CPT code 97112 indicates a therapeutic technique known as neuromuscular reeducation, a process aiming to improve a patient’s movement. The treatment addresses the communication between the patient’s body and mind, solving coordination issues. It works on muscle imbalances and abnormal body functions that may be a result of an injury or neurological ailment.
The 97112 CPT code is essential to define this medical condition for accurate billing and adequate reimbursement. That is why holding appropriate expertise for utilizing this code becomes important for healthcare providers.
This code represents a skilled therapy with a high level of intricacy and requires proper coding knowledge for accuracy. Understanding different CPT codes is crucial for a smooth revenue cycle management and operational flow.
If healthcare providers want to upgrade medical billing for neuromuscular reeducation, they must specialize in relevant CPT codes. In this blog, we will cover the topic of CPT code 97112, its usage, and ways to improve medical billing.
What is CPT Code 97112?
97112 CPT code description includes its accurate usage to acquire desired revenue. Under this code, healthcare providers render medical services to patients who need to improve body movement. The range of treatment includes enhancing body positioning, posture, stability, and physical power while carrying out everyday tasks.
The process involves assisting patients in activating particular muscles and improving body posture to recover from brain injury. It also includes balance reeducation, movement control, and coordination training.
Neuromuscular reeducation is different from therapeutic exercise as it focuses on the neuromuscular system. It deals with promoting functional movement through instruction and assistance. Understanding this is vital to using CPT code 97112 accurately in different situations.
This is significant to reducing common coding errors, preventing denials, and ensuring proper reimbursement. If healthcare providers want to boost their bottom line, they must prioritize coding and opt measures to improve it.
Important Factors of CPT Code 97112
97112 CPT Code – Documentation and Billing
Firstly, neuromuscular reeducation requires proper documentation to ensure the medical necessity of the treatment. This is due to the complex nature of the treatment and medical condition. Documentation must include the treatment plan, the goal of the plans, the patient’s response to the therapy, offered counseling, and the involvement of any therapist.
97112 CPT Code – Movement Rehabilitation
Movement rehabilitation works on the daily functioning of the patient by elevating body balance and posture. It involves various things such as reintroducing movement patterns, strengthening muscles, improving posture and alignment, introducing adaptive techniques and equipment, sensory integration, and functional training.
How to Maximize Revenue for CPT Code 97112?
If you want to maximize revenue for CPT code 97112, then you must take care of certain points such as:
Accuracy
Coding accuracy is extremely important to ensure adequate reimbursement. For this, translation of treatment rendered and time spent on it into the number of units is important.
Allocate Time for Treatment
For calculating the number of units, first break the total time of treatment into 15-minute fragments. Every 15 minutes is one unit, and it should represent at least 8 minutes of direct intervention with the healthcare provider.
Determine Treatment Units
Note the Total Exercise Volume
Make sure to include the volume of exercise in the documentation, including sets, repetitions, intensity, and duration for every exercise.
Targeted Treatment Areas
Mention specific body parts that were targeted during the treatment or therapy session. This is important for both coding and confirming medical necessity.
Compliance Requirements for CPT Code 97112
As we are discussing the 97112 CPT code, we cannot overlook vital compliance requirements of the process. It is crucial to consider necessary compliance guidelines and prevent claim denials.
Claim Denials in CPT Code 97112
Improper coding will lead to claim denials and revenue losses, affecting the financial stability of the healthcare practice. So, to avoid denials, healthcare providers must follow all coding requirements accurately. Other than that, they must also initiate a denial management process to identify issues of the process and solve them from the root cause.
Need for Trained Professionals and Expert Intervention
Ensuring the accuracy of CPT code 97112 demands proper coding skill and knowledge. Due to the complexity of the medical specialty, coding becomes even more challenging. Healthcare providers with limited time find it hard to handle such situations.
However, professional services can solve all the complexities of the 97112 CPT code and help healthcare providers acquire sufficient reimbursement. Medical billing services not only ensure coding precision but also take care of the entire medical billing process, including compliance and denials.
Outsourcing Coding from Eminence RCM
If you want to optimize your medical billing and coding, then Eminence RCM is the right outsourcing partner for you.
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