Our Hard-Stop Compliance prevents the #1 reason for denied Medicare claims – errors or incomplete patient treatment records. S4PT ensures your patient’s records are up-to-date with appointment schedules, automatically adding the KX modifier when necessary to avoid claim denials.

Navigating Medicare compliance in outpatient physical therapy documentation and billing is essential for any practice. Systems4PT software features fully integrated tools that simplify the documentation process, making it easier to capture all necessary information required by Medicare. Your EMR and Billing automatically identify incomplete or missing data, ensuring your clinic maintains accurate and up-to-date patient records.

Correct coding for claims is crucial, and our platform ensures that essential modifiers, such as the KX modifier – important for rehabilitation therapy billing under Medicare – are applied correctly. This helps to minimize the risk of denials or audits.

With Systems4PT, applying the KX modifier becomes a streamlined part of your workflow. Our software supports rehab therapists and billing teams in staying compliant with annual thresholds. Our documentation tools help you justify extended therapy services to CMS and ensure your documentation and records are accurate for potential medical reviews.

• Current Plan of Care signed by a physician or nurse practitioner in a timely manner
• Progress reports every 10 visits or 30 days
• Proper code for electrical stimulation
• Correct NCCI edits
• Correct modifiers for your area of practice
• Correct modifiers for certain CPT codes used together
• Correct CQ/CO modifiers
• Follow 8-minute rule
• Track Medicare reimbursement/apply KX modifier at right time

• Tracking of Medicare Kx modifier Threshold

• Hard-Stop on 10-day visit/30-day Progress Note requirement.
• Hard-Stop on POC/Prescription Expiration
• Hard-Stop to correct G0283 coding requirement.
• NCCI coding alert with appropriate modifier application if therapist approved.
• Effortless MIPS participation through a QCDR
• 150 – 500 words of required MIPS-specific defensive documentation recommended, touch free
• 80 – 200+ words of compliant, defensive, evaluation code rationale documentation recommended, touch free