Revenue Cycle & Reimbursement

Why Therapy Claims Take Months to Reach Zero Balance The lifecycle of hospital-based outpatient physical, occupational, and speech therapy claims is complex, often taking months to reach a zero balance. Unlike standard inpatient stays, outpatient therapy involves ongoing billing cycles where multiple claims are generated over weeks or months. This extended duration naturally stretches the administrative timeline, as providers must continuously document, code, and submit seque

A Decade of Shrinking Medicare Payments Navigating the financial landscape of healthcare has never been simple, but for outpatient physical, occupational, and speech therapy providers, the last ten years have felt like an uphill battle against a shrinking bottom line. For over a decade, CMS has steadily chipped away at payment rates under the Medicare Physician Fee Schedule (MPFS). What started as minor budgetary adjustments has snowballed into a compounding, multi-year reduc