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5 tips for efficient billing in physiotherapy

Physiotherapy billing: get to grips with the LAMal & Co tariffs!

Physiotherapy billing can quickly become a headache. Between LAMal, LAA, AI, and supplementary insurance, the rules change regularly and require constant administrative accuracy. However, with the right habits, you can simplify your management, avoid errors, and gain more time for your patients. Here are 5 practical tips to optimize your billing and make your daily work easier.

1. Master the tariff structures and their changes

The foundation of successful billing is a clear understanding of the applicable tariffs. Code 312 LAMal remains central, but other positions such as complex physiotherapy (7311) or group treatment (7330) require special attention. Tariffs are not set in stone: for example, the new agreement introduced in July 2025 in the AA/AM/AI domain brings up to a 20% increase in remuneration for certain services. Staying informed about these updates helps secure your income and avoid unpleasant surprises.

2. Automate and organize your billing

Efficient billing depends on clear processes and suitable tools. Set a regular rhythm for issuing invoices and classify them by insurance type (LAMal, LAA, AI, supplementary). Automation is a real time saver: with a solution like OneDoc Pro, you can centralize online appointment booking, SMS reminders, and billing. You’ll reduce errors and maintain a clear overview of your finances.

3. Check the compliance of prescriptions

An incomplete or expired prescription often leads to reimbursement refusal. Here are some key rules to follow:

  • The first session must take place within 5 weeks of the prescription.
  • Up to 36 sessions, renewals are possible but must be carried out within the deadlines.
  • Beyond this number, a medical report is required by the insurer to ensure continuity of care.

⚠️ Key points to watch when handling physiotherapy prescriptions

Specific billing positions (such as complex or group physiotherapy) also require precise documentation. A systematic review of prescriptions is essential to prevent disputes.

  • Complex physiotherapy (position 7311): The diagnosis must justify a high level of complexity (e.g. neurological disorders, multiple conditions). It is mandatory to mention the complexity when billing, in connection with the diagnosis provided by the physician.
  • Group treatment (position 7330): This can motivate your patients but must be prescribed and billed under specific conditions. All members of the group must present similar clinical conditions to ensure the effectiveness and cost-efficiency (EAE) of the treatment (for example, osteoporosis or cardiac rehabilitation).
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4. Communicate clearly with your patients and insurers

Many billing issues arise from misunderstandings about insurance coverage. Explain to your patients which services are covered and clarify any potential out-of-pocket expenses. With insurers, document your communications and keep supporting evidence: proactive communication reduces disputes and speeds up reimbursements.

5. Stay trained and informed about tariff changes

The healthcare sector evolves quickly. As a physiotherapist, you are on the front line: keeping up with tariff updates, attending training, and using tools that update automatically is essential. Physiotherapy billing may seem complex, but it becomes much simpler with the right method and tools.

With OneDoc Pro, you benefit from automatic updates to the Physio Tariff and advanced tools that make your billing faster and more reliable. By mastering the tariff structures, automating your processes, checking prescription compliance, and staying informed about changes, you secure your income and gain valuable time to dedicate to your patients.

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