Specialty billing
Rehabilitation Billing Built Around Functional Outcomes
Intensive rehabilitation admissions, functional outcome documentation and multi-discipline therapy claims.
The challenge
What makes rehabilitation billing different
Rehabilitation is paid on the strength of documented functional change. Admission has to be justified by an expectation of measurable improvement, continued stay has to be justified by evidence that improvement is occurring, and discharge has to be justified by goals met or a plateau reached. The clinical narrative is the financial argument.
Operationally it is also a coordination problem. Physical, occupational and speech therapy each generate their own documentation and claims, physician oversight runs alongside them, and authorization is typically granted in short increments requiring continuous justification.
Why us
Why rehabilitation providers work with us
Specialty billing is not a marketing label for us. Coders and A/R staff are assigned by specialty, so the person on your account reads notes like yours every day.
Get a free assessment- Functional outcome documentation reviewed as a payment requirement, not just a clinical one
- Multi-discipline claims coordinated so overlapping services are not billed as duplicates
- Concurrent authorization managed continuously rather than at renewal points
- Group and individual therapy distinguished clearly on every claim
Scope of work
What we handle for rehabilitation providers
The work below is specific to this specialty, not a generic billing checklist with the name swapped out.
Admission medical necessity
Admission documentation reviewed against the intensity and improvement expectations payers apply.
Functional outcome capture
Standardised outcome measures tracked so continued stay is supported by evidence of progress.
Multi-discipline therapy claims
Physical, occupational and speech therapy claims coordinated across a single episode of care.
Group versus individual therapy
Delivery format documented and billed distinctly, since the two are valued differently.
Concurrent authorization
Continued-stay reviews prepared ahead of deadline with the clinical justification attached.
Discharge planning documentation
Discharge criteria and goal attainment recorded so the episode closes cleanly for review.
The Right Way difference
What we watch on rehabilitation claims
These are the details that separate a paid claim from an appealed one in rehabilitation. They are checked on every claim, not sampled.
- 01 Whether admission documentation supports the intensity of service the setting requires
- 02 Evidence of measurable functional progress at each continued-stay review point
- 03 Duplicate or overlapping services across therapy disciplines within the same episode
- 04 Group versus individual therapy documentation, which reviewers check closely
- 05 Physician oversight documentation supporting the required level of involvement
0+
Years running revenue cycles for physician practices
0+
Providers billed for across every specialty we serve
0%
First-pass clean claim rate
0 days
Median days in accounts receivable
Questions
Rehabilitation billing questions
What practices in this specialty ask us most often before making a change.
Ask us something elseAlmost always because the documentation does not show measurable progress toward defined goals. Reviewers are looking for functional change against a baseline. Narrative descriptions of participation without measured outcomes will not sustain an authorization.
By coordinating claims at the episode level rather than the discipline level. When physical and occupational therapy address overlapping functional domains on the same day, the documentation has to distinguish them, and we check that before submission.
Yes. Rehabilitation episodes commonly generate both, and the two must be reconciled against each other. Billing one without the other is a pattern we regularly find when auditing a new account.
How it works
Getting started takes about a month
The same four steps whichever specialty you are in. No system migration and no gap in your cash flow.
-
01
Revenue assessment
We audit a sample of your claims, denials and aged A/R and show you what we found. Free, and yours to keep either way.
-
02
Scope and agreement
A written scope covering exactly which services we run, what it costs and what we are accountable for.
-
03
Access and onboarding
We set up inside your existing EHR and clearinghouse. Two to four weeks, run in parallel with your current process.
-
04
Live and reporting
We take over submission and follow-up, and you get monthly reporting you can actually act on.
Free consultation
Let us look at your rehabilitation claims
Send us a sample and we will tell you specifically what is being coded, denied or under-paid — and what it is worth to fix. Free, and yours to keep.