You can’t rely on paramedics to obtain insurance verification because they’re focused on providing urgent patient care. You also can’t rely on patients themselves, many of whom are either completely unconscious or not able provide accurate information. You need ambulance services reimbursement solutions that do the work for you, providing real-time eligibility checks and detecting healthcare coverage for self-pay patients.

Here’s how CRYPTON can help:

Eligibility Verification

Ineligible patient insurance coverage is one of the leading causes of payer claim rejections and denials. CRYPTON’s Eligibility Verification solution provides customizable and easy-to-read payer responses. Beyond insurance eligibility verification, CRYPTON includes co-pays, deductibles, inpatient days used, and other pertinent benefit data. Armed with this information, you’ll be able to make payment arrangements and increase collections prior to rendering services.

Coverage Detection

A surprising percentage of your self-pay and charity patients likely have full or partial insurance coverage that your organization may not be aware of. CRYPTON’s Coverage Detection solution provides powerful, proprietary intelligence based on a decade-and-a-half of data from hospitals, health systems, physicians, specialty groups, ancillary providers, and payers.

ligence based on a decade-and-a-half of data from hospitals, health systems, physicians, specialty groups, ancillary providers, and payers.

Capture payments with point-of-service and self-pay patient collections.

High deductible health plans force you to think more strategically about patient engagement, co-pay collection, and other self-pay payments—especially for patients receiving rehab services who may not be physically able to pay the bill until long after services are rendered. In some cases, rehab services may not be medically necessary, meaning you’ll need to collect directly from the patient. Patient plans, online bill pay and mobile payment options allow rehab services organizations to create payment options that are flexible and convenient. You need rehab services revenue cycle management solutions that help you manage rehab service collections, enhance the patient’s payment experience, and increase the likelihood of successful collections.

Here’s how CRYPTON can help:

POS Collections & Processing

High-deductible health plans and self-pay patients make patient financial responsibility a key part of your revenue stream. Not only must you collect more money directly from your patients than ever before, but you also need to keep them happy while you’re doing it. That’s the only way to build patient satisfaction and loyalty.

Patient Notebook

Today’s consumers want the convenience and ease of paying their bills online, and that desire doesn’t change when those consumers become patients. CRYPTON’s Patient Notebook, a patient payment portal, provides a secure online patient payment center where you can send statements, collect payments, and more via a secure and safe channel.

Patient Statements & Communication

Patients often delay paying their healthcare bills—or refuse to pay them at all—simply because they don’t understand what they owe and why. These bills may take hours of staff time to create, fold, stamp, and address, not to mention the cost of postage and returned mail. With CRYPTON’s Patient Statements, you can design, create, and send patient statements that are easy for patients to understand and that drive reimbursement to your preferred payment options.

Accelerate cash flow by managing claims, remits, and denials.

The sheer volume of rehab services makes it difficult track whether payments are accurate and timely. You need automated remittance processing and reimbursement deposit management to gain real-time cashflow insight. By automating reconciliation, you eliminate thousands of hours wasted on labor-intensive manual processing, reduce the risk of errors, auto-post pre-reconciled download files, and expose missing items—all in a matter of seconds. When denials do occur, you need rehab services revenue cycle management solutions that help you streamline the appeals process, learn from your mistakes, and ensure corrective action going forward. Beyond that – you need the ability to analyze performance KPIs including clean claims volume as well as denial management data for your entire organization and individual locations.

Here’s how CRYPTON can help:

Claims Management

Filing claims and collecting payments from commercial and government payers is the financial lifeblood of your organization. Powered by insights drawn from CRYPTON’s network of thousands of providers and organizations, our award-winning claims management software streamlines and automates your entire workflow for faster and more accurate medical claims processing, lower costs, and higher efficiency.

Payment Analytics.

Optimal revenue performance hinges on constantly monitoring key performance indicators (KPIs) and acting decisively to address issues before they significantly impact your organization.

Denial & Appeal Management

The time-consuming process of denial management—which includes tracking claim adjudication, identifying denied claims, researching reasons for denials, collecting necessary documentation, and writing and submitting appeals – need not be so laborious. CRYPTON’s Denial and Appeal Management solution reduces the time spent researching the denial and appealing each claim.

Remit Management

Lost claim remittances and the time-consuming process of manually posting payments leads to costly delays, increased AR days, and unrealized revenue. CRYPTON’s Remit Management solution provides a cost-effective way to receive electronic remittance advice from payers and compile the information all in one system, saving you time and reducing manual processes and errors.

Remit and Deposit Management

Historically, reimbursement deposit management has been mostly a manual and time-consuming process, requiring providers to wait for each bank statement to arrive and manually reconcile each remit. Re-association takes multiple resources, and missing deposits or remits can take hours to resolve. CRYPTON’s Remit and Deposit Management solution provides up-to-date banking information so you can quickly and accurately post payments. The solution automates the remit and deposit management process by offering a direct connection to a provider’s banking accounts to save time, reduce days in accounts receivable, and improve cash flow.