Overview of Our Physical Therapy Billing Service
Physical Therapy practices face unique billing challenges—different treatment codes, strict documentation rules,
medical necessity requirements, and constantly changing payer guidelines. At
A2Z Billings, we deliver end-to-end Physical Therapy billing services that ensure clean claim submission,
timely reimbursements, and maximum revenue recovery.
We understand the complexity of PT billing, including CPT coding, ICD-10 coding, modifier application,
timed vs. untimed codes, and payer-specific regulations. Our expert team ensures your practice stays compliant,
profitable, and fully supported.
Why Physical Therapy Billing Requires Specialized Expertise
Billing for Physical Therapy is more complicated than standard medical billing. Sessions often include multiple procedures and timed modalities, and insurers closely examine documentation before approving claims.
Common challenges include:
- Timed CPT codes (e.g., 97110, 97140, 97112)
- Use of 59, KX, and GP modifiers
- Payer-specific therapy caps and limitations
- Documentation of skilled therapy services
- Strict medical necessity rules
- High denial rate for poor documentation
- Complex insurance verification for therapy plans
At A2Z Billings, we handle all these complexities so your clinic can focus on delivering quality patient care.
Our Comprehensive Physical Therapy Billing Services
We offer full-cycle Physical Therapy billing support tailored for solo therapists, outpatient rehab centers, and multi-location therapy clinics.
1. Patient Eligibility Verification
Our team accurately checks:
- Therapy coverage limits
- Deductibles and co-pays
- Prior authorization requirements
- Visit restrictions
- Annual caps for PT services
- Network/Out-of-network rules
2. Accurate PT Coding & Modifier Application
Correct Physical Therapy CPT coding is essential for clean claims.
- Timed Codes: 97110, 97112, 97116, 97530
- Untimed Codes: 97014, 97010, 97012
- Manual Therapy Codes: 97140
- Use of GP, KX, 59, 76, and GO modifiers
3. Charge Entry & Claim Scrubbing
- Incorrect units
- Missing documentation
- Modifier mismatches
- Invalid CPT/ICD-10 combinations
- Medical necessity compliance
4. Claims Submission & Real-Time Tracking
- Faster reimbursements
- Fewer delays
- Real-time claim monitoring
- 100% transparency with detailed reporting
5. Denial Management & Appeals
- Root-cause analysis
- Rebilling and resubmission
- Appealing rejected claims
- Correcting coding errors
- Addressing documentation issues
6. Accounts Receivable (A/R) Follow-Up
- 30/60/90/120+ day follow-ups
- Insurance calls
- Re-opened claims
- Patient due collections (optional)
7. Compliance & Documentation Support
- Medicare guidelines
- Documentation standards
- Progress notes and plan of care
- Functional outcome reporting
- Skilled therapy justification
8. Financial Reporting & Performance Analytics
- Reimbursement trends
- Claim acceptance rate
- Denial patterns
- Revenue forecasting
- CPT utilization reports
Why Choose A2Z Billings for Physical Therapy Medical Billing?
✓ Industry-Leading PT Billing Specialists
Our team is trained specifically in Physical Therapy billing and documentation rules.
✓ Higher Collection Rates
We reduce denials and capture all billable units.
✓ Zero Billing Errors
Advanced scrubbing ensures clean claims.
✓ Faster Payments
Automation and electronic submissions speed up payouts.
✓ Full Transparency
You get complete reporting and performance visibility.
