medical billing for physical therapy
Medical Billing for Physical Therapy
Specialized Billing Services. If your PT clinic struggles with underpaid claims, time-based CPT coding errors, or high denial rates, you’re not alone.
Why Physical Therapy Billing Is Uniquely Complex
Running a physical therapy practice means balancing exceptional patient care with the constant pressure of getting paid accurately. Without specialized knowledge of PT-specific coding rules, practices face chronic revenue leakage.
Time-Based CPT Coding & The 8-Minute Rule
Physical therapy services rely heavily on time-based CPT codes, governed by the 8-Minute Rule. Incorrectly calculating treatment minutes or selecting the wrong code combination leads to underbilling or audit risks.
Modifier Rules and Application
PT claims require correct modifier usage to communicate essential billing information. Incorrect modifier use triggers automatic denials.
GP Modifier
Services delivered under an outpatient PT plan of care.
KX Modifier
Confirmation of medical necessity for therapy caps.
59 / XS
Distinct procedural service (unbundling).
CQ Modifier
Outpatient services furnished by a PTA.
Bundling and Unbundling Risks
Payers actively review PT claims for improper unbundling. Navigating National Correct Coding Initiative (NCCI) edits requires constant vigilance to avoid denials.
Comprehensive Physical Therapy Billing Services
AIE Medical Management provides end-to-end physical therapy billing services designed specifically for rehabilitation practices.
PT Coding Experts
Specialized in therapeutic exercises, manual therapy, and neuromuscular re-education codes.
Prior Authorizations
We verify eligibility and remaining benefits before patients arrive to prevent claim denials.
Denial Management
Our specialists investigate root causes, correct errors, and file appeals with supporting documentation.
AR Follow-Up
We conduct persistent follow-up on unpaid claims, prioritizing high-value accounts.
Payment Posting
We reconcile remittances, identify underpayments, and flag discrepancies requiring follow-up.
Compliance Support
Our billing processes are built around HIPAA compliance and payer-specific guidelines to reduce audit risk.
How AIE Medical Management Improves PT Revenue
Partnering with a specialized physical therapy billing company creates measurable financial impact.
Dedicated PT Billing Expertise
Your account is managed by specialists who understand rehabilitation billing, not generalists rotating between unrelated specialties. This focused expertise translates into fewer errors and faster reimbursements.
Quality Assurance Processes
Every claim undergoes multi-point review before submission. Our QA protocols catch coding errors, modifier omissions, and documentation gaps that would otherwise cause denials.
Transparent Reporting
You will see claims submitted, collections received, denial rates, AR aging, and key revenue cycle metrics. You always know where your money is.
Physical Therapy Practices We Serve
- Solo Physical Therapists
- Multi-Provider PT Clinics
- Rehabilitation Centers
- Sports Therapy Practices
Business Benefits
- Increased Collections Per Visit: Accurate coding captures the full value of services.
- Faster Cash Flow: Clean claims accelerate reimbursement timelines.
- Reduced Administrative Workload: Your staff focuses on patient care, not billing battles.
Frequently Asked Questions
How does medical billing for physical therapy work?
How much do physical therapy billing services cost?
What are the most common billing mistakes?
How long does reimbursement take?
Free PT Billing Audit
Are you underbilling units due to 8-Minute Rule errors? Let us audit your last 50 claims.
Key Expertise
- 8-Minute Rule
- Therapy Caps (KX)
- NCCI Edits
- Prior Authorization
- Worker's Comp
Why Choose AIE?
We specialize in rehabilitation billing. We don't just process claims; we build sustainable revenue cycles for PT clinics.
