From authorization tracking to 8-minute rule compliance, we handle the complexity of PT billing so you can focus on patient outcomes.
Most PT visits require pre-authorization and renewal every 10-20 visits. Miss one deadline and your patients lose coverage—and you lose revenue.
Physical therapy billing is time-based. The 8-minute rule determines how many units you can bill—get it wrong and you leave money on the table or face audits.
G-codes for functional limitation reporting are confusing, change regularly, and get denied frequently if not documented and coded correctly.
Although therapy caps have exceptions, tracking cap thresholds and applying KX modifiers correctly is critical to avoid denials and revenue loss.
We track every authorization, monitor visit counts, and proactively request renewals before patients lose coverage.
Our coders apply the 8-minute rule correctly based on documented time to maximize billable units without compliance risk.
We handle G-code reporting for functional limitations at initial evaluation, progress reports, and discharge—ensuring compliance and reimbursement.
We monitor therapy cap thresholds and apply KX modifiers when medically necessary to avoid denials and maximize collections.
If you offer PT, OT, and speech therapy, we coordinate billing across disciplines to optimize revenue and avoid cap issues.
Get a free revenue audit and see exactly where you're losing money—and how much we can recover.