Unfair Gaps🇮🇳 India

Physical, Occupational and Speech Therapists Business Guide

11Documented Cases
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All 11 Documented Cases

CPT कोड गलत चयन से बिलिंग नुकसान (Incorrect CPT Code Selection Revenue Loss)

₹40,000–₹80,000 per clinic per month (8-12% of therapy billing revenue); 400–800 billable hours lost annually to denial rework and resubmission.

Therapy providers manually select CPT codes during billing submission without real-time validation against payer rules. Common errors: (1) Using bundled/non-specific codes instead of itemized specific codes; (2) Missing modifier requirements (GN for SLP, GO for OT, modifier KX for threshold overages); (3) Billing cognitive function codes (97129, 97130) without medical necessity documentation; (4) Incorrect evaluation code selection (92521 vs 92523). Each error causes claim denial, requiring rework (10-20 hours/month per clinic) and delayed cash collection.

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निष्क्रिय उपकरण हानि

₹5-15 lakhs/year lost revenue (10-20% capacity underutilization at INR 500-1000/session); maintenance delays add 5-10% extra costs

Without proper tracking, physiotherapy devices like ultrasound machines and exercise equipment sit unused, creating bottlenecks during peak hours.

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चिकित्सा उपकरण अनुपालन जुर्माना

₹1-5 lakhs statutory fine per audit failure; 18% GST ITC denial (₹50,000-2 lakhs/year on equipment purchases)

Non-tracking of maintenance schedules for physiotherapy devices violates CDSCO rules, attracting fines and blocking input tax credits.

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उपकरण स्टॉक में बर्बादी

₹10-20 lakhs/year wastage on expired supplies and over-usage (industry standard 5-10% of inventory value); 20-40 hours/month manual stock checks

Manual handling of equipment and supply inventory results in overstocking, expiry of consumables like gels and electrodes, and idle equipment leading to financial losses.

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