Billing
The Concentra Way
Ortho Referral
PT First
Referral process
100

This is the maximum number of timed units per hour for an FFP treated solo for 53 minutes.

What are 4 timed units?

100

A Healing Focus, A selfless heart and a Tireless Resolve

What are Concentra’s three Values?

100

This type of referral is used when a patient has severe pain, neurological deficits, or suspected fractures requiring immediate attention.

What is an urgent orthopedic referral?

100

This benefit allows eligible Concentra colleagues and dependents to access tele rehab at no cost.

What is the PT First (Start With Us) program?

100

This is Concentra’s process for ensuring patients receive timely specialist and therapy appointments during checkout, on the same day the order is placed.

What is Scheduling At Check Out (SACO)?

200

This rule requires that more than half of a time-based service be completed before a unit can be billed and is commonly used when determining CPT® coding for timed therapy services

What is the AMA midpoint rule or the 8 mins rule?

200

Improving the health of America’s workforce, one patient at a time.

What is Concentra’s Mission Statement?

200

These referrals are typically scheduled when a condition is stable and not expected to worsen quickly.

What is a routine orthopedic referral?

200

Patients are typically scheduled for therapy within this timeframe after intake, when clinically appropriate.

What is 48–72 hours?

200

This resource helps determine the CAS Specialist schedule and availability within a specific market.

What is the CAS Market Bio Sheet?

300

For FFP services, these guidelines must be followed in therapy coding and billing to ensure services are medically necessary, accurately documented, and eligible for reimbursement while avoiding penalties and claim denials.

What are CMS rules and guidelines?

300

Welcoming, Respectful, Skillful

What are the three sections of the Orange Book?

300

This helps determine referral priority and includes severity of symptoms, functional impairment, and risk of complications.

What is clinical assessment of the patient?

300

This platform is used to conduct the tele rehab visit and communicate with the patient.

What is eVisit?

300

These required details must be entered in the Occusource notes section when a checkout specialist schedules a visit.

What are the appointment date made, colleague who called to request SACO appointment, location/center referral was created, OS specialty type, and initials?