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Chiropractic Claims: Chiropractic Care vs. Physical Therapy

Physical Therapy When a patient experiences a bodily injury or physical trauma that requires treatment, they may see a chiropractor and a physical therapist. Apex EDI is familiar with both types of claims. Chiropractors routinely diagnose and treat mechanical disorders of the musculoskeletal system. Physical therapists help restore physical mobility and functioning.

Common chiropractic claims include the diagnosis of medical conditions related to joint pain. Patients often receive a chiropractic adjustment, electrical stimulation, acupuncture or pain management therapy. Sometime a chiropractor will make a referral to a specialty provider to treat ongoing traumatic conditions.  

There are at least twenty different types of techniques used by chiropractors. They include manipulation of the spine and other joints. Chiropractors can usually offer advice related to exercise, nutrition, stress-relief, relaxation, and disease prevention.

chiropractricIn some states a chiropractor may perform minor surgery. They are clinicians who are experts at conservative treatments within their scope of practice. In some states they are considered health care providers. However, they are not medical doctors and do not prescribe medicine.

Physical therapists diagnose musculoskeletal movement. Claims often include techniques such as joint manipulation, gait training, muscle coordination, massage, and cardiovascular rehabilitation. They also have the training to recognize medical conditions and refer patients to specialists as needed.

They often help people who have been in an accident or experience lower back pain, or other physical disabilities. Physical therapy is often combined with other medical practices to restore mobility and help with the rehabilitation of the patient.  

A physical therapist is considered a specialty practitioner by the insurance industry. They are also not a medical doctor and cannot prescribe medication. They use conservative treatments and provide wound care, but do not perform surgery.

Apex EDI is knowledgeable about both chiropractic and physical therapy types of claims. We specialize in medical claims processing and make it easy for you. Contact Apex EDI to request a  today.

Posted in: Chiropractic Claims

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Physical Therapy Claims: A Typical Visit: What your Physical Therapy Claim will Pay For

Physical therapists work with patients to increase strength, flexibility and movement following an illness or injury that results in a change in your physical movement. Seeing a therapist can help you get back to the daily activities you enjoy with a comprehensive recovery treatment plan. You will start with an evaluation to assess your injury and change in physical function.

During the first visit, you can expect to be asked about the history of your illness or injury and a number of questions about your symptoms. The therapist will perform tests to evaluate your range of motion, strength, flexibility, posture and mobility. The therapist will also explain your condition and the rehabilitative treatment plan designed for you.


Therapists are skilled at treating pain and discovering the underlying cause for it. Addressing the muscular issue causing the aches and throbbing you experience is critical to restoring pain-free movement. You will work closely with the therapist to describe the intensity, frequency and duration of any pain you experience.  

A treatment plan may include a combination of therapeutic exercise, “hands on” massage, stimulation of the body with heat or cooling and education about physical activity. Many therapists rely on the patient to perform at home exercises before and after treatments to ensure you regain movement quickly. The actions you take at home will help you recover quickly.


Most physical therapists can also offer advice for preventing future injury. This may include the design of living and work spaces to prevent pain from repetitive movements and preventative exercise routines.  Most forms of physical therapy treatment are covered by insurance.

Apex EDI helps get your physical therapy insurance claim paid quickly so you can return to the physical activities you enjoy.    

Contact us today to learn more.  

Articles with this disclaimer may not represent the beliefs or core values of Apex EDI. The above is simply a summary taken from the industry’s general community to help readers stay up-to-date on what people are talking about.

Posted in: Physical Therapy Claims

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Physical Therapy Claims: Top Tips for Filing a Physical Therapy Claim

As a physical therapist, you have a lot on your plate. Filing claims shouldn’t take up the majority of your time and resources. We’ve compiled the top three tips for filing physical therapy claims to increase efficiency, profitability, and patient care.


Optimize Claims

The first step is to optimize your claims. Be sure to use an up to date practice management software that allows you to keep track of each patient’s information, including their insurance information. Be sure that when you are writing the SOAP notes for each patient, that the billing and diagnoses codes are cohesive.

A great way to do this is with a clearinghouse. Medical billing clearinghouses scrub claims to ensure that each claim is correctly filled out before it can be submitted to a payer. If a claim is missing something, the clearinghouse will find it and notify the claims professional of the error. For more information on physical therapy claims billing clearinghouse services, click here.

Increase Efficiency

Increasing efficiency through a clearinghouse as discussed above is one way to start seeing more efficient workflows in your physical therapy practice. However, this is just the tip of the iceberg. Increasing efficiency can also be implemented through ensuring that your claims are optimized (as discussed above), so that inaccurate submissions can be avoided.

Also, it is important to assign roles among your billing staff. Who is responsible for filing claims? Who is responsible for following up on submitted claims? By assigning clearly articulated roles among your claims and billing staff within your practice, efficiency will be increased by minimizing redundancy of workplace tasks.

Digital Filing

Let’s face it, paper filing was great. But it had its day in the sun. The future is now, and the future is digital filing. Most insurance companies, Medicare included, will not accept paper claims. It’s simply not an efficient way to run an organization, and it costs businesses thousands of dollars each year to maintain a paper-only business.

If you’re not filing digitally, you’re going to run into a ton of road blocks. The first step is to ensure that you are using an efficient practice management software to keep track of your patient information. Next, you’ll want to get in touch with a claims clearinghouse in order to electronically transfer data to payers (insurance companies). If going digital seems too complicated, feel free to reach out to our friendly customer support staff here at Apex EDI. We can walk you through the process and demonstrate how user-friendly and efficient our services truly are.

For more information about filing physical therapy claims, and for efficient and integrative systems to use for your practice, be sure to contact us to discuss the best options for your business.

Articles with this disclaimer may not represent the beliefs or core values of Apex EDI. The following is simply a summary taken from the industry’s general community to help readers stay up-to-date on what people are talking about. 

Posted in: Physical Therapy Claims

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