Timed-unit billing
Common timed services (97110, 97112, 97140, 97530) billed to the payer’s unit rules, including Medicare’s 8-minute rule.
Specialty billing
Physical Therapy billing services
Timed-unit billing and plan-of-care tracking for therapy practices.
Therapy billing is built on timed units, visit limits and plan-of-care requirements. We keep your claims consistent with the documented time and each payer’s rules.
What we handle
Billing built for
Physical Therapy practices.
Codes shown are common examples. Payer rules vary, and we apply the policy that applies to each claim.
Evaluations and re-evaluations
Evaluation complexity (97161–97163) and re-evaluation (97164) coded from documentation.
Modifier accuracy
GP, CQ, CO and KX modifiers applied according to payer and provider type.
Visit limits and authorizations
Plan visit limits and authorizations tracked so patients are not surprised.
Plan-of-care tracking
Certification and recertification dates monitored for payers that require them.
Denials and patient statements
Denial follow-up and clear patient balances.
How we work
Four steps.
Nothing left hanging.
- 01
Verify
Eligibility, benefits and authorizations are checked before the visit.
- 02
Code & submit
Encounters are coded from your documentation and claims are checked before they go out.
- 03
Follow up
Rejections, denials and unpaid claims are worked until they are resolved.
- 04
Report
You receive regular reporting on claims, denials and collections.
Do you apply the 8-minute rule?
Yes, for Medicare and other payers that follow it, based on documented treatment time.
Can you track visit limits?
Yes. We monitor limits by plan so your front desk can inform patients early.
Do you support therapy assistants’ billing?
Yes. We apply the modifiers payers require for services furnished by assistants.
Your next chapter starts here
More time for patients.
More potential for your practice.
Start with a free practice audit or a conversation about your Physical Therapy practice.
No patient information needed.