Physiatry (PM&R) Medical Billing & Credentialing Services

Unlock the Full Revenue Potential of Your PM&R Practice with Experts Who Know Rehabilitation Billing Inside Out

As a physiatrist, your focus is restoring patients’ function, mobility, and quality of life. But the unique complexities of Physical Medicine & Rehabilitation billing can drain your time, resources, and revenue. From nuanced time-based coding to strict documentation standards and multi-disciplinary care coordination, getting reimbursed for your specialized services demands deep expertise.

That’s where Oakview Medical Billing Solutions comes in. Our team of certified PM&R billing professionals partners with physiatrists across the country, helping you reduce denials, maximize reimbursements, and stay compliant — so you can stay focused on patient outcomes.

Why PM&R Billing is Among the Most Challenging in Healthcare

PM&R billing goes far beyond routine office visits:

• Time-Based Complexity
  Codes like 99354–99357 for prolonged services and therapy supervision require exact documentation of time spent — a small mistake can mean lost revenue or denied claims.

• High-Denial Risk
  PM&R claims face some of the industry’s highest denial rates, often flagged for “lack of medical necessity,” incorrect modifiers, or missing functional status reports.

• Care Setting Variability
  Physiatrists work in diverse environments — inpatient rehab, SNFs, outpatient clinics — each with distinct payer guidelines and billing nuances.

• Interdisciplinary Coordination
  PM&R overlaps with PT, OT, speech therapy, orthotics, and pain management. Billing for multidisciplinary plans demands flawless integration of procedures, therapies, and modifiers.

• Evolving Regulations & Audits
  Medicare and private payers regularly change PM&R coverage policies, while Recovery Audit Contractors (RACs) target rehab claims aggressively.

Without a specialized billing partner, PM&R practices risk underpayments, audits, and financial instability.

Our Comprehensive Physiatry Billing Solutions

At Oakview, we handle every aspect of the revenue cycle for your PM&R practice, including:

Accurate PM&R Coding
From E/M visits (99202–99215) to complex therapeutic procedures (97110–97535) and neurostimulator management (95970–95972), we ensure your codes fully capture the intensity and duration of your care.

Modifier & Compliance Expertise
We apply precise modifiers like -25, -59, or -KX to unbundle services correctly, prevent rejections, and support medical necessity.

Time-Based Billing Mastery
Our team carefully tracks and documents time-based services — ensuring your prolonged services and therapy supervision codes are reimbursed appropriately.

Proactive Denial Management
We don’t just appeal denied claims — we identify the root cause, resolve systemic issues, and educate your staff on best practices to prevent future denials.

A/R & Financial Reporting
Detailed PM&R-focused reporting gives you transparency on reimbursement trends, denial patterns, and days in A/R — so you can make data-driven decisions for your practice.

Credentialing & Enrollment for Physiatrists
Whether you’re a solo physiatrist, part of a multi-specialty group, or running an inpatient rehab facility, we handle your payer credentialing and re-credentialing with Medicare, Medicaid, commercial insurers, and Workers’ Comp panels.

Regulatory Compliance Support
We monitor PM&R-specific CMS updates and payer policies, ensuring your billing remains audit-ready and compliant with the latest guidelines.

Why Physiatrists Trust Oakview with Their Billing & Credentialing

✔ Specialized PM&R Knowledge
We don’t just understand generic billing — our experts know PM&R CPT codes, ICD-10 codes for neuro and musculoskeletal conditions, and coverage guidelines for rehab.

✔ Deep Experience Across Care Settings
From hospital-based inpatient rehab units (IRFs) to outpatient neurorehabilitation centers, we tailor workflows to your practice’s needs.

✔ Audit-Ready Documentation Guidance
We help you develop thorough, compliant documentation of functional limitations, treatment goals, therapy minutes, and patient progress — key to defending your claims.

✔ Transparent, No-Hidden-Fee Pricing
Our services are straightforward — no surprise charges, just honest partnership.

✔ Seamless EHR Integration
We integrate with major rehab-friendly EHRs like Kareo, WebPT, or Raintree, streamlining your billing process.

✔ Dedicated Account Manager
You’ll have a single point of contact who understands your PM&R practice’s unique workflows, goals, and challenges.

Common Physiatry Procedures & Codes We Help You Optimize

We ensure these services — often billed alongside E/M codes — are properly documented, coded, and reimbursed.

Empower Your PM&R Practice with Oakview Today

Your dedication helps patients rebuild their lives after injury, illness, or surgery. But you deserve a partner just as dedicated to your practice’s financial health.

Let Oakview Medical Billing Solutions take the stress out of billing and credentialing, giving you peace of mind and more time to do what you do best — restore hope and function for your patients.