Park Medical Billing provides specialized physical therapy billing services for independent PT practices, outpatient rehabilitation clinics, and multi-location groups nationwide. Our team reviews timed units, therapy modifiers, authorizations, payer requirements, denials, and aging A/R while helping your practice maintain clearer visibility into collections.
Physical therapy claims require more than basic charge entry. Timed treatment units, therapy modifiers, authorization limits, Medicare requirements, NCCI edits, and payer-specific policies can affect whether a claim is accepted, reduced, delayed, or denied.
Park Medical Billing organizes the full billing workflow around these PT-specific requirements, from claim review and submission through payment posting, denial resolution, A/R follow-up, and reporting.
PMB combines automated claim checks with review by experienced billing professionals. The workflow can identify potential issues involving patient information, coding, modifiers, units, authorization data, and payer requirements before submission. Billing staff review the findings, make supported corrections, and escalate documentation questions to the practice when needed.
Claim-level eligibility information, coverage rules, and coordination of benefits
Medicare therapy thresholds and appropriate KX modifier use
GP and CQ modifier use for PT and PTA services, including applicable Medicare assistant payment adjustments
Applicable coverage guidance and payer-specific requirements
CPT coding, billed units, and applicable fee-schedule requirements
NCCI edits and modifier 59 or X-modifier use when supported by the service combination, payer rule, and documentation
ICD-10 coding accuracy and medical-necessity alignment
Authorization requirements and authorization numbers
Our Daily Denial Reports identify and summarize new denials from the previous day’s ERAs, giving our billing team clear issues to address each morning. We review denial reasons, correct claim issues, initiate appeals when appropriate, and follow up on unresolved claims, helping prevent denials from sitting unnoticed and slowing your physical therapy practice’s cash flow.
SPHERE gives PMB and the practice a shared view of revenue-cycle priorities. Depending on the client’s workflow, dashboards can organize claims, payments, denials, aging A/R, authorization-related issues, and follow-up activity.
The purpose is not simply to display more data, but to identify what needs attention, assign the next action, monitor unresolved items, and support regular account reviews using the same information.
Book a free consultation and see how our PT billing experts can help your practice grow.
Physical therapy billing requires close attention to timed units, therapy modifiers, authorizations, and payer requirements. Park Medical Billing combines hands-on PT billing experience with our SPHERE Revenue Assurance System to help identify billing issues, prioritize unpaid claims, and provide clearer visibility into collection performance.
Supported by advanced technologies, our skilled, certified billing professionals are able to focus on what matters most – exceptional customer service. All your emails and calls are returned, and we continually monitor claims, track accounts, and ensure full compliance at every stage.
Your dedicated account manager leads a team of experienced billers, patient statement specialists, and payment posters, all with one thing on their minds: your best interest. With our physical therapy medical billing services, you can trust that every detail of your revenue cycle is managed accurately and efficiently.
Outsourcing your physical therapy medical billing to us allows you to focus more on your practice, save time and improve cash flow. As industry experts, we take care of your financial needs while you prioritize patient care.
Our certified specialists at Park Medical Billing are familiar with the challenges of PT billing. We can appropriately bill various services, while ensuring your claims will be processed faster and more accurately. With us, you can stop spending your time worrying about getting paid.
Our physical therapy billing services are intended to hasten payments. You can relax knowing that your medical billing is handled by experts who accurately code, follow up on claims, keep an eye on accounts, and ensure compliance.
Every independent physical therapy practice must know the details of accurate medical billing. However, many cannot spare the time and effort to master the same. While working with the physical therapist, billing & coding expert, or practice administrator currently in charge of it, our physical therapy billing service professionals ensure your clinic receives the money it is entitled to.
Park Medical Billing offers specialized solutions for your practice. We are familiar with the wide range of EMR & PMS software solutions and can either work with your present solution or suggest other ones. The revenue cycle management aspect of your company can be made much simpler by utilizing our services and skilled medical billing specialists.
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PMB team members receive HIPAA training and follow established procedures for access control, handling patient information, and secure data transfer. Billing workflows are also reviewed against applicable payer, Medicare, coding, and documentation requirements. The practice remains responsible for accurate clinical documentation and treatment decisions.
Park Medical Billing provides specialized physical therapy billing services to practices across the United States. We support independent physical therapists, outpatient rehabilitation clinics and multi-location practices with comprehensive billing and revenue cycle management solutions.
Our services are designed to improve reimbursement, reduce denials and strengthen overall financial performance.
Don’t see your location? We support physical therapy practices across the U.S. Contact Park Medical Billing to discuss your billing needs and learn how we can support your practice.
Find answers to common questions about PT billing services, timed units, modifiers, authorizations, denials, EMR systems, pricing, and switching billing companies.
Our physical therapy billing services may include claim review and submission, payment posting, denial management and appeals, accounts receivable follow-up, authorization tracking, underpayment review, patient statements, and revenue cycle reporting. Your proposal clearly identifies the services included in your agreement.
Our billing team reviews documented treatment time and applies the billing method required by the patient’s payer. Because Medicare and commercial payers may calculate timed units differently, we review the applicable requirements instead of applying one rule to every claim. We also review applicable therapy modifiers, including GP, KX, CQ, CO, and NCCI-associated modifiers, based on the service provided, payer requirements, and supporting documentation.
Authorization responsibilities depend on the services included in your agreement. Before onboarding, we establish who will check authorization requirements, submit requests, track approved visits and expiration dates, and follow up on pending decisions. When PMB provides authorization support, your clinic supplies the clinical documentation and treatment information required by the payer. Authorization does not guarantee payment because coverage and other claim requirements still apply.
Park Medical Billing combines AI-assisted claim checks with professional review to identify potential issues involving timed units, modifiers, authorizations, documentation, and payer requirements. When a claim is denied, our team reviews the reason, determines whether a correction or appeal is appropriate, and follows the claim through resolution. We also monitor recurring denial patterns to help identify their underlying causes.
In many cases, yes. We review your current EMR, practice management system, and billing workflow before recommending an approach. Depending on the platform, we may use a supported direct integration, work securely within your existing system, or establish an agreed data-transfer process. Before onboarding, we explain how billing information, payments, claim statuses, and reports will move between your practice and PMB, including any manual steps or additional costs.
Pricing is customized based on your practice’s collections, provider count, billing volume, and required services. With percentage-based pricing, your agreement defines which collections are used to calculate the fee. Your proposal outlines the included services and identifies any separate charges for software, integrations, authorization support, or recovery of older accounts receivable.
We begin by reviewing your current billing workflow, payer setup, outstanding claims, systems, and reporting needs. We then coordinate system access, responsibilities, and a billing start date. We also establish a plan for existing accounts receivable, including which older claims PMB will manage and whether separate fees apply. After launch, our team reviews initial claim activity to support a smooth transition.
No. Physical therapy billing is a major area of experience for Park Medical Billing, but we also support other healthcare specialties. This page focuses specifically on how our billing services address the timed units, therapy modifiers, authorizations, documentation, and payer requirements encountered by PT practices.
