Physical Therapy Billing Services

Physical Therapy billing is a specialized area of medical billing that focuses on accurately coding, submitting, and managing insurance claims for physical therapy services. Because physical therapy involves frequent visits, variable treatment plans, and unique billing codes, it requires a detailed understanding of payer rules, documentation standards, and compliance regulations.

Key Components of Physical Therapy Billing

  1. Accurate Coding & Documentation
    Each therapy session must be properly coded using CPT and ICD-10 codes that reflect the specific services rendered — such as therapeutic exercise, manual therapy, or neuromuscular re-education. Proper documentation ensures claims meet medical necessity standards and reduces the risk of denials.
  2. Insurance Verification & Authorization
    Before treatment begins, verifying patient coverage and obtaining prior authorization are crucial steps. This prevents claim rejections and ensures that the therapy provided aligns with the patient’s insurance benefits.
  3. Claims Submission & Payment Posting
    Claims are submitted electronically to payers, followed by careful monitoring to ensure timely payment. Payment posting involves recording insurer reimbursements and patient payments accurately within the billing system.
  4. Denial Management & Appeals
    Because physical therapy claims are often denied due to missing modifiers, incomplete documentation, or medical necessity disputes, efficient denial management is vital. Experienced billing professionals analyze and appeal denials quickly to recover revenue.
  5. Compliance & Audit Readiness
    PT billing must comply with HIPAA and CMS regulations, including time-based coding rules and supervision requirements. Maintaining compliance helps practices avoid costly audits and penalties.
  6. Reporting & Revenue Cycle Optimization
    Regular reporting helps identify trends, track reimbursement rates, and uncover opportunities to improve cash flow and operational efficiency.

Why Professional Physical Therapy Billing Matters

Outsourcing physical therapy billing allows practices to focus on patient care rather than paperwork. Expert billing services provided by Global Billing Solutions can improve claim accuracy, reduce denials, and accelerate reimbursement — ensuring a smoother, more profitable revenue cycle.

We understand that each medical specialty has its unique billing requirements and challenges. Our team of professionals have extensive experience in dealing with the complexities of different specialties, ensuring accurate and fast billing processes. Contact our office to learn how we can help with your practice.

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We work with a variety of insurance carriers including these and many others.

aetna cigna Humana Blue Cross / Blue Shield Medicare
United Healthcare Geico Progressive Statefarm

Global Billing Solutions

Global Billing Solutions provides comprehensive medical billing solutions tailored to optimize revenue cycles and ensure compliance across various medical specialties.

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