Physical therapy

Billing visibility for physical therapy practices managing visits and payer rules

Physical therapy revenue depends on more than sending a claim. Visit limits, authorization dependencies, documentation, claim status, and unpaid balances need coordinated ownership and timely escalation.

Fit

This may be a fit when

  • Independent physical therapy practices
  • One or a small number of locations
  • Teams managing high visit volume with lean administrative capacity
  • Practices seeking clearer visibility into authorization-related billing risk

Signals

What may be getting in the way

  • Authorization dependencies discovered too late
  • Visit information and billing work moving in separate queues
  • Repeated payer exceptions without clear escalation
  • Unpaid balances aging without a prioritized recovery plan

Approach

Start with the workflow, not a generic promise

Map the visit-to-claim workflow

Identify where scheduling, authorization information, documentation, coding, and claim submission depend on one another.

Surface exceptions earlier

Define how authorization and claim-readiness risks are identified, routed, and escalated to the practice.

Connect recovery to prevention

Use denial and A/R findings to improve the upstream workflow instead of repeatedly correcting the same issue.

Possible scope

  • Revenue cycle management
  • Medical billing
  • Denial management

Final responsibilities, systems, data access, timelines, and fees are documented before work begins. Payer-controlled outcomes and unreviewed recovery amounts are not guaranteed.