Navigating Blue Cross Blue Shield of Michigan’s Reimbursement Cuts: How HENO Can Help Your Clinic Adapt

The healthcare landscape is always evolving, and staying ahead of changes is crucial for clinics aiming to maintain financial stability while delivering quality patient care. One of the latest shifts affecting physical therapy practices—especially in Michigan—is Blue Cross Blue Shield of Michigan’s new billing policy, which went into effect on April 1st. Learning to navigate Blue Cross Blue Shield of Michigan’s Reimbursement Cuts will be important for PT clinics.

Navigating Blue Cross Blue Shield of Michigan's Reimbursement Cuts: How HENO Can Help Your Clinic Adapt

What’s Changing?

Under this new policy, reimbursements for physical therapy services could be reduced by an average of 17%. This reduction presents a serious challenge for clinics, making it harder to allocate resources, support staff, upgrade equipment, and ultimately maintain the level of care patients expect.

What Does This Mean for Your Clinic?

A 17% decrease in reimbursements means tighter margins, increased financial pressure, and the need to find new ways to optimize operations and generate additional revenue. Basically, they deduct a percentage after the first CPT code. As physical therapists we treat patients for 30 to 60 minutes, so we bill 3 to 5 CPT codes per visit. Without proactive strategies, clinics may struggle to offset these losses and maintain their quality of care.

How HENO Helps You Navigate These Changes:

Navigating Blue Cross Blue Shield of Michigan's Reimbursement Cuts: How HENO Can Help Your Clinic Adapt

While we can’t control insurance policies, we can equip clinics with tools to increase efficiency and open up new revenue streams. HENO is more than just an EMR—it’s an all-in-one solution designed to help clinics stay ahead of industry shifts. Here’s how HENO’s features can help:

Remote Therapeutic Monitoring (RTM) – RTM allows clinics to track patient progress between visits, ensuring compliance with therapy plans while generating additional revenue. With HENO’s built-in RTM, clinics can bill for remote services and earn between $100 to $275 per patient every 60 days—helping to offset reimbursement cuts.

HENO KioskStreamline front desk operations with self-check-in, insurance updates, co-pay processing, and automated appointment reminders. By reducing administrative workload, your clinic can allocate staff resources more effectively and improve efficiency without extra labor costs.

All-in-One Efficiency – Unlike other platforms that rely on third-party integrations, HENO’s solutions are built directly into the system, meaning everything from billing to scheduling and documentation is seamlessly connected. This integration reduces errors, minimizes administrative time, and enhances clinic operations. Better yet, no third-party monthly fees from utilizing third party integrations.

Stay Informed & Stay Ahead

These reimbursement changes highlight the importance of adaptability in the healthcare industry. Clinics that proactively leverage technology, automate workflows, and explore alternative revenue sources will be better positioned to navigate financial challenges without compromising patient care.

By working together, we can continue to put patient care first while ensuring your clinic remains financially strong.

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