Physical Therapy Billing Services for Outpatient & Rehab Clinics

Focus on helping patients recover not chasing insurance payments. Medivantek Physical Therapy Billing Services help physical therapy practices, rehabilitation clinics, and outpatient therapy centers increase revenue through accurate CPT coding, compliant documentation, faster claim processing, and denial resistant billing powered by advanced technology and certified therapy billing experts.

Smarter Billing for Every Visit-Evaluation to Discharge

Get a Free Physical Therapy Billing Audit

Why Physical Therapy Billing Needs Specialists

Physical therapy billing is time-based, documentation-driven, and highly scrutinized by payers. Strict rules around 8-minute units, CPT code selection, modifier usage (GP, GO, 59, KX), plan-of-care compliance, and Medicare therapy thresholds make general billing teams ineffective for PT practices.
Medivantek specializes exclusively in physical therapy and rehabilitation billing, ensuring accurate unit calculations, compliant claims, optimized reimbursements, and reduced denials. Whether you operate a solo PT clinic, multi-location rehab practice, hospital-based therapy department, or sports therapy center, our workflows align with your EMR, documentation standards, and payer mix.

Podiatry Billing

Revenue-Draining Physical Therapy Billing Mistakes

Many PT clinics lose revenue due to:

Incorrect 8-minute rule unit calculations

Improper use of GP and KX modifiers

Missing or expired plans of care

Incomplete treatment documentation

Denials for therapy threshold limits

Billing untimed and timed codes incorrectly

Failure to re-certify plans of care on time

Delayed submissions causing timely filing denials

How Medivantek Fixes Physical Therapy Billing Problems

Clean claims submitted within 24–48 hours

Accurate CPT and unit calculations using the 8-minute rule

Proper application of GP, KX, and therapy modifiers

Plan-of-care and certification tracking

Medicare therapy threshold and payer rule monitoring

Proactive denial tracking and appeals

Therapy-trained billing specialists not general billers

Our Physical Therapy Billing Process

Medivantek follows a proven physical therapy billing workflow designed to reduce denials, accelerate reimbursements, and maintain full compliance.

1. Eligibility & Benefits Verification

We verify therapy benefits, visit limits, authorization requirements, and payer-specific PT rules before billing.

2. CPT Coding & Unit Validation

Certified therapy coders review CPT codes, timed vs untimed services, modifiers, and documentation accuracy.

3. Clean Claim Submission

Claims are scrubbed and submitted electronically within 24–48 business hours to ensure high first-pass acceptance.

4. Payment Posting & Reconciliation

ERAs and EOBs are posted accurately to identify underpayments, delays, and payer discrepancies.

5. Denial Management & Appeals

Denied claims are analyzed, corrected, and appealed promptly using payer-specific therapy documentation.

6. Reporting & Performance Tracking

Monthly reports provide insight into visit utilization, denial trends, payer turnaround times, and revenue performance.

CPT Codes We Handle

Medivantek Physical Therapy Billing manages the full spectrum of physical therapy CPT codes while staying current with CMS and payer updates.

Evaluations & Re-Evaluations

  • 97161 – 97164

Modalities

  • 97010, 97014, 97035

Functional & Performance Testing

  • 97750, 97755

Therapeutic Procedures

  • 97110 (Therapeutic Exercise)
  • 97112 (Neuromuscular Re-education)
  • 97140 (Manual Therapy)

Modifier expertise includes GP, 59, and KX for compliant and optimized therapy billing.

End-to-End Physical Therapy Billing Services

PT Coding & Charge Entry

Accurate CPT coding, unit calculation, and modifier application.

Eligibility & Authorization Management

Verification of visit limits, authorizations, and payer requirements.

Electronic Claims & Payment Posting

Fast claim submission with accurate ERA/EOB posting for steady cash flow.

Therapy Threshold & Compliance Management

Ongoing monitoring of Medicare therapy caps and documentation rules.

Denial Management & Appeals

Data-driven denial analysis and payer-specific appeals to recover revenue.

Spec Coding Medivantek

Compliance & Audit Readiness

Physical therapy billing is closely audited due to time-based services and high utilization. Medivantek embeds compliance into every step of the billing lifecycle.

Why Physical Therapy Clinics Choose Medivantek

Feature Medivantek Typical Billing Company
Therapy-Specific Coders ✔ Yes ✖ No
Accurate Unit Calculations ✔ Yes ✖ Error-Prone
Modifier & Threshold Tracking ✔ Yes ✖ Limited
Proactive Denial Appeals ✔ Yes ✖ Reactive
Fast Claim Turnaround ✔ 24–48 hrs ✖ 5–10 days
Detailed DME Reports ✔ Monthly ✖ Basic

Proven Results for Physical Therapy Practices

  • 99%+ first-pass claim acceptance
  • Up to 40% reduction in therapy claim denials within 90 days
  • Millions in PT claims processed annually
  • Expertise across Medicare, Medicaid, BCBS, UHC, Aetna, Cigna, and more

Who We Serve

Medivantek Physical Therapy Billing Services support a wide range of therapy providers across the United States.

  • Outpatient Physical Therapy Clinics
  • Sports & Orthopedic Rehab Centers
  • Hospital-Based Therapy Departments
  • Post-Surgical Rehab Clinics
  • Geriatric & Neurological Therapy Practices
  • Multi-Location PT Groups

In-House vs. Outsourced Physical Therapy Billing

In-House PT Billing

  • High staffing and training costs
  • Frequent coding and unit errors
  • Difficulty tracking payer-specific therapy rules
  • Higher denial rates
  • Slower reimbursements

Medivantek Physical Therapy Billing

  • Therapy-specialized billing experts
  • Claims submitted within 24–48 hours
  • Lower denials and higher acceptance
  • Scalable services with no overhead burden
  • Built-in compliance and audit protection

Grow Your Physical Therapy Revenue Without Billing Headaches

Let Medivantek Physical Therapy Billing Services manage your billing, compliance, and denials so you can focus on patient recovery while we protect and grow your revenue.

Request a Free Physical Therapy Billing Consultation

Frequently Asked
Questions (FAQs)

Yes. Medivantek Physical Therapy Billing Services manage Medicare, Medicaid, and commercial payer PT claims. Our team follows payer specific therapy guidelines, documentation requirements, and reimbursement rules to ensure compliant submissions and optimized payments across all insurance types.

We strictly follow the Medicare 8-minute rule for timed physical therapy services. Our certified therapy coders validate treatment minutes, calculate units correctly, and apply appropriate CPT codes to prevent overbilling, underbilling, and payer audits.

Yes. We proactively manage prior authorizations, visit limits, and therapy benefit tracking. Our team verifies coverage details before billing and monitors utilization throughout the plan of care to prevent denials related to exceeded visit limits or missing authorizations.

We monitor Medicare therapy thresholds and payer-specific caps in real time. When thresholds are approached, we ensure proper documentation and modifier usage (such as KX) to support medical necessity and maintain full compliance.

Yes. Medivantek supports physical therapy practices during payer audits, documentation reviews, and recoupment requests. We provide audit-ready claim traceability, documentation validation, and compliance support to minimize financial risk.

Yes. We integrate seamlessly with most physical therapy EMR, billing software, clearinghouses, and payer portals. Our workflows align with your existing systems to ensure a smooth transition without disrupting daily clinic operations.
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