March 2024, third week. I’m reviewing claims data for a PT clinic in Woodbridge, New Jersey and something doesn’t smell right. On Tuesday afternoon, their therapist recorded 22 minutes of therapeutic exercise (97110) and 20 minutes of manual therapy (97140) for a patient. Total treatment time: 42 min. The biller
If you run a physical therapy clinic or handle PT billing, you’ve probably dealt with M62.81 more times than you can count. It’s one of the most used diagnosis codes in outpatient rehab — and one of the easiest to get wrong. Here’s the straight talk on how to use
Are you finding that your claims are being denied regularly when they should be paid? Are your reimbursements taking longer to process even though you submitted the claim accurately? In 2026, the challenges associated with billing for behavioral health are increasing in complexity. Billing for behavioral health services now requires
Opening a physical therapy practice is a major milestone. But before you can bill a single insurer, you need to complete physical therapy credentialing. This is a process that even well-prepared new owners trip up. Credentialing is how insurance payers verify your qualifications and approve you to participate in their
Operating a physical therapy clinic is more challenging than before. Reimbursement rates are reducing, audits are becoming stricter, and paperwork is continuously increasing. Most owners and therapists are giving more care and receiving less pay, and, unfortunately, that is not too far away. These changes are crucial for practice owners,
Physical therapy billing units are a great determinant of payment speed to your clinic and the frequency of rejected claims. Once the units are manipulated, or objective documentation is done incorrectly, a case of a good clinical can fast turn into a delayed reimbursement or compliance headache. It is the
