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Specialty billing

Billing built for Physical Therapy Clinics

Therapy billing that masters the 8-minute rule, plan-of-care certifications, and visit-limit tracking — so treatment never outruns authorization.

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The challenges

Where physical therapy clinics revenue leaks

  • Time-based CPT units and the 8-minute rule invite constant errors
  • Plan-of-care certification and recert deadlines interrupt payment
  • Visit limits and medical necessity reviews cap reimbursement

Our playbook

How we fix it

  • Unit calculation validation on every time-based claim
  • POC certification and recertification deadline tracking
  • Authorization unit monitoring with pre-exhaustion alerts
  • KX modifier and threshold management for Medicare

Core solutions

What physical therapy clinics clients typically use

Medical BillingEnd-to-end claim submission, scrubbing, and follow-up that gets you paid faster — engineered to a 98%+ first-pass clean claim standard.
Medical CodingAAPC- and AHIMA-certified coders delivering 95%+ accuracy across ICD-10, CPT, and HCPCS — with built-in audit protection.
CredentialingEnd-to-end provider lifecycle management — credentialing, primary source verification, expirable tracking, and AI-monitored compliance from application to recredentialing.
Denial ManagementEvery denial worked within 48 hours and root causes eliminated — because the best denial strategy is preventing the next one.
AI Revenue IntelligenceMachine learning that predicts denials before submission, prioritizes A/R by recovery probability, and finds patterns humans miss.
MIPS & Quality ReportingFull Quality Payment Program management — measure selection, data capture, submission, and score optimization that turns MIPS from a penalty risk into a payment adjustment you earn.

Get a billing health check for your physical therapy clinics practice

Free, 30 minutes, with a consultant who knows your specialty's codes and payers. We'll benchmark your denial rate, A/R days, and collections — and tell you exactly what we'd fix first.

Book my free consultation