Outsource Your Physical Therapy Billing to Proven Experts

Physical therapy billing involves submitting claims to insurance payers for services like evaluations, manual therapy, and therapeutic exercises. It includes timed codes, modifier usage, and documentation compliance to ensure timely and accurate reimbursement.

The 8-minute rule determines how many billable units can be charged for timed services during a therapy session. Understanding and applying this rule correctly is critical for compliant and maximized PT billing.

Common PT CPT codes include 97110 (therapeutic exercise), 97112 (neuromuscular reeducation), 97530 (therapeutic activities), and 97140 (manual therapy). Each code must be documented accurately and billed using correct units.

Modifiers like GP, KX, and 59 are used frequently. For example, GP indicates services under a physical therapy plan of care, while KX is used when therapy caps are exceeded with medical necessity.

Units are calculated using the 8-minute rule for timed codes. For example, 8–22 minutes equals 1 unit, 23–37 minutes equals 2 units, and so on. Proper calculation is essential for accurate reimbursement.

Denials can occur due to incorrect CPT coding, missing modifiers, lack of authorization, exceeding visit limits, or documentation errors. Outsourcing billing to PT specialists helps reduce these denials.

Many insurance plans require prior authorization for physical therapy, especially after a certain number of visits. Tracking authorizations in real-time helps prevent claim denials and delays.

Reducing PT claim denials involves accurate documentation, correct use of modifiers, proper coding, and tracking of visit limits. Partnering with an experienced PT billing company improves clean claim rates.

Timed CPT codes (e.g., 97110) are billed based on time spent with the patient, while untimed codes (e.g., 97010) are billed once per session. Accurate documentation and unit calculation are key.

Yes, outsourcing PT billing can reduce administrative burden, lower denial rates, and improve collections. It allows your team to focus on patient care while experts handle compliance and reimbursement.

We optimize collections by submitting clean claims, managing denials, following up on unpaid accounts, and ensuring proper coding and modifier usage. Our goal is to maximize your revenue without disrupting your workflow.

Our team uses real-time tracking tools to monitor visit limits and authorization status. This prevents over-utilization and ensures claims are submitted only when services are authorized.

Yes, we integrate directly with your existing EMR or EHR platform. Our billing specialists work within your system to ensure seamless documentation, claim submission, and revenue tracking.

A PT billing expert understands therapy-specific coding, payer rules, and compliance needs. They help you reduce denials, stay audit-ready, and get paid faster for each service rendered.

It’s simple. Just schedule a free PT billing consultation. We’ll assess your current process, identify gaps, and provide a custom plan to optimize your billing and revenue cycle.