Physical Therapy
Rehabilitation focused billing expertise designed for physical therapy practices. We offer Physical Therapy billing services that deliver accurate coding for evaluations therapeutic exercises and modalities, speed up payments, and support your practice financial vitality. Our specialized Physical Therapy billing features include:
- Detailed eligibility and prior auth coordination
- Precise CPT ICD 10 coding for rehab services
- Aggressive denial management and appeals support
We oversee the full revenue cycle from benefit verification and authorization handling to rigorous claim scrubbing, submission, and ongoing follow up to address common physical therapy challenges like medical necessity justification for skilled interventions, time based unit billing, therapy cap exceptions modifiers GP GN GO, and documentation gaps for services such as physical therapy evaluation, therapeutic exercise, manual therapy, neuromuscular reeducation, gait training, modalities ultrasound electrical stimulation, dry needling, orthopedic rehab, post surgical recovery, and balance vestibular training.
Why Choose Us
MB Billing integrates specialized physical therapy insight, full compliance, and proactive assistance to maximize reimbursements and prevent revenue shortfalls. We solve primary specialty issues including detailed functional goals progress notes and skilled rationale, payer specific policies on timed versus untimed codes maintenance therapy rules and direct access billing, and pre auth barriers that delay extended sessions modalities or specialized equipment.
- Tailored coding command for PT evaluations therapeutic activities manual techniques modalities and group sessions with effective appeal resolution
- Comprehensive revenue tracking resolving prior auth obstacles, unit time errors, and documentation deficiencies
- Intuitive dashboards providing real time visibility into claim status, denial trends, and collection metrics
- Dedicated physical therapy team prompt to resolve inquiries enabling you to focus on movement recovery care and practice growth
Our goal: Provide efficient, high yield Physical Therapy billing that ensures steady profitability and long term success.
Frequently Asked Questions (FAQs)
Yes Our certified coders ensure proper CPT application (for example codes like 97161 to 97164 for PT evaluation, 97110 for therapeutic exercise, 97140 for manual therapy, 97112 for neuromuscular reeducation, 97116 for gait training, 97010 to 97039 range for modalities such as ultrasound electrical stim) paired with appropriate ICD 10 diagnoses like M54 series for back pain M25 for joint disorders S codes for post injury, securing compliance and optimal reimbursements for these core rehab services.
We proactively secure pre approvals for extended sessions specialized modalities or equipment, monitor payer specific criteria including functional assessments baseline measurements and progress goals, and compile thorough skilled intervention documentation early to prevent medical necessity denials and accelerate processing.
Yes We maintain robust security protocols, encrypted data management, and complete HIPAA compliance to protect sensitive rehab patient records and deliver total regulatory confidence.
Definitely Our adaptable model fits independent practitioners, small clinics, multi location physical therapy centers with customized, scalable billing support for any structure.
