Where is this data coming from?

This data represents aggregated & anonymized data across PT, OT and SLP practices on StrataPT's EMR & RCM platforms.

What do the dashed lines represent?

We use dashed lines to represent data that is likely to change quite often.

What is the average First Pass Clean Claim Rate in Tennessee?

The average First Pass Clean Claim Rate in Tennessee is 93.60% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Tennessee?

The average Denial Rate in Tennessee is 11.65% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Tennessee?

The expected Reimbursement Per Visit in Tennessee is $104.54 for physical therapy, occupational therapy and speech language therapy practices.

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Healthcare Payer Reimbursement Rates in Tennessee

Accepting healthcare payers in Tennessee shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Tennessee

Physical Therapy Practice Benchmarks in Tennessee

First Pass Clean Claim Rate

The percentage of claims which meet standards for correct coding, modifiers, structure, and formatting on the first attempt.

Data refreshed 15 hours ago

98.30%

Latest

93.60%

Average

99.10%

Max

78.50%

Min

Denial Rate

The percentage of claims which are eventually denied by insurers, for a variety of possible reasons, including: patient policy information, exhausted benefits, authorization, limits, or provider status.

Data refreshed 15 hours ago

2.70%

Latest

11.65%

Average

18.80%

Max

2.70%

Min

Average Reimbursement Per Visit

While negotiated reimbursement rates between a health insurance company and a healthcare provider are confidential, we can give you a general sense for reimbursement rates by looking at the aggregate data across StrataPT's customers.

Data refreshed 15 hours ago

$104.54

Latest

$152.25

Expected

$104.54

High

$152.25

Mean

$105.16

Low

$90.98

Median

$104.54

Top Healthcare Payers in Tennessee

BCBS of Tennessee: $138.18
paid in 11 days
VA Community Care: $134.32
paid in 55 days
Medicare of Tennessee: $108.07
paid in 15 days
MedRisk: $108.00
paid in 39 days
Aetna: $105.92
paid in 37 days
Align Networks (One Call PT): $101.35
paid in 33 days
Humana: $89.83
paid in 13 days
Amerigroup: $83.80
paid in 12 days
Blue Care- Medicaid HMO: $78.52
paid in 124 days
AMERICAN SPECIALTY HEALTH: $71.60
paid in 21 days
United Health Care: $57.67
paid in 39 days

All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

Healthcare Payer Reimbursement Rates in Tennessee

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Tennessee

Average Reimbursement Per Visit

While negotiated reimbursement rates between a health insurance company and a healthcare provider are confidential, we can give you a general sense for reimbursement rates by looking at the aggregate data across StrataPT's customers.

Data refreshed 15 hours ago

Top Healthcare Payers in Tennessee

BCBS of Tennessee

VA Community Care

Medicare of Tennessee

MedRisk

Aetna

Align Networks (One Call PT)

Humana

Amerigroup

Blue Care- Medicaid HMO

AMERICAN SPECIALTY HEALTH

United Health Care

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

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