Built around the business of better care.New York registered. Practice focused.
Physical Therapy & Rehab BILLING SUPPORT

Keep time, units and the plan of care aligned.

Therapy billing depends on documented treatment, timed and untimed services, authorizations and the plan of care. We coordinate the operational checks without replacing the clinician’s judgment.

WHERE THE WORK GETS STUCK

The claim starts before submission.

A visit may contain several services, but billed units need to follow the applicable payer method. Missing plan information or an expired approval can affect more than one treatment date.

SPECIFIC OPERATIONAL CHECKS

What we connect in the workflow.

Before submission

Timed treatment records

Compare recorded minutes and services to the units submitted using the applicable payer rules. Do not apply one payer’s time methodology universally.

Through the handoff

Plan and authorization status

Track required plan certification, authorization dates and visit or unit limits. Route renewals and clinical documents to their owner.

After the response

Modifiers and provider roles

Review therapy modifiers, assistants and payer edits as applicable. Keep corrected claims linked to the original service record.

ILLUSTRATIVE CODE REFERENCES

Small details.
Different claim questions.

Examples for understanding the workflow.
Code selection follows the actual service.

Physical Therapy & Rehab: code and documentation examples
CodeExample serviceOperational check
97110Therapeutic exercise exampleRecorded treatment time must support billed units.
97140Manual therapy exampleReview distinct services and applicable edits.
97530Therapeutic activities exampleThe performed service and record control code selection.

Illustrative CPT, HCPCS or other billing references, not coding instructions or coverage promises. Current code sets, documentation, payer policy and date of service control the correct claim. Review the relevant billing reference

WHAT YOUR PRACTICE RECEIVES

Clear exceptions.
A visible next action.

A time-and-unit exception queue, authorization tracker and follow up list for documentation or payment gaps.

  • A named owner and agreed communication plan
  • Enrollment and payment setup gaps included in the review
  • Written scope before access or service begins
CLAIM VOLUME AND SCOPE

Use your workload, not an industry guess.

Visits, timed services, authorization units and payer requirements shape the workload. An appointment count is not the same as a claim-line count.

Billing is quoted as a percentage of monthly collections. Provider count, workflows and historical outstanding work help define the responsibilities included in your agreement.

See Billing & RCM
BEFORE WE BEGIN

Agree on the details that affect delivery.

We map your payer mix, systems and the three workflow checks above, then agree on the records and scope needed. No practice information is required before the mutual agreement is signed.

CONNECT THE DETAILS

Start with your practice, not a generic proposal.

A Free Practice Review connects billing, credentialing, enrollment and payment setup. We agree on scope first, with a signed agreement and BAA before practice data moves.