Common Questions at Physical Therapy Billing.
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...
Let’s not sugarcoat it—if you're not tracking the right KPIs, your clinic is bleeding money. You can have packed schedules and solid outcomes, but if the billing side isn’t locked in, you’re losing revenue every single day. At PT Billing, we work with physical therapy...
Let’s be honest — billing in physical therapy used to be pretty straightforward. You treated the patient, submitted the CPT codes, and got paid (eventually). But with the rise of value-based care (VBC), the game has changed — and it’s changing fast. If you're a...
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...
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?...
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,...
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...
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...
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...
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...