BOOST My Claims helps PT private practice groups get higher reimbursements on their workers' comp and auto claims by protecting the claims from PPO, network and retroactive reductions.
BOOST your claims means you can get higher reimbursements on your workers' comp and auto claims. Once your PT clinics protect their workers' comp and auto claims from PPO and network reductions, your revenue increases.

Free Reimbursement Review

BOOST My Claims helps PT private practice groups get higher reimbursements on their workers' comp and auto claims by protecting the claims from PPO, network and retroactive reductions.

Day: June 9, 2025

How Do You Maximize Physical Therapy Reimbursement?

Posted on by Advanced Rehab Management

If your clinic is busy but your bank account doesn’t show it, it’s time to take a closer look at your reimbursements. 

Blog table dollars

Many physical therapy practices unknowingly underbill - or get underpaid - for provided services. Whether it’s missed units, incorrect coding, or low-paying contracts, every dollar left behind impacts your bottom line. 

Here’s how your PT clinic can take control and start to maximize reimbursements without burning out your team or sacrificing patient care. 

1. Use the 8-Minute Rule to Its Full Potential 

Every minute matters. Don’t default to billing one or two units for every session. Use time-tracked notes to ensure you're billing the full number of units allowed based on the time spent providing skilled care. 

2. Use the Correct CPT Codes and Modifiers 

Using generic or default codes can cost your clinic. Evaluate how your team uses: 

  • Evaluation codes (97161–97163) 
  • Therapeutic activities (97530) 
  • Neuromuscular re-education (97112) 

Ensure modifiers (like -59) are used properly to distinguish services and avoid denials. 

3. Track Denials and Appeal Aggressively 

Don’t just write off denied claims. Track why they were denied, and appeal when appropriate. Denials are often caused by small errors, like missing documentation or mismatched diagnoses, that can be corrected. 

4. Audit Your Payer Mix and Contracts 

If you are in a contract with payers offering the lowest rates, it might be time to renegotiate or drop them. Run monthly reports to see which insurance contracts are helping or hurting your profitability. A small shift in your payer mix can have a major impact on overall income. 

5. BOOST Workers’ Comp and Auto Injury Claims 

Standard insurance rates are one thing, but if your clinic treats workers' comp or motor vehicle accident (MVA) patients, you could be earning significantly more. BOOST helps PT clinics increase revenue from these claims, averaging $53 more per visit, without disrupting current systems. 

BOOST works behind the scenes, so your in-house billing team keeps full control and gets a powerful partner to make sure nothing slips through the cracks.

Your clinic deserves to get paid for the value you deliver. 

Let BOOST show you where you're leaving money behind. You can then fix it without adding more work to your day.

Head to: boostmyclaims.com 

How Does Physical Therapy Work with Workers’ Comp?

Posted on by Advanced Rehab Management
Blog insurance policy

Treating workers’ comp patients is one thing. Getting paid for it is another.

Workers' compensation billing can feel like a maze. Every state has its own rules, documentation requirements and claim timelines. With the right process in place, PT clinics can get paid fairly for the care they provide. 

Here are five key steps to managing workers' comp claims successfully: 

1. Confirm the Injury Is Work-Related 

This step happens before treatment even begins. Always ask: “Was this injury work-related?” If this isn’t confirmed up front, the clinic might mistakenly bill the patient’s primary insurance, leading to denials and delayed care. 

2. Gather All Claim Information 

Once a work-related injury is confirmed, collect everything: 

  • Claim Number

  • Adjuster Name and Contact Info

  • Injury Details

  • Employer and Carrier 

  • Ensure The Approved Diagnosis Matches The Claim To Avoid Rejections

3. Get Written Treatment Authorization 

Don’t start treatment without it. Verbal approval is helpful, but written authorization is your protection. If more visits are needed later, contact the adjuster early to extend approval and avoid hitting a hard stop mid-treatment.

4. Track Visits and Submit Clean Claims 

Meticulously track approved visits, attach required documentation and confirm service dates match authorization. Inconsistencies are one of the top reasons for denied claims. 

Also, workers' comp patients don’t pay copays or deductibles. PT clinics must accept the approved reimbursement as full payment; no balance billing allowed.

Because insurance companies tend to use PPO, Network and Retroactive Discounts to lower your payments, hundreds of Physical Therapy clinics across the country BOOST their claims. Having your billing run claims through BOOST, you should get $53 more per claim on average. You also have the reassurance that you are getting the reimbursement you deserve, maximizing revenue.

 

5. Use the Right Forms and Know the Law

Ensure your team is using: 
  • First Report of Injury (at first visit) 
  • CMS-1500 form with detailed documentation

Follow HIPAA guidelines and don't bill the employer directly. Always consult your state’s workers’ comp regulations to stay compliant. 

Want to simplify all of this?

BOOST works with clinics to manage these exact details — ensuring proper documentation, authorization, and submission — so PTs get reimbursed faster and at higher rates. It’s not a billing replacement; it’s a partner that helps you get what you’ve already earned with no PPO, Network or Retroactive Discounts. boostmyclaims.com