Your PT Clinic Keeps Getting Denied, Is It Really Your Billers Fault?
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🏥 Ready to grow your PT practice?
Watch the Million Dollar PT Practice Roadmap:
https://youtu.be/1cuu8-CyIhc
Get the Free Claim Denials Checkpoint Tool:
https://start.therehabceos.com/lm-rpv-claims-optin
More Patients. More PTs. More Profit.
Before you fire your billing company, ask: where are your claim errors actually starting?
Your billing team may be spending hours correcting mistakes that happen before they ever receive a claim. A misspelled name, an incorrect member ID, a coverage change, or a missing referral can create delayed payments and repeat work for your team.
Dr. Robbie Woelkers walks through five checkpoints your PT clinic can use to catch front office errors before the first claim goes out, plus one follow-up check after submission.
He explains Rehab CEOs’ 97% first-time pass rate operating target, how to measure it consistently, and how to use your denial report to identify the process that needs attention first. Not every denial starts at the front desk, and dollars tied to problem claims aren’t automatically dollars lost.
You’ll learn:
• How to calculate first-time pass rate using claims that have had time to process
• Why accepted claims and paid claims are different milestones
• Where to check patient information during intake, data entry, benefits verification, and check-in
• How to assign a second-person cross-check before the first claim goes out
• Why tracking the first claim can help prevent repeated billing problems
• How to connect denial reasons to the checkpoint that needs improvement
• How to build a weekly claims review with clear ownership and follow-through
Bring your denial report, find your most common rejection or denial reason, and start with the checkpoint most likely to prevent it. Keep working outstanding claims while improving the process that creates new ones.
Timestamps:
00:00 Before You Fire Your Billing Company
00:51 Is Your Billing Team Bailing Out a Leaking Boat?
02:11 First-Time Pass Rate and the 97% Target
02:48 How to Calculate Your First-Time Pass Rate
03:36 Example: Delayed Dollars and Repeat Claim Work
05:13 Five Checkpoints Before the First Claim Goes Out
06:17 Checkpoint 1: Confirm Information During the Intake Call
07:15 Checkpoint 2: Review and Enter Intake Information
08:04 Checkpoint 3: Verify Benefits and Coverage Requirements
09:03 Checkpoint 4: Compare Patient Information at Check-In
09:57 Checkpoint 5: Assign a Second-Person Cross-Check
11:19 Follow the First Claim After Submission
12:19 Use Your Denial Report to Find the Process Gap
13:33 Start With Your Most Common Claim Problem
14:19 Build a Weekly Claims Review
15:10 Clarify Ownership Across Your Clinic and Billing Team
15:57 Get the Free Claim Denials Checkpoint Tool
🏥 Ready to grow your PT practice?
Watch the Million Dollar PT Practice Roadmap: https://youtu.be/1cuu8-CyIhc
Schedule a call to get your 28-day free trial of Practice Legacy Black: https://freetrial.therehabceos.com/free-trial
More Patients. More PTs. More Profit.
#PhysicalTherapyBusiness #ClaimDenials #PracticeManagement