We accept: Cash, Personal Check, Visa and MasterCard for payment of balances on your account. There is a $1.00 transaction fee for each credit card transaction. This fee is not reimbursable at any time.
Professional Rehabilitation Services uses LRH Billing & Account Mgmt. Services who does the billing, posting and follow up of your claims. You should first call them for questions regarding your bill or insurance problems.
Tracie Adams, Client Services Representative at LRH Billing & Account Mgmt. Services
Phone: (423) 727-7944
Physical Therapy Bill FAQ
We bill you on a monthly basis to collect any portions due at that time and make you aware of the status of your account. You will receive a bill each month for any portions owed until all dates of service have been processed. Any balance due on your statement is due within 30 days to avoid a $10.00 late fee.
I do not understand why each date of service has different charges? How are physical therapy services coded / billed?
Insurance companies require that we itemize every procedure we perform. Each procedure has a numeric code (CPT Code) and a specific charge according to our fee schedule. Many codes are "time dependent" and billed in increments. Since many treatment sessions last an hour there may be 4 different billing codes submitted for a single visit and the codes will depend on what was performed / done at your therapy visit. For approved PT services, insurance reimbursement varies according to individual plans. You should refer to your "Explanation of Benefits" for details.
We verified your benefits as a courtesy. Any benefit information given to us by insurance companies can sometimes be erroneous and inaccurate. That is why we urge you to call your insurance company for complete details on your physical therapy benefit responsibilities including both covered and non-covered services.
Physical Therapy providers are not a party to the agreement between an individual and his/her insurance company.
My insurance denied saying maximum benefit met. Is there a maximum dollar amount that my insurance plan will cover?
Some insurance plans will have a maximum that they will pay towards your therapy. This is the patient's responsibility to know their PT benefits and to keep track of limits. If the maximum has been reached any amounts over this will be billed to the patient.
Your portion of the bill should be paid within 30 days of each billed statement. You will receive a bill each month until all dates of service have been paid. If your bill is not paid within 30 days a $10.00 late fee will be applied to your outstanding balance. If you need a payment plan please call a Patient Service Advocate at our office.
Once your insurance processes your claim we apply you're upfront payments (credit), once a claim is paid in full it does not show on your statement. Therefore you don't see your payment.
The money you paid at each visit was an estimate going towards your ending balance, and it may not cover all of your expenses. It will decrease the total amount you will have to pay in the end. This is a way to decrease the chance of having a financial burden on you and your family after you have completed treatment. If you now have a balance on your account we have applied all the monies you paid upfront and this is your current balance.
Note: Your balance on your statement may not include any pending insurance that will be billed once these dates of service have processed.
Yes, all services provided must be paid in full by either your insurance plan or yourself. There may be services, which are non-covered under your plan which can't be determined until your claims have been processed by your insurance company. When we verify your benefits we obtain plan coverage. However, we are not always aware of services that will be denied by your insurance plan. All codes billed to your insurance are billable therapy codes and will be your responsibility.
If there are any denials of payment from your insurance company due to a problem with your insurance or a request from the insurance to you (ex: accident or other insurance request), then you should contact your insurance company first for the reason and get this resolved. Denied services will be billed to the patient and you will be responsible for the denied services until you get the problem resolved. If we need to resubmit any claims to your insurance after you call them please call our billing company and they will do this for you.
If the denial is on our end due to an error on the claim form (ex: ID # entered wrong etc.) we will resolve the issue with the insurance company and resubmit the claim promptly.
There may be two reasons for this:
- We verified your benefits as a courtesy. The benefit information given to us by insurance companies was incorrect. This may happen as the information they give us can sometimes be erroneous and inaccurate. That is why we urge you to call your insurance company for complete details on your physical therapy benefit responsibilities including both covered and non-covered services before receiving services.
- There may be services that are non-covered under your plan which can't be determined until your claims have been processed by your insurance company. When we verify your benefits we obtain plan coverage. However, we are not always aware of services that will be denied by your insurance plan. All codes billed to your insurance are billable therapy codes and will be your responsibility.
It is your full responsibility to pay for the services not covered by your insurance this includes co-pays, coinsurance, deductibles, denials and non-covered services when billed. It is also your responsibility to adhere to payment plan agreements. Every month your bill is not paid a late fee of $10.00 will be added to the outstanding balance.
If it becomes evident that you do not intend to take care of your financial obligation after multiple attempts to collect payment from you, your account will be forwarded to our collection agency. You agree to pay all collection costs added to the outstanding balance. If legal action is taken you agree to pay all attorneys, legal and court fees that are associated with trying to settle the debt.