Rx Credentialing – Medical Billing and Credentialing Services for US Providers

Maximize Your Revenue: Recover 95%+ of Outstanding Claims

Medical Billing
for Physical Therapy

Physical Therapy Billing Services – Reduce Denials by 60% & Get Paid 20% Faster with PT-Specific Expertise

PT-Specific Coders – CPCs trained in 97000-series codes & modifiers
Denial Defense – 40% lower denial rates vs. general billers
Timely Filing Mastery – 99% of claims submitted within 48 hours
EHR Integration – Works with WebPT, TheraOffice, Clinicient
Cash-Based Practice Support – Hybrid billing for mixed-payer clinics
Transparent Pricing – 3-5% of collections (no hidden fees)

Medical Billing for Physical Therapy
Medical billing services for small practices
HIPAA-Compliant
Pay as you go
No fixed contract

Rehabilitation billing services

medical billing services

Smooth Transition Between EHR/EMR Systems

Efficient Electronic Funds Transfer (EFT), EDI, and ERA Setups

Claims Submission Within 24 Hours

Prompt follow-up with payers.

Free CAQH maintenance

Free provider credentialing & revalidation

Comprehensive Revenue Cycle Management (RCM) Services

Appeals & Adjustments.

Coding and Chart Review

Reimbursement Strategies for Optimized Billing

AR Recovery & Denial Management

Why 68% of PT clinics lose 15-30% of their revenue to these preventable issues

5 Biggest Physical therapy billing and coding Challenges

97000-Series Coding Errors

Misusing codes like 97110 (therapeutic exercise) or missing GP/KX modifiers causes 25-40% immediate denials for PT claims.
Our Fix: PT-certified coders achieve 97% clean claim rate

Timely Filing Penalties

Missing tight windows (UHC: 90 days, Medicaid: 60-180 days) loses clinics $15k+/year in unrecoverable revenue.
Our Fix: Automated tracking + 48-hour submissions

SOAP Note Deficiencies

Incomplete documentation (missing Medicare's 8 elements for 97140) reduces reimbursements by 37%.
Our Fix: Pre-billing audits recover $7k+/clinic/year

Cash-Based Practice Hurdles

Poor superbill design leads to 42% slower collections in hybrid insurance/cash practices.
Our Fix: Integrated systems cut admin time by 40%

Workers' Comp Delays

Improper FCE formatting causes 60+ day payment delays on WC/DOT cases.
Our Fix: Specialized templates accelerate approvals by 40%

EMR Billing Gaps

WebPT/TheraOffice auto-billing misses 12-18% of billable units for PTs.
Our Fix: Manual review captures 100% eligible charges

Schedule a Consultation with Our Medical Billing Experts

We understand your need to keep things small, intimate, and personalized. Our medical billing specialists for independent small practices thoroughly study your needs and offer custom-made solutions. 

Medicare billing for physical therapy

Services We Offer

CMS guidelines for PT billing

Process

Outsource physical therapy billing services

PT clinic billing solutions

6 Essential Physical Therapy Billing Services | [Your Company]

PT-Specific Coding

Precision handling of 97000-series codes (97110, 97530) and modifiers (GP, KX) to maximize reimbursements for every manual therapy and therapeutic exercise session.

30% fewer coding errors vs. general billers

Denial Defense System

Pre-audit claims for common PT denials (medical necessity, documentation gaps) with 95% appeal success rate for dry needling and therapeutic activities.

Recover $18k+ annually

Timely Filing Protection

Guaranteed 48-hour submissions with alerts for payer deadlines (Medicare 1-year, UHC 90-day) to prevent revenue loss from late filings.

100% deadline compliance

Cash-Based Practice Solutions

Hybrid billing systems for clinics mixing insurance and cash pay, including automated superbills, HSA compliance, and payment plans.

Seamless payer transitions

SOAP Note Audits

Compliance reviews ensuring 8+ Medicare elements for 97140 and other codes, converting documentation gaps into billable units.

$7k+ average revenue recovery

FCE/WC Billing

Specialized billing for functional capacity evaluations and workers' comp cases with formatted reports for 40% faster approvals.

DOT-certified experts

PT billing for small practices

FAQs

How much do PT billing services cost?

We charge 5-7% of collections (industry standard) with no hidden fees. For small practices (<$15k/month), we offer flat-rate plans starting at $299/month.

No long-term contracts
Do you handle 97000-series codes and PT modifiers?

Yes! We specialize in PT-specific coding (97110, 97530) and modifiers (GP, KX, 59). Our coders average 30% fewer errors than general medical billers.

CPT-certified specialists
What's your denial rate for PT claims?

Our pre-audit system maintains a <5% denial rate (vs. 15-20% industry average). We recover 95%+ of denied claims through aggressive appeals.

$18k+ average annual recovery
How do you handle timely filing deadlines?

We track all payer deadlines (Medicare: 1 year, UHC: 90 days) and submit 98% of claims within 48 hours with automated alerts.

100% deadline compliance
Can you support cash-based/hybrid PT practices?

Absolutely. We create custom workflows for superbills, HSA payments, and hybrid billing—reducing admin time by 40% for cash-pay clinics.

Seamless payer transitions
Do you work with my EMR/EHR?

We integrate with all major PT systems: WebPT, TheraOffice, Clinicient, and Raintree. Setup takes <72 hours.

No software fees
How do you ensure SOAP note compliance?

Our audits verify 8+ Medicare requirements for 97140 and other codes, converting documentation gaps into billable units.

$7k+ average revenue recovery
What about functional capacity evaluations (FCEs)?

We're WC/DOT billing experts—formatting FCE reports to speed approvals by 40% and maximize reimbursements.

DOT-certified coders
Is my patient data secure?

Yes. We're HIPAA-compliant, use encrypted systems, and sign BAAs. Your data never leaves the US.

SOC 2 Type II certified
How quickly can you start?

Most practices go live in 7-10 days. We handle credentialing, EMR integration, and staff training at no extra cost.

Free onboarding

Physical Therapy Billing

Insurances Covered

Insurance Providers

PT billing for small practices

Verified Results

Rx Credentialing LLC place picture
5.0
Based on 63 reviews
powered by Google
Emily Elandt profile pictureEmily Elandt
01:24 16 Nov 25
Wonderful customer service and quick Credentialing!
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
OGADINMA ONWUKWE profile pictureOGADINMA ONWUKWE
02:45 16 Oct 25
Very reliable.
Steve Walsh profile pictureSteve Walsh
22:16 13 Oct 25
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Marilyn Batista profile pictureMarilyn Batista
15:50 03 Oct 25
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
John Giovanelli profile pictureJohn Giovanelli
15:14 15 Sep 25
Made things much easier for credentialing
Richard WR Garcia profile pictureRichard WR Garcia
13:59 21 Aug 25
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
Ahmad Elherfa profile pictureAhmad Elherfa
14:32 20 Aug 25
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
Stacy Antwi profile pictureStacy Antwi
18:31 15 Aug 25
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
Keisha Asante profile pictureKeisha Asante
17:37 12 Aug 25
David is wonderful very responsive and on top his work. Great experience.
Nicole Ciffone profile pictureNicole Ciffone
20:58 08 Aug 25
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
Takeisha Judkins profile pictureTakeisha Judkins
18:40 04 Aug 25
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
Ehab Waly profile pictureEhab Waly
22:44 31 Jul 25
Tyler is doing good work
Samir Zaqdan profile pictureSamir Zaqdan
00:14 25 Jul 25
Kassandra Barthelemy profile pictureKassandra Barthelemy
05:31 24 Jul 25
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Victoria Boateng profile pictureVictoria Boateng
18:42 23 Jul 25
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
DaniCare Psychiatry profile pictureDaniCare Psychiatry
16:03 21 Jul 25
great service, highly professional. thank you!
Tamara Gordon profile pictureTamara Gordon
23:43 17 Jul 25
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Daniel Montenegro profile pictureDaniel Montenegro
19:21 15 Jul 25
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.

Locations

Serving Nationwide

Enjoy affordable medical billing services across the nation! We are now available in all 50 states. So, wherever your practice might be, don’t hesitate to contact our expert team to unburden your administrative staff. 

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