Did you know that musculoskeletal injuries cause 30% of all injuries that keep workers away from their jobs? Bardavon Claim Submission helps injured workers get proper care and ensures therapy clinics receive their reimbursements.
Workers' compensation pays 66% of regular take-home pay to employees who can't work because of injuries or illness. The claims process with Bardavon Health Innovations might seem daunting at first. Becoming skilled at this process matters to your clinic's efficiency and financial success. On top of that, Bardavon's program with injured workers brings clarity to compensation cases through patient education and outcome tracking.
This complete guide takes you through each step to submit claims to Bardavon. You'll learn about documentation needs, common mistakes, and proven methods. The piece helps you handle claim rejections better and makes your submission process smoother. You'll get practical tips to make the most of your Bardavon customer service experience.
What is Bardavon Health Innovations?
Matthew Condon founded Bardavon Health Innovations in 2013. The company became a leader in musculoskeletal digital health solutions for workers' compensation. Condon led as CEO until early 2024 and still serves on the board.
Bardavon works as an outcomes-based workers' compensation platform. They combine a nationwide network of selected outpatient therapy providers with concierge patient management services. Their unique approach helps improve claims experience for injured workers and optimizes their recovery outcomes.
Bardavon stands out from other service providers in several ways. They have direct contracts with over 40,000 leading outpatient therapy providers that cover about 94% of the U.S. workforce. Their platform connects employers, case managers, adjusters, providers, and physicians throughout recovery. This connection helps everyone make better treatment decisions.
The company puts injured workers at the center of everything they do. Bardavon's team acts as "clinical concierges" and guides workers through their care plans from start to finish. Each payor gets their own customer success team that manages cases throughout the recovery process.
Bardavon's Recovery+ program makes them unique. Their in-house clinicians work directly with injured workers through an SMS-based coaching platform. This customized approach provides:
- Immediate access to case-specific insights
- Customized support from intake to discharge
- Guidance to return to work faster
- Tips to stay healthy after returning to work
Bardavon focuses on transparency and communication. They help make quality healthcare decisions through networked technology. Their digital recovery program enhances patient experience and musculoskeletal health literacy while leading to better recovery outcomes.
Therapy clinics submitting claims should understand Bardavon's role in the workers' compensation ecosystem. Their focus on documentation, outcomes measurement, and stakeholder communication affects how claims should be prepared and submitted for quick processing and payment.
Getting Started with Bardavon: Onboarding and Claim Setup for New Providers
Therapy clinics can find great value in joining Bardavon's network to simplify their workers' compensation claims process. The company makes sure new providers can start quickly with a remote setup that doesn't need much tech knowledge.
Bardavon's national network of outpatient therapists gives you access to technology built by clinicians for clinicians. Their system makes care, billing and reporting easier. bNOTES®, their clinical management software, is the life-blood of Bardavon's system that helps make informed care decisions and supports complete documentation.
Here's how to start with Bardavon Claim Submission:
- Contact Bardavon at providercontracting@bardavon.com to start enrollment
- Complete the provider credentialing process
- Receive training on bNOTES or bNOTES Connect platforms
- Set up your clinic's profile in the Bardavon system
Your partnership can grow by joining Bardavon's Premier Partner program. You can employ either bNOTES or bNOTES Connect for all workers' compensation cases and track functional outcomes for every patient. Premier Partners receive revenue cycle management, clinic analytics, co-branded marketing materials, and better clinical support.
The Premier Partner program brings solid financial benefits. Your therapy practice becomes more profitable as you document all workers' compensation cases through Bardavon's platform. The electronic claims process is quick and consistent, which reduces administrative costs.
Bardavon's experienced clinical team helps during setup and provides support with tough cases. They offer a second opinion whenever needed. Network providers also get discounts on continuing education courses to keep up with accreditation and compliance standards.
Your clinic's finances stay stable with Bardavon's efficient revenue management. They reimburse at your contracted rate without any retrospective discounts.
Understanding Bardavon’s Documentation Requirements for Physical Therapy Claims
Your Bardavon claim submission success depends on proper documentation. Bardavon's workers' compensation platform needs specific documentation that tracks functional outcomes and objective measurements, unlike standard insurance claims.
Good documentation forms the foundation for successful claims with Bardavon Health Innovations. Their system tracks functional improvement instead of just managing symptoms. Your clinical notes should clearly show how your treatment approach relates to the workplace injury.
Each Bardavon claim needs this documentation:
- A detailed original evaluation that defines functional limitations and measurable goals
- Objective baseline measurements (range of motion, strength, functional tests)
- Clear links between work duties and treatment plan
- Regular progress updates with measurable functional improvements
- Evidence showing patient education and home exercise compliance
Bardavon's bNOTES platform makes documentation easier. The system guides clinicians through all required elements to ensure completeness. Your clinic must meet these documentation standards through your EMR system if you don't use bNOTES.
Bardavon emphasizes functional outcome measures beyond simple documentation. These metrics show objective improvement and support decisions about continuing care or discharge. Your documentation must demonstrate how treatment helps patients perform specific work tasks.
Missing documentation often leads to delayed or rejected claims. Quick responses to Bardavon's customer service requests about missing information help avoid payment delays.
Successful claims also depend on good communication with adjusters. Bardavon's platform helps by creating standardized reports from your documentation. These reports give adjusters a clear picture of patient progress, which simplifies authorization decisions.
Bardavon requires quick submission of all documentation. You should submit initial evaluations within 24 hours and upload progress notes within 48 hours after each visit.
What Documents Should You Attach with Your Bardavon Claim? (Evals, Progress, Discharge)
Documentation is the life-blood of successful Bardavon Claim Submission. Bardavon makes this process easier by auto-delivering documents for therapy providers. Their system sends weekly notifications and snapshots to claims examiners and nurse case managers, which optimizes the whole process.
Workers' compensation cases need these three main document types:
- Initial Evaluation Documentation The evaluation must be complete and has medical diagnosis, treating impairment or dysfunction, subjective observations, objective observations (identified impairments and their severity), assessment (including rehabilitation potential), and a detailed treatment plan. These documents are the foundations of your SOAP notes and establish medical necessity for treatment.
- Progress Reports Licensed therapists must complete progress notes for every patient by their tenth visit at minimum. These reports must assess the patient's progress toward current goals, give professional judgment about continued care, and modify goals or treatment when needed. You cannot bill for routine progress notes, but these documents justify the continued medical necessity of your care.
- Discharge Summary Notes Discharge summaries play a crucial role but often get overlooked. This documentation must detail the patient's care conclusion and subsequent discharge. A proper discharge summary has the patient's subjective statements (if relevant), updated objective measures, progress toward each goal, information given to the patient (including home exercise programs), and clinical justification for discharge.
When patients unexpectedly stop attending therapy, therapists should create an "absent discharge summary." Clinicians can base their judgments on previous treatment notes and document their attempts to contact the patient.
Bardavon's network connects therapists to over 500 claims examiners who receive these weekly updates. This reduces administrative work by a lot and encourages proactive communication for each injured worker.
Common Mistakes Clinics Make When Submitting Claims to Bardavon (And How to Avoid Them)
Therapy clinics face several roadblocks with Bardavon Claim Submissions despite their best efforts. The American Medical Association reports errors in nearly 1 out of 5 claims made by health plans. You can boost your approval rates by knowing these common pitfalls.
Inaccurate Patient Information Wrong patient data tops the list of claim denial reasons. A Ponemon Misidentification Report shows hospitals lose about $17.40 million each year from denied claims due to misidentification. About 35% of denied claims happen because of wrong patient identification or missing information. Make sure to check all demographic details before you submit them to Bardavon's customer service.
Documentation Deficiencies Bardavon needs supporting documents to verify that billed services are necessary. They might question your claim's legitimacy without proper documentation. The American Academy of Professional Coders states that health record documentation supports coding, which then supports billing. A simple encounter form copy won't cut it and will lead to payment denial.
Coding Complications Medical coding errors are another key reason for denials. These include outdated codes, misread guidelines, or wrong procedure codes. The Healthcare Financial Management Association points out that careful attention to documentation and medical coding makes claim approval more likely.
Other Common Errors:
- Duplicate claims (a major cause of private insurance denials)
- Not checking patient eligibility before providing services
- Wrong use of modifier 59 (CMS now sees this as a potential "red flag")
- Missing referral forms or pre-authorization numbers
A systematic review of denials can help minimize these issues. Reach out to Bardavon's support team to understand denial reasons. Follow their guidelines to fix claims and document all your conversations with their representatives. Keep good records of everything you submit through their referral site, as stated in Bardavon's terms and conditions.
FAQs
Q1. What is Bardavon Health Innovations and how does it benefit therapy clinics? Bardavon Health Innovations is a leading provider of musculoskeletal digital health solutions in workers' compensation. It offers an outcomes-based platform that combines a nationwide network of outpatient therapy providers with concierge patient management services, helping clinics streamline claims processing and improve patient outcomes.
Q2. How can a therapy clinic join Bardavon's network? To join Bardavon's network, clinics should contact providercontracting@bardavon.com to initiate enrollment. The process involves completing provider credentialing, receiving training on Bardavon's platforms, and setting up the clinic's profile in their system.
Q3. What are the key documentation requirements for Bardavon claims? Bardavon requires detailed documentation including initial evaluations with functional limitations and measurable goals, objective baseline measurements, progress updates showing functional improvements, and clear evidence of patient education. All documentation should be submitted through their bNOTES platform or meet equivalent standards in your EMR system.
Q4. What types of documents should be attached to a Bardavon claim? Three primary document types are required for each workers' compensation case: Initial Evaluation Documentation, Progress Reports (completed by the tenth visit at minimum), and Discharge Summary Notes. These documents are crucial for establishing medical necessity and justifying continued care.
Q5. What are common mistakes to avoid when submitting claims to Bardavon? Common mistakes include providing inaccurate patient information, submitting claims with documentation deficiencies, coding errors, and failing to verify patient eligibility before providing services. To avoid these issues, implement a systematic approach for reviewing denials and maintain thorough records of all interactions with Bardavon's support team.
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