Physical Therapy Billing Made Simple and Effective

Reliability in Service & Superior Quality
- Your Trusted Billing Partner

Reliability in Service & Superior Quality - Your Trusted Billing Partner

Seamless Billing for Physical Therapy Providers

Like any other healthcare providers, physical therapists face numerous hurdles in realizing appropriate reimbursements for their services. A cumbersome billing process, stringent payment guidelines and insurance companies increasing reluctance to pay are the key challenges in physical therapy practice. The most significant reason for claim denials in physical therapy is the “medical necessity” of the service offered. An effective revenue cycle management process greatly helps in addressing these challenges and can contribute significantly to safeguarding the financial health of your practice. 

Our team of talented billers and coders have adequate knowledge and experience in physical therapy billing and coding in various setups. We at RCM Workshop, take pride in safeguarding your financial health through an optimized medical billing process starting from eligibility & benefits verification, prior authorization to accurate coding and quick submission of claims. Our post billing process encompassing denial management and AR follow-up ensures timely collection and speedy resolution of denial claims. Our team is well-versed with most of the EMR software and can quickly adapt to your existing software. 

Unbeatable Service, Quality & Price

ACCURACY
0 %
TURNAROUND TIME
< 0 Hours
COLLECTION
0 %
PRICE
Starting from $ 1100 /Month

OUR PROCESS

Our Physical Therapy Billing Process Workflow

Backed by a team of dedicated and experienced coders and billers, our physical therapy billing process comprehensively addresses the challenges to ensure swift and accurate payments. Our billing experts work diligently and follow industry standard best practices for physical therapy revenue cycle management to minimize errors and reduce claim rejection rates, resulting in better turnaround time and higher revenues for your practice. 

Our physical therapy billing team is well versed in coding (ICD-10 & CPT) applicable for physical therapy and the latest billing guidelines to ensure your practice receives accurate reimbursement for services rendered. Our efficient process for denial management and AR follow-up ensures timely payment and eliminates payment delay. Our pre-service workflow ensures clean claim submission and reduces denials significantly. Our metrics driven reporting tool captures and reports every aspect of process performance – productivity, quality and $ collections in a transparent way and gives you full control over your billing process. 

Scheduling & Registration

Perform wellcoordinated appointment scheduling, update insurance details and handle inbound outbound calls from/to patients. 

Eligibility & Benefits Verification

Confirm patient primary and secondary insurance and benefits coverage and verify the patients’ coverage, co-pays, co-insurance and deductibles

Prior Authorization

Initiate request for prior authorization with the payer, follow-up to check Auth status till closure and finally update the system with Auth approval reference number.

Medical Coding

Check accuracy of codes and modifier according to specialty and assign corresponding and appropriate charges to the codes.

Charge Posting

Enter the charges for the services provided in the billing system, including the cost of the medication and the administration fee.   

Claims Edit & Submission

Audit the claims thoroughly to check for accuracy and edit if necessary and submit claims – both EDI and paper format.

Payment Posting

Carry out both auto as well as manual posting for payments received and conduct reconciliation against claims.

Denial Management

Analyze and categorize denial claims according to denial codes, $ amount and payers, and resubmit claims after correction.

AR Management

Follow-up with payers to gather status for unpaid claims, and their resolution.

Patient Collection

Sending patient statements and follow-up with patients for final and outstanding payment.
Tailored to your specific needs, you have the flexibility to entrust us with either your entire billing requirements or select any combination of our Urgent Care billing services. Our seamless integration ensures smooth operations without causing any disruption to your billing operations.

CHALLENGES

Challenges in Physical Therapy Medical Billing

Complex Time-Based CPT Coding: Physical therapy often uses time-based codes (e.g., the 8-Minute Rule), which require precise documentation of treatment duration. Errors can lead to underbilling or audits. Outsource to our physical therapy billing experts who ensure precise time-based physical therapy coding like the 8-Minute Rule is applied accurately to maximize reimbursements.
Documentation Requirements: Strict Insurers demand detailed therapy notes, progress reports, and proof of medical necessity. Missing or vague documentation is a common reason for claim denials. Let our billing team handle the documentation demands—ensuring every claim is backed by compliant, detailed therapy notes that reduce denials.
Frequent Insurance Policy Changes: Medicare and private insurers regularly update billing rules, therapy caps, and coverage guidelines, making compliance difficult. Stay ahead of changing payor rules by outsourcing to billing professionals who monitor updates and keep your practice compliant and profitable.

BEST PRACTICES

Our Physical Therapy Billing Best Practices

Leveraging data analytics and a thorough analysis of denial trends in billing, we have established a foundation of best practices and our services designed to meet specific needs of physical therapy practices ensure a seamless support for your billing requirements and operations. Our proficiency in physical therapy revenue cycle management significantly contributes to streamlining your billing processes and ensures full compliance with billing regulations.  

BENEFITS

Outcomes Guaranteed

Our expert billers with their expertise in physical therapy billing works diligently to provide exceptional service to your practice and enhance your ROI. Our analytics driven approach helps in optimizing revenue cycle process to ensure a superior quality outcome consistently. We assure you a much-improved financial outcome.

Efficient benefits verification

>99% clean claim submission

Efficient authorization management

<24 hours turn-around time

Efficient coding & code review

>25% increased reimbursement

Efficient denial management

<5% claims denials

Proactive accounts receivable follow-up

<40 days AR & reduced aging

Better coordination & documentation

improved revenue cycle

WHY US?

Why partner with us

Our revenue cycle service encompasses all facets of your physical therapy billing needs, seamlessly integrating into your existing billing infrastructure. By following medical billing best practices and protocol for quality assurance and compliance, our dedicated team provides a superior and improved billing service. We are committed to delivering unparalleled support and productivity, while helping you optimize your revenue cycle. Outsource physical therapy billing services to us today for exceptional outcomes and to transform your revenue cycle process.  

Guaranteed Improvement in Reimbursement and
Cash Flow

Assured Reduction
in Denials and AR

Transparent reporting
–NO BLACK BOX

100% data security
& HIPAA compliance

On demand scale up
of operation

Significant Reduction
in Cost > 75% Savings

Simple & No
Cost transition

Flexible & Unbeatable
Pricing Plan