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 live. We build and test the billing checks for each specialty before we bill it. Every other specialty is by request: tell us yours.

Small, independent practices that keep their own EMR and want their billing done for them, end to end. Physical therapy is live; other specialties are by request.

Billing companies commonly charge 4% to 8% of what they collect.¹ Mohenara charges 3.5% of what we collect for you. On $60,000 collected a month, that is $2,100, against $2,400 to $4,800 at 4% to 8%.

You also see every claim live, so there is no chasing a biller for status. We check coverage before the visit and codes and units before the claim goes out, so problems are caught before a claim is sent, not after it is denied. Every underpayment is flagged.

Coding and charge review, claim scrubbing and submission, payment posting, denials and appeals, accounts receivable (A/R) follow-up, patient statements and calls, a live dashboard and a monthly summary.

Coverage is checked automatically before every visit, and prior authorizations are tracked while your front desk requests them.

Credentialing and payer enrollment stay with your practice or your credentialing service. We bill under the enrollments you already have.

Your front desk requests them, and we track them: visits used against visits approved, and the dates authorizations and recertifications end. Your front desk is warned before they run out.

We check coverage electronically before every scheduled visit, including visit limits and deductibles, so no one waits on hold. Coverage problems go on your front desk's list before the visit, with the reason.

Collects insurance cards and keeps insurance details current, requests authorizations, and collects copays at the visit. Your clinicians document care. Mohenara does the rest.

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.^2,3 Some Medicare Advantage and commercial plans set limits or require authorization, and we track those.

We do not bill a code the documentation does not support. We ask your clinician to clarify, with the reason.

We never upcode, and we never ask anyone to change a signed note to get paid.

We do. Mohenara codes every visit from your clinician's documentation and owns coding accuracy. Your clinicians document care; they do not choose codes.

Every code, unit and modifier is checked against the note and the insurance company's rules before the claim goes out. We never upcode. Software never raises a code level or adds units.

We fix it and send it again. A rejection by the clearinghouse or the insurance company shows in your dashboard as its own step, separate from a denial.

Yes. We send 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.⁴

Yes. We post paper checks and explanations of benefits (EOBs) when you send them to us.

Anything that does not match is flagged, not written off. We match each take-back to the claim it came from and work 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. We sort each denial by reason, then correct the claim or appeal it. Our billing specialists review every appeal and corrected claim before it is sent. We ask your clinician when an appeal needs clinical detail.

Our billing specialists answer 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. The same numbers are live in your dashboard all month.

Every open item has an owner and a date.

Yes. Nothing is written off without a reason. Every write-off shows in your dashboard with its reason and who approved it.

Yes. Your dashboard shows every claim in real time, for the whole practice and for each patient: what was billed and what was paid, what is still owed and how old it is, the details of every claim, every write-off and why, how much we recovered, and what we need from you.

You also get a monthly summary.

Mohenara runs your billing end to end. Most of the work is automated, and our in-house billing specialists handle appeals, calls to insurance companies and anything that needs judgment.

3.5% of what we collect for you. Your written billing plan sets out the terms 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.

From your start date, every claim shows in your dashboard as it moves, and your first monthly summary follows at month end.

We plan the handover around the payers' own clocks. Medicare cannot pay a clean electronic claim until 13 days after it receives it,⁶ and each insurance company sends electronic remittances to one clearinghouse at a time, so we move them payer by payer.⁷

Tell us the date. We will plan the handover around it and tell you what your front desk should keep doing until we take over.

Your written billing plan names who works each claim sent before your start date, so every one has an owner until it is paid or closed.

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, or, where that is not possible, to keep protecting it.⁸

Billing rules differ by specialty, so we build and test the checks for each one before we bill it. Physical therapy is live.

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 2025.⁹

Both are by request. Tell us about your practice, and your billing plan sets out how we will bill them.

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.^10,11

We track each Medicare patient's therapy dollars against $2,480 (2026, physical and speech therapy combined), from the claims we bill.³ KX confirms the care is medically necessary and documented. We add it when your therapist's documentation shows that, and ask your therapist when it does not.

Without KX, lines above the amount are denied and you cannot bill the patient for them.¹²

Yes. We track plan-of-care certification and recertification dates, including the 2025 order-or-referral route, and warn your front desk before they end.¹³

Yes. 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%.¹⁴

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.^15,16 Manual therapy (97140) is not on Medicare's 2026 telehealth list.¹⁷ 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.¹²

In 2026 the Part B deductible is $283; after it, the patient pays 20% of the Medicare-approved amount.¹⁸

We bill the patient's share after Medicare pays, and our billing specialists answer 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.^19,3,20 We update our checks when they change.

Because you never have to take our word for it. Every claim is live in your dashboard: where it is, what was paid, what is still owed and what happens next.

We sign a Business Associate Agreement before any patient data moves, we code from your documentation and never upcode, and every industry figure on this site names its source.

Mohenara LLC was founded by Umer Jamil. Reach us at hello@mohenara.com.

Tell us about your practice through the form or at hello@mohenara.com. You get a written billing plan for your practice.

Please do not include patient information.