"Your attitude determines your altitude."

- Vince Lombardi

"The journey of a thousand miles begins with a single step."

- Chinese Proverb

"The ultimate measure of a man is not where he stands in moments of comfort and convenience, but where he stands at times of challenge and controversy."

- Martin Luther King, Jr.

"What lies behind us and what lies before us are small matters compared to what lies within us."

- Ralph Waldo Emerson

"And will you succeed? Yes indeed, yes indeed. Ninety-eight and three quarters percent guaranteed!"

- Dr. Seuss

Billing Process

"You are a godsend to my daughter's life. I can see a tremendous change in her life since we started therapy."

M.A.

Billing for physical therapy services is similar to what happens at your doctor's office. When you are seen for treatment the following occurs:

  1. The physical therapist bills your insurance company, Workers' Comp, or charges you based on CPT (Common Procedure Terminology) codes.
  2. Those codes are transferred to a billing form that is either mailed or electronically communicated to the payer.
  3. The payer processes this information and makes payments according to an agreed upon fee schedule.
  4. An EOB (Explanation of Benefits) is generated and sent to the patient and the physical therapy clinic with a check for payment and a balance due by the patient.
  5. The patient is expected to make their portion of the payment at the time of each visit.

It is important to understand that there are many small steps (beyond the outline provided above) within the process. Exceptions are common to the above example as well. At any time along the way, information may be missing, mis-communicated, or misunderstood. This can delay the payment process. While it is common for the payment process to be completed in 60 days or less, it is not uncommon for the physical therapy clinic to receive payment as long as 6 months after the treatment date.