Skip to content

Physical Therapy billing

Physical therapy billing with the 8-minute rule built in

Timed codes, plans of care, KX thresholds, and visit limits: PT billing depends on precision, and we deliver it.

Care team reviewing a treatment plan on a tablet

The problem

Where physical therapy practices lose money

  • 8-minute rule and timed-unit calculation
  • Plan-of-care certification deadlines
  • KX modifier thresholds
  • Visit limits and authorizations

How we handle it

What we put in place

Timed-code accuracy

Units calculated correctly under CMS and payer rules.

POC tracking

Certification and recertification deadlines monitored.

Threshold monitoring

KX threshold and visit limits tracked per patient.

Auth management

Visit authorizations renewed before they run out.

Workflow

How a physical therapy claim moves through our team

  1. 01Eligibility
  2. 02Auth
  3. 03Daily notes to charges
  4. 04Submit
  5. 05Follow-up
  6. 06Reporting

Client example

Outpatient PT network, 5 locations

The situation. Therapy cap, KX modifier, and 8-minute rule errors cut revenue on every visit.

What we did. We put timed-code and modifier rules into charge review and trained front desks on plan-of-care tracking.

revenue per visit
+$14
denials
-61%
days in AR
26

Client details anonymized. Results vary by practice.

Find out what your billing is really costing you

Send us 90 days of claims data and we'll show you where revenue is slipping through, how much is recoverable, and what we would fix first. It's free and there's no obligation.

We sign a BAA before any patient data changes hands.