Clean Claims, Faster Payments & Compliance-Driven PT Billing
From evaluation codes and 59 modifier usage to MPPR compliance and visit limitations, our billing support helps physical therapists get paid on time—without errors or denials. Whether you’re billing Medicare, Medicaid, or commercial plans, we streamline every step.
Physical Therapy Billing Backed by Compliance & Performance
At MedicalBiller.co, we partner with outpatient rehab clinics, physical therapy providers, and multi-disciplinary therapy centers to deliver accurate billing and faster reimbursements. From 97161–97168 evaluations to functional limitation modifiers and timed unit tracking—we manage the details so you don’t have to.
We stay ahead of NCCI edits, MPPR adjustments, and insurance authorization trends, helping you capture the full value of each visit. Our billing specialists work closely with your front desk, therapists, and EMR system to prevent denials before they happen.
What Sets Us Apart
- Expertise in 97110, 97140, 97530, G0283 & E/M codes
- Correct Use of Modifiers: 59, GP, KX, and more
- Timely MPPR Monitoring for Medicare & BCBS
- Verification of Plan Limits, Visits & Therapy Caps
- Seamless EMR Integration with WebPT, Raintree & Fusion
Mission Statement
Our mission is to help physical therapy clinics stay financially strong by eliminating billing delays, maximizing allowable reimbursements, and staying fully compliant with payer regulations—so you can keep patients moving forward.
Why Physical Therapists Choose MedicalBiller.co
Physical therapy billing isn’t just about sending claims—it’s about timed codes, modifier precision, and maximizing reimbursement without crossing compliance lines. We support PT clinics with a proactive billing process that catches errors before they happen and keeps denials to a minimum.
Timed Code Accuracy
We track timed units using the 8-minute rule and bill CPTs like 97110, 97530, and 97112 with precision.
Modifier Compliance
From GP and KX to 59 and XE modifiers—we apply them correctly to avoid bundling issues and payer rejections.
MPPR & MUE Monitoring
We keep an eye on Medicare's multiple procedure payment reductions and medically unlikely edits to protect revenue.
Private & Medicare Plans
Whether you're billing traditional Medicare or commercial payers like Aetna and BCBS, we adapt our approach accordingly.
Transparent Physical Therapy Billing Plans
We offer flexible pricing built for solo PTs, small teams, and rehab networks. Our goal is to optimize your revenue—not add to your overhead. No hidden fees. Just a billing model that supports growth.
Solo Providers
Perfect for mobile therapists or one-provider outpatient settings.
Multi-Therapist Clinics
Ideal for multi-location outpatient therapy groups or rehab chains.
What’s Included
- Timed & untimed CPT management
- MPPR optimization and modifier logic
- Medicare & commercial payer enrollment support
- Monthly AR & denial trend reports
Need enterprise-level pricing or integration with in-house billing teams? We can create a hybrid model to fit your clinic’s workflow.
PT Billing, Done the Right Way
Our process is simple, proven, and built for physical therapy clinics. From day one, we align with your staff, your payers, and your EMR to reduce errors and improve cash flow.
1
Onboarding & Audit
We assess current billing practices, review payer contracts, and identify compliance gaps—so we can hit the ground running.
2
EMR Integration
We sync with your systems—like WebPT, Fusion, or Prompt—to streamline charge capture and documentation flow.
3
Charge Entry & Submission
Every session is coded accurately based on duration and service type, then submitted within 48 hours—error free.
Follow-Up & Insights
Our team handles rejections, pursues unpaid claims, and delivers performance reports that help your clinic stay financially healthy.
0%
Claim Accuracy on Timed & Untimed PT Codes
0 Days
Avg Days to Payment for Clean Claims
0%+
Avg Increase in Reimbursed Revenue
Comprehensive Billing for Physical Therapy Clinics
Whether you're treating post-op patients, managing chronic pain, or running neuro rehab sessions—our physical therapy billing solutions are built to support your treatment plans while maximizing collections.
Timed Code Management
We apply the 8-minute rule for accurate billing of services like therapeutic exercise (97110) and manual therapy (97140).
Outcome & Functional Reporting
We support PQRS and functional limitation codes, helping your clinic stay compliant and demonstrate treatment progress.
Modifier Logic & Edits
We apply GP, KX, and 59 modifiers correctly to avoid denials due to NCCI edits and Medicare rules.
Medicare & Payer Compliance
We stay up-to-date with changing coverage rules from Medicare, Medicaid, and major insurers—so you don’t have to.
Plan of Care Monitoring
We monitor re-evals, certifications, and expirations to help ensure uninterrupted treatment and timely documentation.
Billing Analytics & Denial Reports
We deliver monthly reports on claims status, payer delays, and common denial reasons—so your team can respond faster.
What Our Clients Are Saying
Trusted by healthcare providers, billing managers, and business owners nationwide.
“ The team at MedicalBiller.co has made our billing operations smoother than ever. Their support is top-notch, and their response time is fantastic. ”
“ Their website made it incredibly easy to find the right billing service provider for our specialty. Everything is well-organized and tailored for healthcare needs. ”
“ I highly recommend MedicalBiller.co for any medical practice looking to outsource billing. They understand both the technical and human side of revenue cycle. ”
“ We've worked with several billing companies in the past, but MedicalBiller.co stands out with their accuracy, transparency, and proactive communication. ”
“ Their claim turnaround time is impressive, and we’ve seen a significant drop in denials since we partnered with MedicalBiller.co. ”
“ From credentialing to collections, they handle everything with professionalism. It's like having an in-house billing department without the overhead. ”
Frequently Asked Questions
Find quick answers to common questions about outpatient physical therapy billing, modifiers, time-based codes, compliance, and Medicare.
Speak With a PT Billing Specialist
Our team works exclusively with physical therapy practices across all 50 states. Whether you need support with compliance, collections, or claim denials—we're here to help. Book a free strategy call today.
Chicago, IL 60601, USA