Operations

Value-Based Care

A healthcare delivery model where providers are reimbursed based on patient outcomes and quality metrics rather than the volume of services provided.

In Detail

Value-based care is shifting PT reimbursement from fee-for-service to outcome-based models. Key quality metrics include: functional improvement scores, patient satisfaction (NPS), discharge outcomes, and cost per episode. Practices that demonstrate superior outcomes can negotiate higher reimbursement rates. PRACTIS tracks all outcome measures automatically and generates payer-ready quality reports, positioning practices for value-based contracts that can increase per-visit reimbursement by 15-25%.

Related Search Terms

value-based care PTphysical therapy outcomesPT quality metrics

Related Terms

Functional Limitation Reporting (FLR)

FLR

A CMS requirement for reporting functional limitations and therapy outcomes using standardized G-codes and severity modifiers on Medicare claims.

Revenue Cycle Management (RCM)

RCM

The end-to-end financial process of managing claims, payments, and revenue generation from patient registration through final payment collection.

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