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.

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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.
Helpful Articles for PT Clinic Owners
Advanced Rehab Management
April 3, 2026
Uncategorized
What Are The Most Common Revenue Reductions in Workers’ Comp Billing?
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Workers' Comp billing can be challenging for physical therapy clinics. Here are some of the most common issues that reduce reimbursement. 

  • Down-coding
  • Unauthorized PPO repricing
  • Bundling of services
  • Payment delays

Identifying the Most Common Reductions

Many clinics lose revenue because payers reduce reimbursements in ways that are difficult to spot. To protect your practice, it helps to understand the common tactics.  
  • Down-Coding
    Down coding happens when a bill reviewer changes a higher-level code to a lower-paying one. The reviewer may claim the documentation doesn't support the service billed. 
  • Unauthorized PPO repricing
    Repricing happens when a payer applies a discounted PPO rate that should not apply to the claim. 
  • Bundling of services
    Bundling happens when a payer decides that two services performed during the same session should not be billed separately. As a result, one service is reduced or denied.
  • Workers' Comp payment delays 
    Some payers delay payment by requesting additional documentation, slowing claim processing, or issuing partial payments. These delays can hurt your clinic's cash flow. 
  • Inconsistent claim reviews 
    Different reviewers may interpret the same claim in different ways. As a result, clinics can face inconsistent or unpredictable reimbursements. 

According to United Health Services, these tactics can lead to chronic underpayment. 

Overcoming Reimbursement Issues

To evaluate how profitable a PT group is, clinics first need to identify where revenue is being lost. Once those gaps are visible, clinics can strengthen their processes to support accurate reimbursement.

  • Standardize documentation 
    Therapists should clearly document the services they provide and explain why those services are medically necessary. 
  • Track reimbursement trends
    Clinics should monitor patterns by payer, bill review vendor, and CPT code. 
  • Avoid passive billing practices
    Writing off small reductions may seem efficient at first. However, those small losses can add up over time. 
  • Improve revenue cycle visibility 
    Clinics that regularly track performance can identify patterns, fix inefficiencies, and prevent underpayment.  
  • Use outside expertise when needed
    A specialized partner can review claims against state fee schedules and payer-specific reimbursement rules. 

When clinics look into how much insurance companies pay for physical therapy, they often uncover new opportunities to increase revenue. By improving these processes, clinics can discover how to make more money on Workers' Comp. 

Your solution

According to the Bureau of Labor Statistics healthcare cost data, rising costs continue to put pressure on clinic profit margins. That makes it more important than ever for clinics to capture every dollar they earn. BOOST helps clinics do exactly that. BOOST focuses on difficult Workers' Comp & Auto claims, helping identify underpayments before they affect the bottom line. Protect revenue without changing workflows, adding new systems, or creating more work for your team. 

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