Improve Accuracy Across Your PT Billing Workflow
Physical therapy billing is regulated by very strict rules, which require medical necessity documentation, timed procedure codes, and therapy cap limits. To avoid audits and denials, it is very important to have correct coding of the evaluation (CPT 97161–97164), reevaluation (97165–97167), and therapeutic procedures such as therapeutic exercise (97110), manual therapy (97140), and neuromuscular reeducation (97112).
Billing Care Solutions (BCS) is a professional who understands the intricacies of physical medicine and rehabilitation billing. Our staff is committed to making sure that the claims are a true reflection of the skilled services that have been delivered from the initial assessment to the discharge, while dealing with units, timed codes, and payer-specific guidelines. This strategy allows the practice to have a better cash flow, fewer claim rejections, and financial stability, and be compliant with the law.
Our Expertise in Physical Therapy Billing
- ✔Skilled Professionals: Our team has extensive experience navigating the complexities of physical therapy billing, ensuring accurate claims submission.
- ✔Tailored Approaches: We customize our services to meet the unique needs of your practice, providing personalized solutions.
- ✔Focus on Compliance: We prioritize adherence to regulations, ensuring a smooth and compliant billing process.
- ✔Staff Training: We offer training sessions for your team to enhance billing efficiency and accuracy, empowering your practice.
- ✔Advanced Technology: Our innovative tools streamline the billing process and improve overall accuracy, maximizing your revenue potential.
Boost Financial Performance in Your Physical Therapy Practice
< 25
Days in AR
40%
Revenue Increase
< 5%
Denial & Rejection
99%
Clean Claims Rate
100%
Client Retention
What You Need to Know About Physical Therapy Billing Services
Our tailored physical therapy billing solutions take care of the entire revenue cycle of your practice, resulting in full and prompt reimbursements of your services. We cover all aspects from initial evaluations and re-evaluations to therapeutic procedures, ensuring accurate coding, proper documentation, and compliance with payer requirements.
We use modifiers correctly, check clinical records for medical necessity, and take care of complicated claims so that denials are avoided. In addition, we handle credentialing for therapists, pre-submission audits, and denial appeals, thus relieving you of administrative burdens.
PT Evaluation and Re-evaluation Coding
Accurate coding for the initial and subsequent assessments based on complexity and patient status.
Therapeutic Procedure Billing
Expert management of timed and untimed procedure codes for exercises, manual therapy, and modalities.
Modifier Usage for PT Services
Correct application of modifiers like GP, KX, and 59 to indicate medical necessity and bypass edits.
Documentation Review and Compliance
We help ensure your documentation supports the medical necessity of your billed services.
Denial Management for Therapy Claims
Our team specializes in appealing denials related to medical necessity and coding errors.
Credentialing with Payers
We assist with getting your therapists properly credentialed to avoid billing roadblocks.
Why Choose Our Physical Therapy Billing Solutions
Our team handles all billing complexities for physical therapy practices, from claims to reimbursements, reducing administrative workload and helping you focus on patient recovery and care.
Nationwide Physical Therapy Billing Support
Concentrate on the recovery of your patients and leave the complicated parts of billing to us. Our team is committed to correct coding, quick payments, and easy revenue cycles; thus, your practice can function efficiently without any hassle of the administration. Experienced billing without worry is what will allow you to expand your practice in a steady and secure way.
Why Do Healthcare Professionals Choose BCS Medical Billing Services?
24/7 Rapid Response Time
Practice Health Plan
Error Free Billing
Practice Health Audit
Constant Revenue Boost
Claims Submission Success Rate
Fast Revenue Restoration
Free Consultantion Call
Physical Therapy Billing FAQ's
Patient complexity and severity determine the initial evaluation using CPT 97161–97163. Each piece of documentation serves as a support for the corresponding claim in order to get the proper reimbursement and to stay compliant with the payer rules.
Follow-up assessments are the case of application of CPT 97164. To facilitate the accurate approval of the claim and the corresponding reimbursement, progress, changes to the treatment plan, and clinical outcomes are documented.
CPT 97110 is the code for exercises that are aimed at strength, flexibility, and endurance. The documentation is complete in terms of time, patient effort, and outcomes to allow for the highest possible reimbursement.
The use of manual therapy techniques is covered by CPT 97140. To comply with payer guidelines and to prevent claim denials, each session, including the area treated, duration, and patient response, is documented.
Musculoskeletal problems, the period after surgery, and neurological diagnoses are the cases for which ICD-10 M54.x, G81.x, or related codes are used. Proper coding is the way to ensure that claims are submitted correctly and that the payers reimburse on time.
Accurate coding, good documentation, and claims submitted on time reflect all the billable services; thus, the payer has less opportunity to deny the claim, and so the reimbursement is optimized. These steps together bring a consistent flow of revenue to physical therapy practices.
We handle prior approvals for an office visit, use of a special modality, or therapy plans that are difficult and have many steps. Good coordination of the process avoids delays in claims and provides timely patient care.
We keep an eye on the visits that have been scheduled, units that have been documented, and patient progress that has been recorded. This leads to correct billing, overbilling prevention, and compliance with payer requirements.
By proper CPT/ICD coding, use of a modifier, documentation check, and following payer rules, we reduce denial cases, get money faster, and have the overall revenue cycle working more efficiently.
Outsourcing frees up the staff from admin work, guarantees code correctness, brings more money, lowers the number of denied claims, and is a plus for doctors as they can now spend more time with their patients.
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
Jennifer Aaron
Cardiologist, HeartCare Clinic“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”
David Lieske
Chief Strategy Officer“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”
Linh Tran
Chief Finance Officer, My CHN“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”
Ashley Sahakian
Owner, Express Wellness LLC“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”
Zahid Mehmood
Manager BD, CRM“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”
Melissa Renteria
CEO, Family Health Center“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
Judy Kariuki
Operations Coordination Manager“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”