- Schedule a free 30-minute appointment with a billing advisor today!
- Schedule a free 30-minute appointment with a billing advisor today!
Managing physical therapy medical billing involves detailed documentation, precise coding, and accurate claim submissions. From handling physical therapy CPT codes to applying ICD-10-CM codes, our billing services help simplify complex billing tasks while ensuring compliance with industry standards. Proper physical therapy billing reduces claim denials, improves collections, and strengthens the financial foundation of your practice.
Modern physical therapy is more advanced than ever, offering transformative care through personalized treatment plans, cutting-edge techniques, and therapeutic technologies. But with that growth comes the challenge of navigating increasingly complex billing and coding systems. Without accurate documentation and correct coding, even the most effective therapy can go unreimbursed.
That’s where our specialized physical therapy medical billing services come in. We take the stress off your team, ensure every claim is submitted accurately, and follow through on denials and rejections—so you don’t miss out on the revenue you’ve earned. Our goal? To keep your focus on what really matters: helping your patients heal.
Billing in physical therapy isn’t just about submitting claims after a treatment session—it starts the moment a patient schedules an appointment. From verifying insurance eligibility to confirming pre-authorizations and adhering to visit limits, every step matters.
Even small errors—like missing modifiers or outdated care plans—can lead to denied claims and delayed payments. On top of that, physical therapists must coordinate with referring physicians and align documentation with insurance expectations. It’s a lot to juggle and we are here to help to make things easier for you.
Let’s be honest: coding for physical therapy is anything but simple. CPT codes must reflect not just what was done—but how it was done, why, and for how long. Whether it’s neuromuscular re-education, manual therapy, or therapeutic exercises, the codes and documentation must be perfectly aligned.
Incorrect coding, missing modifiers, or even vague documentation can trigger denials. Our expert team is fluent in physical therapy CPT codes and understands the nuanced billing requirements specific to your field. We get it right the first time—so you get paid faster.
Precision is critical in physical therapy medical coding, as laboratory testing requires detailed documentation. Using the correct physical therapy CPT codes and procedural terminology CPT codes prevents denials and revenue loss. Inaccurate coding—whether due to missing modifiers or incorrect CPT codes—can lead to delayed payments and financial setbacks. A specialized billing team ensures accurate claims submission to reflect the complexity of each procedure.
Our billing specialists aren’t just trained in medical coding—they’re trained in physical therapy billing. We understand the codes, the payers, and the processes that keep your clinic running smoothly. Here are just a few of the commonly used CPT codes we expertly manage:
From choosing the right modifiers (like -GP or -59) to submitting clean claims with detailed documentation, we help prevent denials, accelerate payments, and improve your revenue cycle.
Ensure the financial well-being of your physical therapy practice by using selective medical billing tactics that prevent claim denials from occurring in the first place. Physical therapy medical billing needs accuracy and skilled expertise in order to keep revenue disruptions to a minimum and maintain uninterrupted financial processes.
Find the hidden revenue opportunities with thorough reviews of physical therapy medical billing operations. Our thorough assessment determines key areas of potential revenue loss, converting obstacles into drivers of your clinical laboratory’s success.
There is a maze of complexity that surrounds physical therapy medical coding, which requires specialized experience. Our staff creates strategic appeal strategies that bring in the greatest reimbursement, consistently addressing claim rejection and guaranteeing your practice obtains full payment for essential laboratory testing.
Adhere to highest physical therapy medical billing standards by conducting strict compliance audits. We foresee and correct issues beforehand, avoid future denials, and ensure coding accuracy in surgical physical therapy, clinical physical therapy, and molecular physical therapy services.
Integrity RCM provides end-to-end physical therapy medical billing solutions that encompass:
Medical billing physical therapy services necessitate a level of sophistication in their approach which takes into account the specific challenge of medical billing in physical therapy and lab practices. Our end-to-end solutions maintain your practice’s financial integrity without wavering focus from providing best-in-class patient care.
We work closely with our clients. Feel free to interact with expert billers and a dedicated account management team. Each healthcare center partners with seasoned professionals who understand your unique challenges and goals. Your dedicated team delivers hands-on support, proactive problem-solving, and industry-leading expertise to optimize your revenue cycle.
| Performance Metrics | Integrity RCM | Industry Average | Benefits of Integrity RCM |
|---|---|---|---|
| Clean Claims Rate | 98-99% | 75-85% | Higher first-pass acceptance, faster reimbursement |
| Days in A/R | 14-30 days | 45-55 days | Improved cash flow and revenue cycle |
| Collection Rate | 96-98% | 85-90% | Maximum revenue capture |
| Denial Rate | <3% | 5-10% | Fewer rejected claims, reduced administrative burden |
| Coding Accuracy | 99% | 90-95% | Minimized compliance risks, optimal reimbursement |
| Patient Satisfaction | 95% | 80% | Better patient experience, fewer billing complaints |
| Customer Support | 24/7 dedicated support team | Limited business hours | Faster issue resolution |
Track what matters with our comprehensive medical billing KPIs. We turn complex data into actionable insights, ensuring faster reimbursements, reduced denials, and optimized revenue cycles.
We expertly manage RCM outsourcing across the healthcare spectrum – from independent physicians to major health systems. Our tailored solutions ensure optimal revenue performance regardless of your practice size.
We are a medical billing company that knows the features and workaround of your EHR system. At Integrity RCM, we work with your
existing EHR to remove the hassle of shifting to a new one.
As a leading medical company in the USA, we deliver exceptional medical billing services across all 50 states. Integrity RCM combines cutting-edge technology
with expert knowledge to make your collection process smooth and efficient. Our certified specialists ensure compliance, optimize reimbursements and maintain the
highest clean claims rates in the industry.
Don’t let coding errors and billing inefficiencies hold your practice back. Get data-driven medical coding solutions from Integrity-RCM. Don’t let billing errors cost you. Contact us today!
Most practices save 15-30% with our services when comparing total costs of in-house billing (salaries, benefits, training) against our fees. Our expertise improves clean claims rates to 98-99% (versus industry average of 75-85%), significantly boosting collections. Many clients recover previously written-off claims within their first month, often paying for our services through recovered revenue alone.
With 24/7 access to billing performance metrics and direct communication channels, you’ll always know exactly where every claim stands. Our clients consistently report feeling more informed about their billing process after partnering with us.
Our AAPC-certified coders specialize exclusively in PT billing, maintaining a 99% accuracy rate with physical therapy’s unique challenges. They’re experts in the 8-minute rule, KX modifiers for Medicare thresholds, proper one-on-one vs. group therapy documentation, and correct application of the 59 modifier. Regular audits ensure compliance while maximizing legitimate reimbursements.
Our phased implementation ensures continuous cash flow, processing new claims while your team works down existing A/R. A dedicated implementation specialist configures your EHR integration and provides staff training. Most transitions complete within 2-3 weeks, with many clients seeing faster payments by month two than they experienced with in-house billing.
We integrate seamlessly with your front office through real-time insurance verification results via our secure portal, your EHR, or daily reports—your choice. For authorizations, we verify requirements and proactively track usage, alerting staff before patients reach visit limits. We also provide training on proper registration procedures to collect all necessary information upfront.
