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Improving Shelley A. Cooper Physical
             Therapy’s
          Billing Software
        to Increase Revenue
Reasons for
            Decreased Revenue

                     Denied Claims




                                             Billing
Exceeding Allowed   Exceeding Allowed
                                        Mutually Exclusive
 Number of Visits     Billed Amount
                                        Procedure Codes
Goals to Increase Revenue
   Avoid treating patients over allowed number of
    visits

   Avoid treating patients who reached therapy cap
    amount

   Avoid billing mutually exclusive procedure codes
    together
Solution

PTOS – Physical Therapy Operating System
PTOS Benefits
   Ability to add allowed number of visits

   Ability to enter allowed dollar amount

   Ability to input mutually exclusive
    procedure codes
PTOS Fees
   One time set-up fee
   $80 per month, unlimited support
   $0.20 per Electronic Claim Submission
   $0.20 per Electronic Remittance Advice
Monthly Cost Comparison

450
440
430
420
410                                         PTOS
                                            Current Software
400
390
380
370
      Monthly Service Fee (1300 patients)
Conclusion
   Decrease denied
    claims
   Decrease monthly
    service fee
   Increase monthly
    revenue
   Increase savings

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A Better Software

  • 1. Improving Shelley A. Cooper Physical Therapy’s Billing Software to Increase Revenue
  • 2. Reasons for Decreased Revenue Denied Claims Billing Exceeding Allowed Exceeding Allowed Mutually Exclusive Number of Visits Billed Amount Procedure Codes
  • 3. Goals to Increase Revenue  Avoid treating patients over allowed number of visits  Avoid treating patients who reached therapy cap amount  Avoid billing mutually exclusive procedure codes together
  • 4. Solution PTOS – Physical Therapy Operating System
  • 5. PTOS Benefits  Ability to add allowed number of visits  Ability to enter allowed dollar amount  Ability to input mutually exclusive procedure codes
  • 6. PTOS Fees  One time set-up fee  $80 per month, unlimited support  $0.20 per Electronic Claim Submission  $0.20 per Electronic Remittance Advice
  • 7. Monthly Cost Comparison 450 440 430 420 410 PTOS Current Software 400 390 380 370 Monthly Service Fee (1300 patients)
  • 8. Conclusion  Decrease denied claims  Decrease monthly service fee  Increase monthly revenue  Increase savings