Physical Therapy Services

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. Incorrect coding or missing modifiers can instantly lead to payment delays or denials. 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

Before any therapy claim is submitted, it must be verified that the patient’s insurance covers the treatment. 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. We ensure correct coding based on session details:

• Timed Codes: 97110, 97112, 97116, 97530
• Untimed Codes: 97014, 97010, 97012
• Manual Therapy Codes: 97140
• Use of GP, KX, 59, 76, and GO modifiers

We strictly follow AMA and CMS guidelines for PT coding.

3. Charge Entry & Claim Scrubbing

A2Z Billings ensures every claim is clean before submission. We check for:

• Incorrect units
• Missing documentation
• Modifier mismatches
• Invalid CPT/ICD-10 combinations
• Medical necessity compliance

Our advanced claim-scrubbing software reduces errors and ensures faster approval.

4. Claims Submission & Real-Time Tracking

We submit claims electronically for faster payouts and monitor every claim until it is fully processed. You get:

• Faster reimbursements
• Fewer delays
• Real-time claim monitoring
• 100% transparency with detailed reporting

5. Denial Management & Appeals

Denied claims can drain your revenue. Our denial recovery team handles:

• Root-cause analysis
• Rebilling and resubmission
• Appealing rejected claims
• Correcting coding errors
• Addressing documentation issues

We fight aggressively for every dollar your clinic deserves.

6. Accounts Receivable (A/R) Follow-Up

We track unpaid claims and follow up until the payment is collected. Our A/R services include:

• 30/60/90/120+ day follow-ups
• Insurance calls
• Re-opened claims
• Patient due collections (optional)

We reduce aging claims and keep your revenue steady.

7. Compliance & Documentation Support

Physical Therapy documentation is a major factor in claim approval. We help you stay compliant with:

• Medicare guidelines
• Documentation standards
• Progress notes and plan of care
• Functional outcome reporting
• Skilled therapy justification

We ensure your documentation matches payer requirements, minimizing audit risks.

8. Financial Reporting & Performance Analytics

A2Z Billings provides detailed insights to help you grow your PT practice. Monthly reports include:

• Reimbursement trends
• Claim acceptance rate
• Denial patterns
• Revenue forecasting
• CPT utilization reports

These reports help you make data-driven business decisions.

Why Choose A2Z Billings for Physical Therapy Medical Billing?

✓ Industry-Leading PT Billing Specialists

Our team is trained specifically in Physical Therapy billing, documentation rules, and payer policies. We understand the difference between therapeutic exercise, neuromuscular re-education, manual therapy, and therapeutic activities—and code them correctly every time.

✓ Higher Collection Rates

Our optimized billing workflow improves your revenue by reducing denials, capturing all billable units, and ensuring accurate coding.

✓ Zero Billing Errors

With advanced claim scrubbing and expert coders, your claims go out clean, correct, and compliant.

✓ Faster Payments

We eliminate delays through smart automation, electronic submissions, and continuous A/R follow-up.

✓ Full Transparency

You get real-time access to claim status, revenue reports, and monthly performance analytics.

✓ Cost-Effective Solutions

Our services help you cut administrative costs, avoid billing mistakes, and maximize reimbursements—all at affordable pricing.

Who We Serve

A2Z Billings supports all types of therapy providers:

• Independent Physical Therapists
• Outpatient rehabilitation centers
• Group therapy practices
• Mobile therapy providers
• Sports injury clinics
• Orthopedic therapy centers
• Pediatric physical therapy clinics

Whether you manage one location or multiple offices, we have a billing solution tailored to your needs.

Our PT Billing Process – Step By Step

Here is how our seamless workflow works:

1. Patient Registration & Insurance Verification
2. Coding Review & Charge Entry
3. Claim Scrubbing & Submission
4. Insurance Payment Posting
5. Patient Billing (if applicable)
6. Denial Resolution & Appeals
7. A/R Follow-up
8. Monthly Reporting & Compliance Review

This streamlined process ensures consistent cash flow and accurate reimbursements.

Benefits of Outsourcing Physical Therapy Billing to A2Z Billings

Outsourcing your PT billing is one of the smartest decisions a clinic can make.

1. Focus Completely on Patient Care

No more paperwork stress—focus on delivering high-quality therapy.

2. Reduce Administrative Burden

No need to manage coders, billers, or software. We handle everything.

3. Improve Your Cash Flow

Faster submissions + fewer denials = healthier revenue cycle.

4. Stay Compliant

We keep you updated with insurance regulations, Medicare rules, and annual coding updates.

5. Increase Reimbursements

We ensure you capture all billable units and follow correct documentation standards.

Partner with A2Z Billings for Smarter PT Billing

With years of industry expertise and a dedicated billing team, A2Z Billings is the trusted partner for Physical Therapy practices looking to increase revenue, reduce denials, and maintain full compliance.