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Medical Billing for Physical Therapy

Medical Billing for Physical Therapy

PT billing is ruled by the 8-minute rule, timed-code math and the KX modifier. Get any of them wrong and revenue evaporates. We get them right - every visit, every claim.

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Physical Therapy Billing Challenges

Where Physical Therapy Practices Lose Revenue

The specialty-specific billing traps we fix every day for physical therapy practices.

The 8-Minute Rule

Timed-code units live or die on exact minute counts. Our charge workflows calculate units correctly so you never leave units - or compliance risk - on the table.

KX Modifier & Cap Management

Therapy cap exceptions need the KX modifier and medical-necessity support. We manage cap tracking per patient automatically.

Timed vs. Untimed Errors

Mixing timed and untimed codes in one visit is a classic denial source. Our edits catch it before the claim goes out.

Documentation-Driven Denials

Payers deny PT for thin daily notes. We give your therapists documentation checklists tied to what payers actually review.

Codes That Matter

High-Impact Codes We Watch

A sample of the physical therapy codes where small errors cost real money.

CodeWhat it coversWhere practices lose money
97110Therapeutic exercisesUnder-counted units under the 8-minute rule - the most common PT revenue leak.
97140Manual therapyMissing GP modifier or bundled incorrectly with other timed codes.
97530Therapeutic activitiesBilled without distinct, documented skilled intervention notes.
G0283Electrical stimulation (unattended)Untimed code billed with wrong unit counts.
How It Works

From Leaking Revenue to Steady Cash Flow in 4 Steps

The same proven process behind every physical therapy engagement.

1

Free Revenue-Leak Review

Send one billing export. We map denials, AR aging and underpayments - free.

2

Recovery Plan

You get a prioritized action plan with projected recoveries before you commit.

3

We Go to Work

Denials appealed, AR worked, workflows fixed - inside your systems.

4

You Watch It Grow

Transparent reporting. You pay 5%% of what we collect - nothing else.

FAQ

Physical Therapy Billing Questions

Straight answers for physical therapy practices.

Do you understand the 8-minute rule?
Completely - our PT charge workflows calculate timed units per CMS rules on every visit.
Can you handle the KX modifier?
Yes, with per-patient cap tracking and medical-necessity documentation support.
Do you work with PT/OT/ST clinics?
Yes - outpatient rehab clinics of all sizes, including multi-discipline practices.
What are your fees?
Complete RCM at 5% of net collections. A dedicated billing specialist is $1,500/month flat.

Find Out What Your Practice Is Losing - Free.

Send one billing export. We'll show you the leaks, the stuck AR and the denials worth fighting - before you spend a dollar.

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