Billing

Clean Claim Rate

The percentage of claims submitted that are accepted by the payer on the first submission without errors or additional information required.

In Detail

A clean claim rate above 95% is considered excellent in the PT industry. Claims are rejected for reasons including incorrect patient demographics, invalid CPT/ICD-10 code combinations, missing prior authorization numbers, and timely filing violations. PRACTIS achieves a 94% first-pass clean claim rate through AI-powered pre-submission scrubbing that catches 23 common error types before claims leave the practice.

Related Search Terms

clean claim rate PTfirst-pass claim ratephysical therapy claim submission

Related Terms

Accounts Receivable (A/R)

A/R

The total amount of money owed to a practice for services rendered but not yet collected from patients or insurance payers.

CPT Codes

CPT

Current Procedural Terminology codes — a standardized system of 5-digit codes used to describe medical, surgical, and diagnostic services for billing purposes.

Denial Management

The systematic process of identifying, analyzing, and resolving denied insurance claims to recover lost revenue.

Business Associate Agreement (BAA)CPT Codes

Quick Facts

CategoryBilling

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