Physical Therapy Billing Services in the USA

Introduction – Simplifying Billing for Physical Therapists

Running a physical-therapy practice is not for slackers. Every day, you inspire your patients to return from pain or injury…but behind every treatment is detailed documentation, codes, and claims. It only takes one missing modifier, or time entry to get a denial and have your payments delayed. And that’s exactly why all over the United State, Florida / Miami and St Petersburg area we at DEA HealthCare/ AccuBill Solutions LLC by the thousands can rely for accurate, compliant and completely transparent Physical Therapy Billing Services.

Payer rules, CPT codes and insurance requirements Our experts are in the know so you can focus on patient care and not worry about your revenue.

What Are Physical Therapy Billing Services

Physical-therapy billing includes converting treatment notes into clean insurance claims and managing payments from start to finish.

Why It Matters

• Prevents claim rejections

• Ensures proper coding for each procedure

• Tracks modifiers like GP and KX correctly

• Keeps your revenue consistent and compliant

AccuBill Solutions LLC streamlines every step of this process using advanced billing tools and expert knowledge.

Our Step-by-Step Billing Process

1. Patient Registration and Insurance Verification – Confirm eligibility, policy limits, and prior authorization.
2. Charge Capture and CPT Coding – Enter accurate codes for manual therapy, exercise, and ultrasound.
3. Claim Scrubbing and Submission – Review all claims for compliance with the CMS 8-Minute Rule.
4. Payment Posting and Reconciliation – Record payer responses through Electronic Remittance Advice (ERA).
5. AR Follow-Up and Denial Management – Resolve underpayments and track outstanding claims.
6. Monthly Reporting – Transparent performance summaries for complete visibility.

This workflow helps physical-therapy clinics maintain a 98 percent clean-claim rate and faster reimbursements.

Understanding CPT Codes for Physical Therapy

Correct coding is the backbone of physical-therapy billing.

Common CPT Codes

Our certified coders make sure each code is properly timed, documented, and linked to the right diagnosis.

Modifiers and Compliance

GP Modifier

Applied to services delivered under a physical-therapy plan of care.

KX Modifier

Used when therapy costs exceed Medicare’s threshold but treatment remains medically necessary.

Modifier 59

Indicates a distinct service that should be billed separately.

Our team checks every claim for correct modifier use, preventing duplicate or bundled-service denials.

Following the CMS 8-Minute Rule

Medicare requires that each timed therapy code meet a minimum of 8 minutes.

We verify treatment documentation and ensure coding aligns with the rule so that every reimbursable minute counts.

How Physical Therapy Is Reimbursed by Insurance

Insurance companies pay for physical-therapy sessions based on units, codes, and documentation.

Our Approach to Better Reimbursement

• Verify coverage before sessions begin

• Use correct CPT and modifier combinations

• Submit claims electronically for faster turnaround

• Handle denials and appeals promptly

AccuBill Solutions LLC improves reimbursement rates through precision and proactive follow-up.

HIPAA-Compliant Billing You Can Trust

Data security is vital. All our systems and processes are fully HIPAA compliant. We encrypt information, limit access to authorized staff, and regularly audit our operations to keep your practice secure.

PT Solutions Billing and EHR Integration

Our billing systems integrate with major EHR platforms such as Athenahealth, WebPT, AdvancedMD, and Kareo.

Benefits

• Direct data transfer from clinical notes to claims

• Fewer manual errors

• Real-time payment tracking

• Clear reporting for practice management

We provide end-to-end support from charge entry to collections.

Why Choose AccuBill Solutions LLC for Physical-Therapy Billing

• Experienced team specialized in therapy billing

• 100 percent HIPAA compliance

• Detailed reporting and transparent pricing

• Support for clinics of all sizes across the USA

• Local focus on Miami and St Petersburg, Florida

With our help, physical therapists see improved cash flow and peace of mind.

Frequently Asked Questions (FAQs)

What are Physical Therapy Billing Services?

They cover the entire billing process for physical therapy clinics, from insurance verification to payment posting and reporting.

What is the CMS 8-Minute Rule?

It states that a therapist must provide at least 8 minutes of a timed service to bill for one unit.

Why is the GP modifier important?

It shows the payer that the service was part of an approved therapy plan and meets Medicare guidelines.

What are common CPT codes for therapy services?

97110, 97140, 97530, and 97035 are the most frequent codes used in physical therapy billing.

How can I avoid claim denials in physical therapy billing?

Use accurate documentation, proper modifiers, and follow timing rules. AccuBill Solutions LLC does this for you automatically.

Is your billing service HIPAA compliant?

Yes, we maintain strict data security for every client and meet HIPAA standards nationwide.

Do you serve clinics outside Florida?

Yes, our team supports therapy providers across the entire United States.

Conclusion – Partner with AccuBill Solutions LLC for Smarter Therapy Billing

Physical-therapy billing demands attention to detail, accurate coding, and constant communication with payers. AccuBill Solutions LLC simplifies this process through expert knowledge, secure technology, and personal support.

From the CMS 8-Minute Rule to CPT 97110 and modifier KX, our team handles every detail with precision so your practice gets paid faster and more accurately.

Contact AccuBill Solutions LLC today to see how our Physical Therapy Billing Services can help your clinic grow across Miami and nationwide USA.