Industry News
Common Questions at Physical Therapy Billing.
The Impact of High Deductible Insurance Plans on PT 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...
PT Billing for Group vs. Individual Therapy: What’s the Difference?
One of the most common billing mistakes in outpatient physical therapy is misusing group and individual therapy codes. It seems like a small detail, but it has big consequences—denied claims, compliance issues, underpayment, or audits. At PT Billing, we work with PT...
PT Billing Analytics: How to Use KPIs to Improve Financial Health
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...
The Effect of Value-Based Care on PT Billing Practices & Revenue Cycle
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...
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...