Medical Billing
for Physical Therapy
PT billing is high-volume and rule-heavy: timed units, modifiers, plan of care requirements, authorizations, and payer-specific edits. We manage end-to-end PT billing so you get paid faster, reduce denials, and protect cash flow.
- ✓ Timed Units + 8-Minute Rule Support
- ✓ Modifier Accuracy (GP/GO/GN, KX, etc.)
- ✓ Authorization & Visit Limit Tracking
- ✓ Denial Management & Appeals
- ✓ AR Follow-Up & Recovery
- ✓ Real-Time Reporting
Every Step of Your Billing Process Managed for You
Our team manages the entire billing process for you, including claim preparation, scrubbing submission, tracking, and denial resolution. With proven workflows built for small practices, we help you improve cash flow, reduce errors, and maintain complete visibility into your revenue at every step.
- Encounters Review
- Claim Preparation
- Coding Accuracy Review
- Batch Claim Submission
- Real Time Status Tracking
- Weekly Follow Ups
- Denial Resolution
- Accounts Receivable Management
- EDI, ERA and EFT Setup
- Support for All EHR Systems
What Sets Us Apart
PT reimbursement can drop fast when units are billed incorrectly, authorizations aren’t tracked, documentation is missing, or modifiers aren’t applied properly. We work inside your current workflow, scrub claims for payer rules, and follow AR aggressively so you keep visits paid and collections predictable. If you also need enrollment help, we can pair billing with physical therapy credentialing.
Units + Timed Code Controls
We validate timed and untimed codes, correct unit counts, and reduce common payer edits that lead to rejections.
Authorization & Visit Limit Tracking
We help prevent avoidable denials by tracking authorizations, visit counts, and payer-specific coverage rules.
Denial Management Built In
We resolve denials, submit corrected claims, and appeal when appropriate—then apply prevention steps going forward.
AR Recovery Options
For older balances and underpayments, we can add AR recovery services to accelerate collections.
How It Works
We onboard quickly and keep your practice running with zero downtime. We map your PT services and payer mix, confirm EHR and clearinghouse setup, then run daily billing operations with tracking and follow-ups—so every visit moves from documentation to payment without delays.
Step 1: Intake & PT Workflow Review
We review your CPT mix, unit patterns, payer rules, and authorization workflow to prevent avoidable billing errors.
Step 2: EHR / Clearinghouse Setup
We confirm provider profiles, NPIs/taxonomy, payer IDs, EDI/ERA connections, and claim format rules for clean submissions.
Step 3: Daily Billing Operations
Charge entry, claim scrubbing, submissions, rejections fixes, payment posting, and patient balance workflows.
Step 4: Follow-Ups, Denials, Reporting
We work AR, resolve denials, track underpayments, and provide reporting so you can see exactly what’s happening each week.
Have Other Questions? Get in Touch
Our team is here to help you understand every part of the billing process, from claim submission to reimbursement. Whether you need clarity on workflows, payer rules, or how our services fit your practice, we make the entire experience simple, transparent, and stress-free.
Our onboarding process is completed within 3–5 business days, provided all required information is supplied.
Yes — we work with nearly all popular platforms such as Tebra, OfficeAlly, eCW, Athena, DrChrono, AdvancedMD, SimplePractice, ICANotes, Optimantra, and more.
Our base plan starts at $499/month and includes free credentialing for solo practitioners. Standard billing plans are 3–5% of insurance collections.
Yes — we offer free credentialing, CAQH maintenance, and revalidation support for billing clients.
All PHI is handled in accordance with HIPAA requirements. Our team uses secure, encrypted systems for file storage, communication, and data access. Access to PHI is limited to authorized staff only, based on job responsibilities, and all activity is monitored.
Insurance Companies We Work With
We work with every health plan in the United States, including Medicare, Medicaid, major commercial carriers like Aetna, Cigna, Humana, Blue Cross Blue Shield, UnitedHealthcare, as well as HMO, PPO, POS, state, and regional plans. Our team ensures seamless credentialing and contracting across all payers.
Straight from the Practices We Serve
What Our Clients
Have to Say
From nurse practitioners to physicians across every specialty, our clients share how we've lightened the administrative load, streamlined their operations, and given their practices room to grow. Their experiences speak for themselves:
Contact us
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