Medicare Denied Your Claim. Chances Are the Documentation Was the Problem.
PTCore — Compliance documentation for physical therapy practices. Written to pass audits, not just inspections.
The Challenge
PT clinics are among the most frequently audited Medicare providers — and documentation gaps are the primary reason claims get denied:
- Medicare Documentation Requirements — Functional limitation reporting, plan of care documentation, therapy cap management, and medical necessity justification must all meet specific written standards.
- State PT Licensing Board — Written supervision protocols, aide utilization documentation, and patient record standards vary by state board and are checked during license audits.
- HIPAA + Insurance Credentialing — Privacy procedures, equipment maintenance logs, and billing compliance SOPs are required for credentialing with major payers.
How We Help
- We write your Medicare compliance documentation, plan of care templates, supervision protocols, and HIPAA procedures.
- Every document is formatted to satisfy both state PT boards and Medicare auditors.
- Two-week delivery. One round of revisions included. Final delivery in editable Word + PDF.
What You Get — PTCore Package
- Medicare Compliance Documentation — Plan of care standards, medical necessity documentation, functional limitation reporting, therapy cap tracking SOP
- State Supervision Protocols — PT/PTA ratio documentation, aide utilization policy, direct supervision requirements
- Equipment Maintenance Log System — Modality inspection procedures, calibration documentation
- HIPAA Documentation — Privacy procedures, minimum necessary standard, breach response plan
- Patient Intake and Discharge SOPs — Initial evaluation documentation, discharge summary standards
- Employee Handbook — Staff conduct, OSHA acknowledgment, HIPAA training log
- PTCore AI Module (optional add-on) — On-premises AI loaded with your SOPs and Medicare LCD references
Stop Losing Revenue to Documentation Gaps.
📞 417-413-4750 | michael@mtvectorsolutions.com