Physical therapy billing turns on timed codes, the 8-minute rule, and Medicare thresholds. Our certified coders specialize in therapy so your units are counted correctly and your claims get paid.
Get a Free Physical Therapy Billing AuditWe handle physical therapy billing end to end — evaluations, timed treatment, plan-of-care compliance, and threshold management. Because PT revenue depends on correct unit counting under the 8-minute rule and strict documentation requirements, a specialty-trained team is what prevents the denials and audits common in therapy.
The usual losses: incorrect unit counts under the 8-minute rule, missing or expired plan-of-care certification, KX modifier errors beyond the threshold, and missing modifier 59. PT-trained coders and documentation review prevent each.
Timed codes counted correctly under the 8-minute rule — no lost or over-billed units.
KX modifier and threshold rules applied so medically necessary care is paid.
Certification and recertification tracked to prevent denials and audits.
Timed physical therapy codes are billed in 15-minute units, and the 8-minute rule determines how many units the total timed minutes support. Correct application is essential to compliant billing — miscounting causes lost revenue or audit exposure.
Yes. When medically necessary services exceed the annual threshold, we apply the KX modifier with supporting documentation so care continues to be paid.
Yes. We track certification and recertification deadlines so claims aren't denied for an expired or missing plan of care.
Most PT clinics see cleaner timed-code claims and fewer unit-related denials within the first one to two billing cycles.
Explore our full billing, coding & denial management services and provider credentialing, or see other specialties including chiropractic and more.