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Ways Your Practice
Can Get Paid More
How to Maximize Payment With Each of the 4P’s
Optimize Your Practice

From physician to patient
to practice through to payment

Practice
Physician
Payment
patient
Optimize your Practice

Each of the 4P’s avails opportunity
to increase payment

Practice
Physician

4

4. Maximize therapist billable time

1

1. Increase active referrals

Payment
patient

2

3

2. Reduce cancellations
3. Increase percentage of
copays at time of service

5

6

7

5. Improve first pass payment
6. Decrease days A/R
7. Optimize actual collections per visit
Physician

1

Increase active referrals
Measure both number of referrals and patient
journey through the practice
Determine who might be dropping out and the total
number of visits per case
Evaluate and optimize the patient experience to:
- Improve the first visit conversion
- Maximize scheduling frequency
- Reduce case drop offs
- Assess average visits per discharged case

1,000

Average referral
can be valued at $

* Average $93 per visit with up to 10.75 visits

Proactive management is needed to keep cases active,
resulting in better patient progress and outcomes,
leading to more referrals.
Clinicient provides the tools that improve communication
to referring physicians and monitors the patient’s
engagement, progress and discharge.
Patien
Patient

2

Reduce cancellations
Track any canceled appointment you
are unable to refill
Upon cancellation, reschedule immediately
and refill the opening
Track variance by therapist and
review causes
A healthy practice will average less than
10% cancellations. Key is active management,
including reminding patients and quickly
filling openings.

Average cancellations of a
healthy practice

10

%

Clinicient sends reminders, tracks
canceled appointments and initiates
a rescheduling action.
Patient

3

Increase percentage of
copays at time of service
Collect 90-95% of copays upfront
Evaluate how effective your front desk staff
is at collecting patient copay at the time
of service

Chances of copay collection decreases
after patient leaves by

20

%

Chances of collection decrease 20% right after
the patient leaves the clinic. With patient payment
responsibility rising to 20-30% of charges, this
could determine profitability.
Clinicient’s unique cash collection system
helps you track and collect copayments and other
patient payments.
Practice

4 6
to

4

units

is a good level of productivity
per billable hour

Maximize therapist
billable time
Determine units billed by therapist by available and
billable hour
Evaluate what successful therapists are doing right
Ensure you are not undercoding, underscheduling or
giving time away
A good level of productivity is 4.0 to 6.0 units per billable
hour (varies between Medicare and Commercial billing).
On average, practices leave between 10% to 20% unbilled.
Clinicient maximizes units billed by automatically
assigning the appropriate CPT codes, calculating units
and guiding therapists on optimal codes.
Payment

5

90

%

First Pass Payment (FPP) rate
of a healthy clinic

Improve first pass
payment
Measure how many of your billed services were
paid on the first attempt (FPP)
Determine how accurate or clean your claims are
Indicate how good the front desk is at collecting
and verifying benefit information
Evaluate FPP by 60 and 90 days to determine how
to manage the various payers
Healthy clinics have a FPP rate of 90% or higher.
Clinicient includes critical prompts to ensure the
right information is collected upfront. The proven
Clinicient team can increase FPP to over 95%
within 90 days.
Payment

6

Decrease days A/R
Measure how many days on average you take to collect
payment on a day’s billed charges
Know your cash flow velocity as well as front office
and billing processes
Practices can tie up A/R for up to 180 days. Healthy
practices are in the 30 – 40 day range with variances based
on payer mixes, electronic billing and payments.

30-40

days

is how many days a healthy practice
takes to collect payment

Clinicient identifies the reason accounts can be delinquent
to improve process. The proven Clinicient team can reduce
days A/R by as much as 25% by continually analyzing your
accounts and improving billing and collection processes.
Payment

7

10

Optimize actual
collections per visit
%

The Clinicient team can
increase collections

Measure how much you actually get paid for each visit
versus what you expect
Project your cash flow, and receive alerts to potential
collection issues such as write-offs and excessive
contractuals
Target the average payment per visit, about $93
per visit across the nation. This varies by state and
reaches up to $120 per visit or more.
How much you get paid is best measured by therapist and by
payer once all parties have made payment.
Clinicient tracks actual payment by therapist and payer to
help optimize total payments. The proven Clinicient team can
also increase collections by at least 10%.
Optimize your Practice

Are you doing everything
to optimize your payments?

Practice
Physician

4

4. Maximize therapist billable time

1

1. Increase active referrals

Payment
patient

2

3

2. Reduce cancellations
3. Increase percentage of
copays at time of service

5

6

7

5. Improve first pass payment
6. Decrease days A/R
7. Optimize actual collections per visit
The Holistic Clinicient Solution

Clinicient
Revenue Cycle
Management Team

Only Clinicient combines the proven talent of an
experienced Revenue Cycle Management Team with
superior integrated software based on proven practices
that generate maximum payment, faster

Reviews
performance

Maximizes
billing

Collects
faster

The Clinicient Revenue Cycle Management Team
works with you to generate more payment by billing
the maximum amount, collecting it faster and then
reviewing performance opportunities to generate more
The backbone of the service is Clinicient’s integrated
software that manages all aspects of the patient’s care
cycle through your practice

Captures
charges

Keeps
schedule full

Clinicient offers a complete, easy to use solution
tailored to your practice

Ensures full
compliance

Clinicient
Integrated Software

It guides staff with compliance regulations and
requirements, keeps therapist schedules full while
managing patient care and automatically captures
charges as documentation is entered and authorized
Clinicient provides a superior solution that fully
integrates the Clinicient EMR, billing, payer rules and
workflows into one system
Managing Patient to Payment.
Because Your Great Care Deserves More.

www.clinicient.com • Telephone 877-312-6494

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How to Get Paid More in Physical Therapy Practices

  • 1. 7 Ways Your Practice Can Get Paid More How to Maximize Payment With Each of the 4P’s
  • 2. Optimize Your Practice From physician to patient to practice through to payment Practice Physician Payment patient
  • 3. Optimize your Practice Each of the 4P’s avails opportunity to increase payment Practice Physician 4 4. Maximize therapist billable time 1 1. Increase active referrals Payment patient 2 3 2. Reduce cancellations 3. Increase percentage of copays at time of service 5 6 7 5. Improve first pass payment 6. Decrease days A/R 7. Optimize actual collections per visit
  • 4. Physician 1 Increase active referrals Measure both number of referrals and patient journey through the practice Determine who might be dropping out and the total number of visits per case Evaluate and optimize the patient experience to: - Improve the first visit conversion - Maximize scheduling frequency - Reduce case drop offs - Assess average visits per discharged case 1,000 Average referral can be valued at $ * Average $93 per visit with up to 10.75 visits Proactive management is needed to keep cases active, resulting in better patient progress and outcomes, leading to more referrals. Clinicient provides the tools that improve communication to referring physicians and monitors the patient’s engagement, progress and discharge.
  • 5. Patien Patient 2 Reduce cancellations Track any canceled appointment you are unable to refill Upon cancellation, reschedule immediately and refill the opening Track variance by therapist and review causes A healthy practice will average less than 10% cancellations. Key is active management, including reminding patients and quickly filling openings. Average cancellations of a healthy practice 10 % Clinicient sends reminders, tracks canceled appointments and initiates a rescheduling action.
  • 6. Patient 3 Increase percentage of copays at time of service Collect 90-95% of copays upfront Evaluate how effective your front desk staff is at collecting patient copay at the time of service Chances of copay collection decreases after patient leaves by 20 % Chances of collection decrease 20% right after the patient leaves the clinic. With patient payment responsibility rising to 20-30% of charges, this could determine profitability. Clinicient’s unique cash collection system helps you track and collect copayments and other patient payments.
  • 7. Practice 4 6 to 4 units is a good level of productivity per billable hour Maximize therapist billable time Determine units billed by therapist by available and billable hour Evaluate what successful therapists are doing right Ensure you are not undercoding, underscheduling or giving time away A good level of productivity is 4.0 to 6.0 units per billable hour (varies between Medicare and Commercial billing). On average, practices leave between 10% to 20% unbilled. Clinicient maximizes units billed by automatically assigning the appropriate CPT codes, calculating units and guiding therapists on optimal codes.
  • 8. Payment 5 90 % First Pass Payment (FPP) rate of a healthy clinic Improve first pass payment Measure how many of your billed services were paid on the first attempt (FPP) Determine how accurate or clean your claims are Indicate how good the front desk is at collecting and verifying benefit information Evaluate FPP by 60 and 90 days to determine how to manage the various payers Healthy clinics have a FPP rate of 90% or higher. Clinicient includes critical prompts to ensure the right information is collected upfront. The proven Clinicient team can increase FPP to over 95% within 90 days.
  • 9. Payment 6 Decrease days A/R Measure how many days on average you take to collect payment on a day’s billed charges Know your cash flow velocity as well as front office and billing processes Practices can tie up A/R for up to 180 days. Healthy practices are in the 30 – 40 day range with variances based on payer mixes, electronic billing and payments. 30-40 days is how many days a healthy practice takes to collect payment Clinicient identifies the reason accounts can be delinquent to improve process. The proven Clinicient team can reduce days A/R by as much as 25% by continually analyzing your accounts and improving billing and collection processes.
  • 10. Payment 7 10 Optimize actual collections per visit % The Clinicient team can increase collections Measure how much you actually get paid for each visit versus what you expect Project your cash flow, and receive alerts to potential collection issues such as write-offs and excessive contractuals Target the average payment per visit, about $93 per visit across the nation. This varies by state and reaches up to $120 per visit or more. How much you get paid is best measured by therapist and by payer once all parties have made payment. Clinicient tracks actual payment by therapist and payer to help optimize total payments. The proven Clinicient team can also increase collections by at least 10%.
  • 11. Optimize your Practice Are you doing everything to optimize your payments? Practice Physician 4 4. Maximize therapist billable time 1 1. Increase active referrals Payment patient 2 3 2. Reduce cancellations 3. Increase percentage of copays at time of service 5 6 7 5. Improve first pass payment 6. Decrease days A/R 7. Optimize actual collections per visit
  • 12. The Holistic Clinicient Solution Clinicient Revenue Cycle Management Team Only Clinicient combines the proven talent of an experienced Revenue Cycle Management Team with superior integrated software based on proven practices that generate maximum payment, faster Reviews performance Maximizes billing Collects faster The Clinicient Revenue Cycle Management Team works with you to generate more payment by billing the maximum amount, collecting it faster and then reviewing performance opportunities to generate more The backbone of the service is Clinicient’s integrated software that manages all aspects of the patient’s care cycle through your practice Captures charges Keeps schedule full Clinicient offers a complete, easy to use solution tailored to your practice Ensures full compliance Clinicient Integrated Software It guides staff with compliance regulations and requirements, keeps therapist schedules full while managing patient care and automatically captures charges as documentation is entered and authorized Clinicient provides a superior solution that fully integrates the Clinicient EMR, billing, payer rules and workflows into one system
  • 13. Managing Patient to Payment. Because Your Great Care Deserves More. www.clinicient.com • Telephone 877-312-6494