In the evolving landscape of healthcare, High-Deductible Health Plans (HDHPs) have become increasingly prevalent. These plans offer lower monthly premiums but require patients to pay higher out-of-pocket costs before...
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Common Questions at Physical Therapy Billing.

How to Submit Efficient Appeal Letters for Denied PT Claims
Let’s call it what it is: every denied claim is money you earned but didn’t get paid for. You provided the treatment. You billed the right codes. And still, the claim came back denied—again. At PT Billing, we deal with this every single day. And we know what most...
Can I Use HSA or FSA for Physical Therapy? What You Need to Know
You’ve been told you need physical therapy—but now you’re wondering how to pay for it. You might be sitting on a health savings account (HSA) or a flexible spending account (FSA) and asking the question: Can I use my HSA or FSA for physical therapy? The short answer?...
How Medical Necessity Affects Physical Therapy Coverage
Ever wondered why your insurance only covers some of your PT visits? When you’re investing time and effort, it’s frustrating to hit a coverage wall. At PT Billing, we’ve got your back—so you can understand how medical necessity impacts your physical therapy coverage,...
Understanding the 8‑Minute Rule in Physical Therapy Billing
Charging for time-based services in physical therapy can feel like walking a tightrope—especially once the concept of an “8‑Minute Rule” enters the mix. If you’ve ever wondered what this rule means for your documentation, billing accuracy, and revenue, you're in good...
Documentation Tips to Support Your PT Claims
Let’s be real—physical therapists didn’t get into this line of work to become full-time scribes. But when your documentation isn’t airtight, your insurance claims get denied, delayed, or questioned. And if you’re working hard with patients every day, the last thing...
Why Your Physical Therapy Practice Needs a Billing Audit in 2025 (More Than Ever)
Let’s face it: billing in the physical therapy world is complicated. With new CMS regulations, shifting payer guidelines, and evolving documentation standards, 2025 is already shaping up to be one of the most complex years yet for practice owners. If you're not...
What Modifier Do You Use When Billing for PT Re-Evaluation? A Clear Guide for Clean Claims
If you’ve ever had a claim for a physical therapy re-evaluation denied or flagged for review, you’re not alone. It usually comes down to one small but critical piece of the billing puzzle: the modifier. So let’s clear it up — what modifier do you use when billing for...
What Happens If You Overbill Units on a PT Claim?
In outpatient physical therapy, getting paid isn’t just about providing great care — it’s about billing accurately. And one of the most common (and costly) mistakes clinics make is overbilling units on a PT claim. Whether it’s by accident, a misread on the 8-minute...
How to Handle PT Billing When a Patient Has Two Insurances (Without Losing Your Mind or Your Money)
Meta Description: Dual coverage? Learn how to handle PT billing when a patient has two insurances—from COB rules to clean claim tips that get you paid faster. How to Handle PT Billing When a Patient Has Two Insurances (Without Losing Your Mind or Your Money) If you...