Verdes Medical Billing

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Specialty Billing

Physical Therapy Billing

Accurate billing for physical therapy practices maximizing per-visit reimbursement

Overview

Physical therapy billing centers around timed and untimed CPT codes, proper unit calculation based on the 8-minute rule, and compliance with therapy cap regulations. Each visit typically involves multiple service codes that must be accurately documented and billed to capture the full value of treatment provided.

Our PT billing team ensures that every minute of billable therapy time is captured, units are calculated correctly per payer-specific rules, and documentation supports the medical necessity of each service provided. We help therapy practices maximize per-visit revenue while maintaining strict compliance.

Common Challenges

8-minute rule compliance for timed code unit calculation

Multiple timed and untimed code billing per session

Therapy cap monitoring and exception documentation

Proper use of GP, GO, and GN therapy modifiers

Documentation requirements supporting medical necessity

Authorization management for ongoing treatment plans

Our Solutions

Automated 8-minute rule calculation ensuring accurate unit billing

Per-session code optimization capturing all billable services

Therapy cap tracking and medical necessity exception documentation

Proper modifier application for therapy discipline identification

Documentation review and improvement recommendations

Authorization tracking and renewal management

Common CPT Codes We Handle

97110 Therapeutic Exercise
97140 Manual Therapy Techniques
97530 Therapeutic Activities
97112 Neuromuscular Re-education
97161-97163 Physical Therapy Evaluation
97035 Ultrasound Therapy

Results You Can Expect

Maximized per-visit reimbursement through accurate unit billing

Complete service capture across timed and untimed codes

Therapy cap compliance and exception management

Proper modifier usage preventing denials

Documentation improvement supporting billing

Revenue improvement averaging 20% for PT practices

Get Physical Therapy Billing Help

Our specialty billing experts are ready to optimize your revenue.

Free Practice Audit

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