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 Montana?

The average First Pass Clean Claim Rate in Montana is 97.59% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Montana?

The average Denial Rate in Montana is 6.71% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Montana?

The expected Reimbursement Per Visit in Montana is $115.90 for physical therapy, occupational therapy and speech language therapy practices.

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Healthcare Payer Reimbursement Rates in Montana

Accepting healthcare payers in Montana 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 Montana

Physical Therapy Practice Benchmarks in Montana

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 5 hours ago

99.50%

Latest

97.59%

Average

99.50%

Max

91.50%

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 5 hours ago

5.50%

Latest

6.71%

Average

11.40%

Max

2.10%

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 5 hours ago

$115.90

Latest

$159.95

Expected

$115.90

High

$159.95

Mean

$109.88

Low

$98.15

Median

$109.36

Top Healthcare Payers in Montana

BCBS of Montana: $139.73
paid in 9 days
Montana State Fund: $135.08
paid in 30 days
Medicare of Montana: $85.63
paid in 16 days
Triwest Healthcare Alliance (Region 4): $82.41
paid in 5 days
Humana: $59.18
paid in 11 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 Montana

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Montana

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 5 hours ago

Top Healthcare Payers in Montana

BCBS of Montana

Montana State Fund

Medicare of Montana

Triwest Healthcare Alliance (Region 4)

Humana

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

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