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

Not That Big Four Although "The Big Four" is most commonly known as the four largest global accounting and professional services firms — Deloitte, PwC, EY, and KPMG — today I'm referring to the four most used CPT/HCPCS codes in outpatient therapy. Where This Data Comes From Each year CMS publishes the "Top 200 Level I Current Procedural Terminology/HCPCS Codes Ranked by Services." It ranks the CPT/HCPCS codes most frequently billed to Medicare Part B. Most are surprised to le

Why "It Depends" Is the Right Answer—At First We’re often asked, “What does a high-performing outpatient therapy budget actually look like?” And our answer is always the same, “It depends.” It depends on many factors specific to your organization. Things like your staffing makeup, patient population, payor mix, treatment philosophy, scheduling model, etc. Outpatient Therapy Doesn't Have to Run on Thin Margins It’s a fact that every hospital-based therapy department has found

Most hospital-based outpatient therapy departments are leaving significant revenue on the table. Not because of demand—but because of poor operations. That’s why we built Ripple HLTH. The Business Acumen Gap in Clinical Training Physical, occupational and speech therapists invest large portions of their lives learning to treat patients while earning their professional degrees. And even so, nearly every licensed clinician enters the workforce with little to no business acumen.