Physical Therapy Billing Services
Accurate billing for rehab services, modalities, and Medicare compliance. We help physical therapy practices, outpatient rehab centers, and mobile PT providers reduce denials and boost reimbursements.
Expert Physical Therapy Billing Services
Time-Based Coding
Accurate billing for 97110, 97112, and other therapeutic procedures.
Modalities Billing
Support for supervised and constant attendance modalities like 97035.
Medicare PT Cap Tracking
Ensure compliance with therapy thresholds and KX modifier rules.
Plan of Care Reviews
We track re-certification timelines and documentation needs.
Common Billing Challenges
Misuse of time-based vs. service-based codes
Medicare denials due to missing plan of care or cert dates
Incomplete use of GP modifiers and functional limitations reporting
Our Solutions
Timed coding audits to ensure unit accuracy
Automated reminders for certification & POC updates
Proper use of GP, KX, and modifier 59 for clean claim submissions
Why Choose Ardur Healthcare for Physical Therapy Billing?
PT Expertise
Dedicated billers trained in therapy-specific coding.
Medicare Knowledge
Up-to-date with cap limits, thresholds, and CCI edits.
Modifier Precision
Proper use of GP, KX, and 59 modifiers to reduce denials.
Clean Claims
98%+ acceptance rate with pre-bill compliance reviews.
Documentation Alerts
Track expirations, missing notes, and evaluation gaps.
System Flexibility
Works with systems like WebPT, Kareo, PromptEMR, and others.
Our Physical Therapy Billing Process
Insurance Verification
Confirm coverage, therapy limits, and authorization.
Documentation Review
Ensure plan of care and therapy goals meet payer criteria.
Code Assignment
Time-based and service-based CPT code entry with modifier logic.
Claim Submission
Clean claims filed electronically with GP modifier accuracy.
Payment Posting
Track patient payments, deductibles, and payer reimbursements.
Denial Management
Appeal rejections related to therapy caps or code conflicts.
Who We Serve in Physical Therapy Billing
We support physical therapy clinics, hospital-based rehab departments, SNF contract therapists, and mobile PT providers. Our billing services simplify Medicare compliance, CPT coding, and documentation checks.
Private PT Practices
Time-tracked billing for therapeutic exercise, neuromuscular reeducation, and manual therapy
Outpatient Rehab Centers
Billing for multiple disciplines and complex modality tracking
SNF and Contract Therapists
Therapy billing under consolidated billing and payer-specific rules
Pediatric & Geriatric Therapy
Age-specific billing with modifier logic and documentation support
Home-Based PT Providers
Coordination with home health plans and therapy caps
Frequently Asked Questions - Physical Therapy Billing
What CPT codes do you handle in physical therapy billing?
We manage codes like 97110, 97112, 97140, 97530, 97035, and others, accurately distinguishing between time-based and modality procedures.
How do you ensure compliance with Medicare therapy billing?
We monitor cap thresholds, apply the KX modifier when necessary, and ensure documentation supports medical necessity and plan-of-care updates.
Can you integrate with my EMR like WebPT or PromptEMR?
Yes, we work with most leading physical therapy EMRs, ensuring a smooth data flow and claim processing experience.
What modifiers are required for PT billing?
GP is essential for PT services. We also manage modifier 59 for distinct services and KX for therapy cap exceptions when needed.
Do you help with audits or Medicare overpayment issues?
Absolutely. We support clients through payer audits, review documentation gaps, and ensure compliance to prevent overpayments or penalties.