Physical Therapy Billing
Billing solutions for physical therapy practices and rehabilitation centers.
The Challenge
Common Billing Challenges in Physical Therapy
Physical therapy billing involves therapy cap tracking, prior authorization requirements, and functional limitation reporting that create ongoing administrative burden and denial risk.
Medicare Therapy Thresholds
Medicare therapy threshold tracking requires careful monitoring to avoid claim denials and exceptions-based billing errors.
Prior Authorization for Ongoing Care
Most commercial payers require prior authorization for physical therapy and may limit the number of authorized visits.
Functional Limitation Reporting
Medicare requires periodic functional limitation reporting — missing these submissions results in claim denials.
Multiple Procedure Billing
Physical therapy visits often include multiple timed and untimed codes that must be billed correctly to maximize reimbursement.
Our Approach
How TBL MedRCM Solves It
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