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Specialty — Physical Therapy

Medical billing and RCM for physical therapy practices

Therapy billing is unit-based and cap-limited, so the difference between a paid and a denied plan of care is often a counting problem rather than a clinical one.

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A physical therapist working on a patient’s shoulder in a sunlit clinic
Denial drivers
Visit caps, authorization
Coding pressure
Timed units, 8-minute rule
Where A/R ages
Plan-of-care episodes
Underpayment risk
Moderate
The challenges

What actually costs physical therapy practices money

Timed unit rules

Unit calculation errors are systematic - once wrong, wrong on every claim.

Visit caps and re-authorization

Caps are reached mid-episode and re-authorization is requested too late.

Plan-of-care documentation

Certification and recertification dates drive payability and are easy to miss.

Multiple-procedure reductions

Payment reductions applied incorrectly and rarely challenged.

How we work a physical therapy account
  1. 1 Unit calculations checked against documented minutes
  2. 2 Cap and re-authorization tracking per patient episode
  3. 3 Certification dates monitored, not remembered
  4. 4 Reduction rules checked against contract

Other specialties

View all
A primary care physician talking with a patient in a bright exam room Primary Care A physician listening to a patient’s heart with a stethoscope Cardiology An orthopedic physician explaining an X-ray to a patient Orthopedics A therapist in a counseling session with a client in a bright office Behavioral Health A dermatologist examining a patient’s skin with a dermatoscope Dermatology A psychiatrist in a consultation with a patient in a modern office Psychiatry

How healthy is your physical therapy revenue cycle?

We will review your denials, A/R and payer performance and tell you what we find.

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  • No obligation, and you keep the findings either way
  • Under two minutes to request
  • No patient information needed to start
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