What practice owners ask us

No. You keep your EMR. Tell us which one you use when you ask for a billing plan.

Physical therapy is the first specialty we are building. We take practices in a specialty only after its checks are tested. Every other specialty is by request. Tell us about your practice. We will say plainly where your specialty stands, and what would have to happen before we could take your practice.

Small, independent practices that keep their own EMR and are too small for a billing department of their own.

Charge review and coding checks, claim scrubbing and submission, payment posting, denials and appeals, accounts receivable (A/R) follow-up, patient statements and calls, and a month-end report. Eligibility is an automated check before visits. Prior authorizations are tracked, not requested. Credentialing is not included.

No. Credentialing and payer enrollment are not part of the service. Your practice or a credentialing service keeps them current.

No. Your front desk requests them. We track visits used against visits approved and the dates authorizations and recertifications end, and warn your front desk before they run out.

No. An automated coverage check runs before scheduled visits. Coverage problems go on your front desk's list before the visit, with the reason. A coverage check is not a guarantee of payment.

Collects insurance cards and fixes insurance details, requests authorizations, and collects copays at the visit.

Coverage problems go on your front desk's list before the visit, with the reason. Your front desk decides whether to see the patient, and can talk to them about coverage first.

A coverage check is not a guarantee of payment.

No. Original Medicare has no yearly visit limit for outpatient therapy and no prior authorization for it.^1,2 Some Medicare Advantage and commercial plans set limits or require authorization, and those are tracked.

Your billing team sends your clinician each documentation question with the reason.

We do not change a code, unit or modifier without your clinician's approval. When something does not match, we ask.

No. Your clinicians choose the codes and own the documentation. We check the codes against the note and the insurance company's rules, and ask your clinician when something does not match.

Not without your clinician. When a note and a code do not match, we ask. We do not use software to raise code levels or add units.

Your billing team fixes it and sends it again. A rejection by the clearinghouse or the insurance company is tracked as its own step, separate from a denial.

Yes. Your billing team sends the secondary claim after the primary pays.

We track each insurance company's filing deadline and work claims before it passes. Medicare's limit is one calendar year from the date of service.³

Yes. Your billing team posts paper checks and explanations of benefits (EOBs) when you send them.

Anything that does not match is flagged, not written off. Your billing team matches each take-back to the claim it came from and works it with the payer.

Yes. Every unpaid claim gets a next step and a date, until it is paid or you decide to close it.

Nothing is written off without a reason. Write-offs above a limit you set need your approval.

Yes. Denials are sorted by reason, then corrected or appealed, and clinical appeals go to your clinician.

A person on your billing team reviews every appeal before it is sent.

Your billing team answers your patients' billing questions under your financial policy.

Not without your approval.

Only after insurance has paid its share.

What was billed, what was paid and adjusted, what is still owed by insurance company and by age, denials by reason, every write-off with its reason and who approved it, and what we need from you.

Every open item has an owner and a date.

Yes, in the month-end report. The client dashboard is planned.

Yes. Every write-off appears in your month-end report with its reason and who approved it.

It is planned, not live. The samples on this site show what it will track, using a fictional clinic and synthetic numbers. The month-end report is part of the service.

No. It is a fictional physical therapy clinic with synthetic numbers. Patients appear as numbers only, and every total adds up.

A named billing team owns your account. Software does the checking and the repetitive work. People on your billing team review anything that affects money, codes or appeals.

If the people on your account change, we tell you first, in writing.

We have not published a price yet. We quote each practice in writing before anything is signed.

No patient data moves until the Business Associate Agreement (BAA) is signed.

We list every open claim with an owner and a deadline. We agree a start date with you and plan who works claims for visits before and after it.

Your first month-end report follows.

Medicare cannot pay a clean electronic claim until 13 days after it receives it,⁵ and each insurance company sends electronic remittances to one clearinghouse at a time, so they move payer by payer.⁶

We plan the handover around both.

Tell us the date. We will say honestly whether we can be ready, and what your front desk should keep doing until then.

Your written billing plan says who works claims sent before your start date, and whether that work is priced separately.

You keep your EMR and your records. At the end, the BAA requires us to return or destroy your patients' information and keep no copies.⁷

Billing rules differ by specialty, and we will not learn them on your claims. Specialty focus is common: in Tebra's surveys of billing companies, the share highly focused on specific specialties rose from 43% in 2023 to 57% in 2025.⁸

Not yet. Both are by request. Tell us about your practice.

We follow each insurance company's written rule: Medicare's total-minutes method for Medicare and plans that follow it, and the CPT per-code rule where a plan's policy says so.^9,10

We track each Medicare patient's therapy dollars against $2,480 (2026, physical and speech therapy combined), from the claims we bill.² KX means your therapist confirms the care is medically necessary and documented, so we ask before it goes on.

Without KX, lines above the amount are denied and you cannot bill the patient for them.¹¹

Plan-of-care certification and recertification dates are tracked, including the 2025 order-or-referral route, and your front desk is warned before they end.¹²

CQ goes on with GP when a PTA furnished more than 10% of a service on their own, and Medicare pays those lines at 85%.¹³

We post Medicare's multiple procedure reduction and the 85% payment on PTA lines as expected amounts, not as underpayments.

Yes. We bill them and track their authorizations. Your front desk still requests authorizations.

Medicare pays physical therapists for telehealth through 2027-12-31.^14,15 Manual therapy (97140) is not on Medicare's 2026 telehealth list.¹⁶ Other insurance companies set their own rules.

Your front desk has the patient sign the ABN before the visit.

We check that a claim carries GA only when an ABN is on file, and never KX and GA on the same line.¹¹

In 2026 the Part B deductible is $283; after it, the patient pays 20% of the Medicare-approved amount.¹⁷

Your billing team answers your patients' billing questions under your financial policy.

Medicare changes the KX amount and fees each January, and its code-pair and unit edits each quarter.^18,2,19

Because we do not pretend otherwise. There are no reviews, logos or results on this site, every industry figure names its source, and every sample says it is a sample. The questions to ask any billing company, including us, are on one page.

Mohenara was founded by Umer Jamil.

You get a written billing plan for your practice.

Please do not include patient information.