60 Days of Free Therapy & You Don’t Even Know It

September 13, 2014
Rick Gawenda

Private practices and institutional settings (i.e. hospitals, SNF’s, Rehab Agencies, CORF’s and Home Health Agencies) may be providing 60 days of uncompensated outpatient therapy services and not even realize it. This is due to a provision in the Affordable Care Act (ACA) called the ‘grace period”. Here is how it works.

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  1. We are a small outpatient therapy clinic with 15 clinicians, 4 offices and have been rated one of the top 1% billers in the nation (in-house billing). We would like to know what the average is for the amount of outstanding claims that are greater than 6 months old. Over the past 6 months, we have seen multiple hiccups with insurances not paying claims as timely as they used to and we’d like to make sure that we are within the acceptable averages.”