Let’s be honest — you didn’t open your clinic to chase reimbursements or deal with insurance red tape. But if you’re treating
workers' comp patients, you deserve to get paid for what your care is worth.
Right now, many physical therapy clinics are leaving money on the table with workers’ comp. PPO, Retroactive and Network Discounts aren’t just annoying, they cut directly into your bottom line.
The good news? You don’t need to see more patients or overhaul your systems to fix it. With the right approach, workers' comp cases can become one of your most profitable service lines.
Here are 5 practical strategies that help PT clinics increase workers' comp revenue — without adding to your team’s workload.
1. Be Strategic And focused
Workers’ comp can bring in higher reimbursement rates than standard insurance. The problem is, not every clinic is set up to handle them efficiently. Clinics that create a streamlined intake and billing process for these patients see faster payments and fewer denials.
2. Code Accurately and bill the full value
Don’t underbill. If your Physical Therapists provide 45 minutes of skilled therapy, they should bill for it. The 8-minute rule allows for multiple units and each unit adds revenue. Also, make sure your team uses the right modifiers and evaluation codes to maximize reimbursements.
3. Don't accept Discounts that don't apply
Insurance companies like to maximize their profits by reducing payments on workers’ comp and auto claims. You're losing money if you accept less than your state’s fee schedule or contracted rate. Even if you have contracted rates, they can reduce your payments through PPO, Retroactive and Network Discounts. Some Physical Therapy clinics don't realize the discounts have been applied. Others know, but don't understand how to stop discounts from cutting into their payments.
That's why so many Physical Therapy owners have decided to BOOST their claims. They keep their current billing system, don't add any extra admin and end up with 2X the reimbursements they were getting. With $53 more on average per claim, they can use the extra revenue to provide even better care.
4. Train Your Team on Intake and Authorization
The reimbursement process starts before the patient walks in the door. Train your front desk to ask the right questions:
- Was the injury work-related?
- Who is the adjuster or case manager?
- What’s the claim number and injury date?
- Getting proper authorization and documenting everything early avoids denied visits and delays.
5. BOOST Your Workers' Comp Claims
Thousands of clinics across the country are getting $53 more per visit on average - just by using BOOST. It’s a processing method that works alongside your existing billing team and EMR, with no need to switch systems. BOOST manages the complex workers’ comp and auto injury claim processes that often get underpaid or denied.
Don't do more Work to Make More - Work Smarter
Reach out to see how much more your clinic could earn on every workers’ comp visit, without changing your workflow. boostmyclaims.com