Physical Medicine and Rehabilitation Billing (PM&R Billing)
Physical medicine and rehabilitation (PM&R) is an area of medicine that deals with the treatment of physical limitations to prohibit the onset (slow the progression) of the patient’s disability, as well as the impairments after an injury or illness. Physical medicine and rehabilitation treatments and therapies are usually done over a period of time.
Physical medicine and rehabilitation billing is a straightforward billing practice that involves the charges that a medical facility charges for their physical medicine and rehabilitation services. Despite being a simple and straightforward billing practice, PM&R billing practices has been the subject for multiple audits due to the nature of the services.
Issues of fraud and non-compliance are common issues and accounts for a majority of improper claims and excessive payments. A huge part of physical medicine and rehabilitation claims are paid directly to the physicians, therefore increasing the potential for being incorrectly coded and incorrectly billed to the payer or the insurer.